Tag Archives | patient assessment

Patient Assessment Skills Tips

Students and refreshing providers often stress over the skills assessments. These evaluations can be subjective at times. So it is important that you know the skills of patient assessment, so that you don’t leave room for any perceived mistakes. The two downloads to the right offer key elements of patient assessment and vital signs. Now […]

Continue Reading

Patient Assessment | Part Four

Transport Three R’s Right person, right place, right amount of time Receiving facility depends on: Patient Condition Available facilities: Special centers Multisystem trauma Burns AMI Spinal Pediatric Neonatal Hyperbaric chamber Behavioral/Psych Medical Direction: contact receiving facility re: Nature of incident Number of patients coming Life threatening problems Care being rendered Results of care ETA Other […]

Continue Reading

Patient Assessment | Part Three

Phases of Scene Assessment (Continued) 5 – Detailed Physical Examination Detailed assessment: organized, subjective and objective exam For priority patients, do this en route to the hospital 6 – Ongoing Assessment Continue through definitive field management and transportation Stable every 15 min Unstable every 5 min Mental Status Monitor the airway Monitor breathing rate and quality […]

Continue Reading

Patient Assessment | Part Two

Phases of Scene Assessment (Continued) 3 – Focused History and Physical Exam Medical Medical: Limited and is specifically related to the acute problem of the day. Use OPQRST Assess: what ever is related to the complaint Take: baseline vitals Unresponsive Medical: do a rapid assessment Position patient to protect the airway Assess: Head Neck Chest Abdomen […]

Continue Reading

Patient Assessment | Part One

Patient Assessment SOAP Format: Subjective, Objective, Assessment, Plan Symptom: subjective indication of a disease or condition as perceived by patient -complaint, history etc. Sign: objective finding, vital signs, what you see Phases of Scene Assessment 1 – Scene size up: scene safety is #1 BSI Dispatch is based on: Patient condition/medical history Scene condition Number […]

Continue Reading

Techniques of Physical Examination | Part Three

Cardiovascular System Evaluate Four areas: Arterial Pulse – check for rate (bradycardia – tachycardia), regularity/rhythm (skipped or extra beats), and character/amplitude (strong, weak…): radial (most often for conscious patients) carotid (patients with shock or poor circulation) femoral (also patients with shock or poor circulation) – brachial – infants Blood pressure: normotension = normal limits normal […]

Continue Reading

Techniques of Physical Examination | Part Two

Techniques of Physical Examination | Part Two Making a General Survey: universal overview of the patient’s general condition. Document appropriately: LOC Signs of Distress Apparent state of health Skin color temp and condition Weight Posture Gait activity Dress grooming personal hygiene Breath odors Facial expression Vital Signs Additional assessments: pulse oximetry, blood glucose, cardiac monitoring […]

Continue Reading

Stay safe