Assessment Based Management Flashcards
What is something we should try to avoid?
Tunnel vision towards a field diagnosis
What are three points of an effective assessment?
Assessment forms the foundation for patient care
Forms the basis of establishing priorities and a patient management plan
Decisions will only ever be as good as the information you collect
What are three things we pay attention to when dealing with pattern recognition?
Remain alert to patterns
Compare information to what is in your knowledge base about various diseases
The ability to recognize patterns increases with experience
What are five factors affecting assessment and decision making?
Personal attitudes Uncooperative patients Patient compliance Distracting injuries Environmental and personal considerations
What are two things we should be doing when deal with substance-abuse patients
Maintain a non-judgemental attitude
Do not leave the patient alone
What are the roles of the team leader? (5)
Obtains the history Performs physical exam Presents the patient Handles documentation Acts as the EMS commander
What are the roles of the patient care provider? (6)
Provide scene cover Gather scene information Talk to relatives/bystanders Obtain vital signs Perform interventions Act as triage group leader
What are the five components of the general approach to the patient?
Scene assessment Primary assessment Focused history and secondary assessment Ongoing and detailed assessment Identification of life-threatening problems
What are the components of scene assessment? (4)
Body substance isolation
Scene safety
Locate and account for all patients
MOI or nature of illness
What are the components of the Primary Assessment? (6)
Formation of general impression/degree of distress Mental status (AVPU) Airway assessment Breathing assessment Circulation assessment Determination of patient priority
What are three assessment-based approaches?
Resuscitative
Contemplative
Immediate evacuation
What are the components of the ongoing and detailed assessment? (7)
Mental status ABC's Transport priorities Vital signs Focused assessments of problem areas or conditions Effectiveness of interventions Management plans
What must you look for at all stages of assessment?
Identification and treatment of life-threatening problems
What is assessment based management?
It allows a paramedic to carry out an assessment in a systematic way, to allow the medic to constantly think and reason