Card Set Information
Rapid assmnt enables the nurse to? (5)
1. Establish a baseline.
2. Prioritize Pt care.
3. Recognize changes in Pt status
4. Evaluate Pt progress.
5. Modify nursing care.
What are the 5 nursing knowledge base for Rapid Assmnt?
1. Hollistic assmnt.
4. Human anatomy
5. Anatomical landmarks for auscultation of heart, lung, and bowel sounds.
What are the nursing skills rq'd to PERFORM a rapid assmnt? (6)
5. Body mechanics
6. Physical & psychological safety
How do you assess ABCDEs of the RA?
What should the Pt be able to tell you?
If Pt talks to you w/o difficulty, it may indicate no problems with breathing however there still may be a potential problem)
Pt should be able to:
What should you do before entering the Pt's room for a RA?
Wash your hands & gather equipment: steth, penlight, document form, hand sanitizer.
What does "D" and "E" stand for and how should you assess for them?
D: discomfort. Ask about pain, nausea, SOB, discomfort.
: Is IV solution hanging? Pump set correctly? IV site w/o redness, swelling?
*Include siderails,bed up/down, call light, drapes, gown, etc.)