Introduces self
0
1

Confirms name & age of patient
0
1

Explains & gains consent
0
1

Arranges chaperone, closes curtains/sign/locks door
0
1

Washes hands
0
1

Gathers equipment (tissues, gloves, lubricant) and wears gloves
0
1

Positions patient correctly (lie on left, knees drawn to their chest)
0
1

Exposes patient correctly maintaining dignity
0
1

Asks if patient is in pain
0
1

Lifts cheek & inspects for skin tags, haemorrhoids, fissures, fistulae, ulcers, warts
0
1

Lubricates index finger
0
1

Warns patient before insertion. Inserts finger in correct position asking patient to breathe deeply
0
1

Checks anal tone and asks patient to bear down
0
1

Sweeps clockwise and anticlockwise checking for masses, polyps, faeces, ulcers
0
1

Feels for prostate (midline groove, size, consistency, symmetry)
0
1

Examines examining finger for faeces (commenting on colour), blood, mucus
0
1

Cleans off lubricant and disposes of gloves correctly
0
1

Thanks patient and offers tissues and help to redress
0
1

Washes hands
0
1

Requests abdominal exam and examination of sensation to perianal area
0
1

Summarises appropriately with only key findings
0
1

Offer appropriate differential diagnoses.
0
1

Patient global score
0
1
2