Module 11
Reflex Testing
Biceps, triceps, brachioradialis, patellar, Achilles, technique, grading, and asymmetry.
Field Principle: Observe accurately, object calmly, and document facts without exaggeration.
Learning Objectives
- Identify the purpose and limits of this portion of the defense medical examination.
- Recognize common examiner shortcuts, scope drift, or vague documentation problems.
- Use neutral language to record exactly what was asked, tested, measured, or omitted.
- Apply professional objection language without coaching the client or disrupting proper examination.
- Prepare a clean report entry that assists attorney review.
Lesson Content
This module provides practical DME Boot Camp instruction for nurse observers. Students should focus on the examiner’s wording, testing method, equipment used, client positioning, visible pain behavior, and whether the examination stays within the agreed scope.
| Watch For | Document |
|---|---|
| Questions beyond the permitted scope | Exact words, objection, and examiner response |
| Testing through clothing or poor anchor points | Body part, method, and whether equipment was used |
| Vague strength or sensation checks | Tools, sides compared, grading, and client response |
| Pain minimized or omitted | Client statements and observable behavior |
Sample Objection Language
“Doctor, I’m going to object that this question/test appears outside the scope of the Response to Demand. You may proceed as you believe appropriate, but I need to place the objection on the record.”