PATIENT ASSESSMENT W/ MED ADMINISTRATION

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Author:
Anonymous
ID:
54703
Filename:
PATIENT ASSESSMENT W/ MED ADMINISTRATION
Updated:
2010-12-09 21:05:24
Tags:
EMT Patient Assessment
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EMT ASSESSMENT
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  1. SCENE SIZE-UP 1.
    • 1. BSI
    • 2. SCENE SAFETY
    • 3. ENVIRONMENTAL HAZARDS
    • 4. NUMBER OF PATIENTS
    • 5. NATURE OF INJURY
    • 6. SPECIAL EQUIPMENT
    • 7. ADDITIONAL BSI ?
    • 8. RULE OUT C-SPINE
  2. PRIMARY ASSESSMENT 2.
    • 1. GENERAL IMPRESSION - mild/ mod./severe ?
    • 2. RAPPORT: permission to treat
    • 3. IDENTIFY & MANAGE LIFE TREATS
    • 4. A- AVPU alert ,verbal,, painful stim unresponsive
    • 5. A- AIRWAY PATENT
    • 6. B- BREATHING, rate, rhythm, quality, tidal vol
    • 2 quick lung sounds, oxygen, BVM
    • 7. C- PULSE- rate, rhythm, quality
    • SKIN- color, temp, moisture. control bleeding
    • 8. D- DISABILITIES OF DEFORMITY
    • 9. E- EXPOSE- CHIEF COMPLANT AREA
    • 10. F- FIELD IMPRESSION
    • 11. G- GO priority patient. Transport decision,
    • ALS, Ambulance of Air Squad, Destination
  3. SECONDARY ASSESSMENT
    • 1. RAPID ASSESSMENT OF BODY PARTS
    • associated with chief complant
    • 2. OPQRST
    • 3. SAMPLE- Signs, Allergies, Meds, Pertinent history
    • Last oral intake, Events leading up to.
    • 4.VITAL SIGNS- BP, Pulse, RR, Skins, Pain scale
    • 5. A&O X3, GCS, PUPILS
    • 6. DETAILED Physical Exam of body parts
    • related to Chief Complant.
    • 7. Lung Sounds X 6 fields.
    • 8. VERBALIZE TREATMENT
    • 9. NITRO, EPI PEN, BRONCHODILATOR
  4. MEDICATION ADMINISTRATON
    • 1. IS THE MED- PRESCRIBED BY DOC.
    • PRESCRIBED FOR PATIENT
    • 2. INDICATIONS- Specific to the Med.
    • 3. CONTRAINDICATIONS- Specific to the Med.
    • 4. DICE- Drug Name, Integrity
    • Clarity/Concentration, Expiration Date
    • 5. PREPARE MEDICATION- Specific to Med.
    • 6. ADMINISTER AS DIRECTED- Specific Med
    • 7. EVALUATE PATIENT RESPONSE
    • 8. Respiratory, Cardiac, Mental Status, Vital Signs
  5. ONGOING ASSESSMENT
    • 1. REPEAT EVERY 5 MINUTES
    • 2. PRIMARY ASSESSMENT
    • 3. SECONDARY ASSESSMENT & VITALS
    • 4. COMPARE BASELINE RESULTS
    • 5. EVALUATE RESPONSE TO TREATMENT
    • 6. DOCUMENT/REPORT
    • 7. ASSESSMENT FINDINGS BEFORE &
    • AFTER DRUG ADMIN.
    • 8. DRUG- name, dose, route, site, time
    • 9. WHO GAVE THE DRUG? REPEAT DOSE?
    • 10. PATIENTS RESPONSE
    • 11. Respiratory, Cardiac, Mental Status, Vital Signs

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