Patient Assessment

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Author:
hiker0001
ID:
268200
Filename:
Patient Assessment
Updated:
2014-05-24 17:27:59
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Patient Assessment
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Patient Assessment
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  1. Three main components to the patient assessment:
    • Scene Size Up
    • Primary Assessment (Initial Assessment)
    • Secondary Assessment (Focused History and Physical)
  2. Two main components of the scene size up:
    • Body Substance Isolation (BSI)
    • Scene Size Up
  3. Acronym for the scene size up:
    • Personal, partner, patient safety, reconsider BSI
    • Environmental Hazards
    • Number of Patients
    • Mechanism of Injury/Illness
    • Additional Resources
    • Need for Spinal Mobilization - Manual stabilization begins as you start the initial assessment
  4. What is done at some point during the primary assessment?
    Determine level of consciousness (LOC) - person, place, time, event
  5. What four things determine LOC?
    • person
    • place
    • time
    • event
  6. What are the nine main components of the primary assessment?
    • General Impression - Life Threatening Conditions
    • Patient Rapport
    • Determine Responsiveness
    • Airway
    • Breathing
    • Circulation
    • Disabilities/Deformities
    • Chief Complain
    • Transport Decision
  7. Acronym used to determine responsiveness:
    • Alert
    • Verbal
    • Pain
    • Unresponsive
  8. What should be done if the patient is found to be unresponsive during the primary assessment?
    Check the breathing.  If breathing is absent or agonal, check for a pulse.
  9. What two things are considered when checking the airway during the primary assessment?
    • Patent/Obstructed?
    • Consider Mechanism
  10. What should be considered if the airway is obstructed?
    suction
  11. What two things are assessed during breathing assessment of the primary assessment?
    • Is the breathing:
    • Fast/Slow?
    • Deep/Shallow?
  12. What two things need considering when assessing breathing during the primary assessment?
    • Oxygenation/Ventilation
    • Lung Sounds
  13. What four things are assessed during the circulation assessment of the primary assessment?
    • Pulse
    • Skin Signs
    • Life Threatening Bleeding
    • Capillary Refill
  14. What three aspects of pulse are being assessed during the circulation assessment of the primary assessment?
    • Fast/Slow?
    • Regular/Irregular?
    • Strong/Weak?
  15. What two things should be considered during the circulation assessment of the primary assessment?
    • Shock Management
    • Resuscitation
  16. What two things need consideration when making a transport decision during the primary assessment?
    • Prioritize Patients
    • Distance from ALS/Hospital
  17. The type of secondary assessment is determined based on what two types of patients?
    • Response Medical/Minor Trauma
    • Major Trauma/Unresponsive Medical
  18. What are the four main components to a secondary assessment of a responsive medical/minor trauma patient?
    • OPQRST
    • SAMPLE
    • Vitals
    • Pertinent Body Check
  19. What are the five main components to a secondary assessment of major trauma/unresponsive medical patient?
    • 60-Second Rapid Trauma Assessment
    • Vitals
    • OPQRST
    • SAMPLE
    • Detailed Physical Exam
  20. What must be considered at all times during a secondary assessment?
    consider all interventions
  21. What does the OPQRST mnemonic mean in the secondary assessment?
    • Onset - Sudden/Gradual
    • Provoke/Palliation
    • Quality
    • Region/Radiation/Re-occurrence
    • Severity
    • Time
  22. What does the SAMPLE mnemonic mean in the secondary assessment?
    • Signs/Symptoms
    • Allergies
    • Medications
    • Pertinent Medical History
    • Last oral intake/Last exit
    • Events Surround Incident
  23. What six things are assessed when checking vitals during the secondary assessment?
    • Blood Pressure
    • Eyes
    • Lung Sounds
    • Respirations
    • Pulse
    • Pulse Oximetry
  24. What three things are checked while looking at eyes during the vitals assessment of the secondary assessment?
    • Size
    • Equality
    • Reactivity
  25. What three things are checked when assessing respirations during the vitals assessment of the secondary assessment?
    • Rate
    • Effort
    • Tidal Volume
  26. What three things are checked when assessing pulse during the vitals assessment of the secondary assessment?
    • Rate
    • Rhythm
    • Quality
  27. vWhen do we oxygenate a patient after checking pulse oximetry during the vitals assessment of the secondary assessment?
    If SpO2 is below 95 percent
  28. With a spinal injury, what do you direct the patient not to do?
    move their head
  29. How do you approach a patient?
    from the front so they do not move their head
  30. What is the first question to ask during the Patient Rapport step?
    Why did you call EMS?
  31. How do we assess pain?
    scale of 0 to 10
  32. For a major trauma/unresponsive medical patient, when is the 60 second rapid trauma assessment performed?  Before or during transport?
    before
  33. For a major trauma/unresponsive medical patient, when are vitals, OPQRST, SAMPLE, and detailed physical exam performed?  Before or during transport?
    during

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