Name: _________________________________ Year & Section: ____________ Score: _________
Subject: _______________________________ Date: __________________
TESTICULAR SELF-EXAMINATION
RUBRICS
PROCEDURE CRITERIA
PROFICIENT APPROACHING DEVELOPING BEGINNING
Independently PROFICIENCY Performs skills Performs skills
performs all skills Performs skills with assistance of with assistance
fluently and with assistance of faculty 3 - 4 times of faculty greater
without difficulty. faculty 1 - 2 times during simulation. than 4 times
during simulation. during
3 2 simulation.
4 1
ATTITUDE
1. Displays readiness in the
performance of the procedure.
2. Shows spontaneity in the
execution of each step.
3. Readily accepts constructing
criticism if found to be incorrect.
4. Answers all questions readily.
5. Observes precautionary
measures and neatness at all
times.
6. Accomplishes the procedure on
time.
KNOWLEDGE & SKILLS
1. Cup the testicles with one hand to
feel the weight.
● One testis may be larger
/lower than the other.
2. Check one testicle at a time.
● Index and middle finger
underneath the scrotum
and thumb on top.
a. Gently roll the testicle
between fingers and
thumb.
b. Do not squeeze too hard.
c. Check for any lumps,
bumps, or painful areas.
d. Feel the epididymis
● Testicle should be round
and smooth (like a hard-
boiled egg)
● Epididymis is not as
smooth as the egg-
shaped testicle.
3. Repeat to the other testicle.
4. Palpate/feel the spermatic cord
going up to the testicles.
● The Spermatic cord is firm
and smooth.
TOTAL POINTS: 40
____________________________________________
Signature over Printed name of the Student
____________________________________________
Signature over Printed name of the Clinical Instructor
Prepared:
Marie Christine N. Mercado, RN, MAN, Ed.D
Level II – RLE Coordinator
Noted:
Jill Marie C. Hermogenes, RN, MAN, Ed.D
Assistant Dean
Approved:
Michelle B. Yu, RN, MAN, DM
Dean
