Place: the patient is able to identify his or her current location (evaluates intermediate memory) Unresponsive Areas to simulate pain - Pinch areas such as the patient's ear, back of the upper arm (triceps), the trapezius area (the muscle above the collar bone), or apply upward pressure along the ridge of the orbital rim along the underside of the eyebrow Orientation Tests a patient's mental status by checking his or her memory and thinking ability Most common test evaluates a patient's ability to remember: - Person: the patient is able to remember his or her name (evaluates long-term memory) Further assessment will be required for any patient with an altered LOC Perfusion The circulation of blood within an organ or tissue to provide necessary oxygen and nutrients and to remove waste AVPU scale Tests a patient's responsiveness Presume that the patient has a critical injury or life-threatening condition until proven otherwise For patients who are conscious with altered LOC: - This state can be caused by medications, drugs, alcohol, or poisoning this may indicate that inadequate perfusion is adversely affecting the brain and its ability to function Sustained unconsciousness should warn you that a critical respiratory, circulatory, or central system problem or deficit may exist You will define the patient's condition as stable, potentially unstable, or unstable For patients who are unconscious: - Focus initial assessment on problems with airway, breathing, and circulation, which are critical life threats Approach patient from his feet, so he can see you coming Note patient's sex, age, race, level of distress, overall appearance, position, and whether he is moving or still Determine priority care and transport Form a general impression - Determines the priority of care Assess and control life threatening external bleedingġ3. Assess skin color, temperature, and moistureġ1. Assess pulse - determine rate, rhthym, quality for 30 seconds if responsive palpate radial artery, if unresponsive palpate carotid arteryĩ. Administer oxygen 15 L by nonrebreatherĨ. Assess breath sounds - Mid axillary unless abnormal, then all six positionsħ. Assess breathing - determine rate, rhythm, quality for 30 secondsĦ. Assess airway - if alert, open airway if V, P, or U, open airway with jaw thrust, consider oral/nasal airway and suctioningĥ. Determine level of consciousness (AVPU, GCS)Ĥ. Form a general impression of your patient and the environmentģ. Must physically examine the patient and assess level of consciousness (LOC) and airway, breathing, and circulation (ABC) Steps of primary assessment 1. The mechanism of injury A Primary assessment - Identify and begin treatment of immediate or imminent life threats He is conscious and alert and complaining of pain to his right side and shortness of breath. Reassessment When you receive a call to a patient, you can first consider MOI NOI by: Determining what type of equipment you would take to treat the patient Incident command system A system implemented to manage disasters and mass-casualty incidents in which section chiefs, including finance, logistics, operations, and planning, report to the incident commander aka the incident management system Triage The process of sorting patients based on the severity of their condition You are assessing a patient who fell off a ladder. Poisonings 5 parts of the patient assessment process: 1. Examples of nature of illness (NOI) - Seizures
0 Comments
Leave a Reply. |