Competency Skills - Comprehensive Mneumonics Flashcards
What is the mneumonic for starting out?
HII
PAE
HII like hello
PAE like P.A. + E
Hand hygeine
Introduce
ID
Privacy
Allergies
Educate
What is the second mneumonic after HI PAE?
APWPF
A Patient With Perfect Focus
What does APWPF stand for
A&O X3
Posture
WDWN in NAD GH AD NO
Pain
Face
WDWN well developed well nourished
NAD no acute distress
GH Good hygeine
AD Appropriate Dress
NO No Odor
Pain on 1 to 10
Facial expression, symmetry
What is the mneumonic after APWPF
B - GAST
GBR is gait RoM balance
Gast = being afraid
Body (ht, wt, bmi)& GBR on the way to the scale - mobility and health of body for running
A, E, D, O (aids & devices) - feel like its life or death AED
SMALLTAP - tip toeing to be quiet from the predator
THROB (vitals)`- throbbing heart by running away
What does AEDO stand for
Aids to walk, Equipment with them, Dressings, Ostomies
think AEDO like you are running for your life from the B-GAST
What does THROB stand for
Temperature
HR
Respirations
Oxy sat
Blood pressure
Skin mneumonics starting
Cover up,
(4) Scalp (LIC’D) LegsDE, Clavicle (M&T), Nails (N & NB SSCCC)
Transition to everywhere list ticket is PECJ P&S
- Cover up
- Inspect Head and scalp for color, hair distribution, lesions, infestations. (LICD)
- Body hair on legs distribution (LHD) and edema(E)
- Skin turgor and mobility under clavicle (M&T)
- Nail AND nail bed size shape color, condition, clubbing (N & NB SSCCC)
- nail capillary refill (CR)
- Cyanosis, Pallor, Jaundice, erythema palms and soles of feet. (PECJ. P&S)
After skin transition to everything
PECJ
EVM SSC
TMT
WL SS CDE L
BC S
BR
- Cyanosis, Pallor, Jaundice, Erythema (PECJ)
- Moles, Ecchymosis, Vascularity. Note size, shape color (EVMSSC)
- Temperature, Moisture, Texture (TMT)
- Wounds, lesions, size shape location, color, drainage, exudate (WLSS LCDE)
- Bruises, scratches, cuts (BSC)
- Blanching on reddened areas (BR)
Ear Nose Throat 2nd
Hear them when they are talking, cranial nerve 8 whisper test
Ear Nose Throat 1st
SPeeD
TeMP
SPeeD - ear shape, position, discharge
TeMP - tenderness Pinna and Tragus, Mastoid percuss,
Nose 2nd
Septum midline, nose aligned, nares in tact, discharge
Ear Nose Throat 3rd
Otoscope time-
drum FOR canal
drum - tympanic membrane
FOR - foreign objects, open areas, redness
canal - ear canal
Nose 1st
Palpate frontal and maxillary sinuses
Nose 3rd
penlight + nasal mucosa examine for
DEEP BCPT
DRPS- Discharge, Erythema, Edema, pallor
quality of discharge is BCPT - bloody, clear, purulent, thin
Nose 4
Check patency and sniff test for cranial nerve 1
Mouth after nose
Lips, oral mucosa, gums and teeth.
DIB MID
Tongue throat tonsils - WILU
DIB MID- Dentures, inflammation, bleeding, Missing teeth, inflamed, dry
WILU open my mouth - White patches, inflammation, lesions, ulcers
Neuro
CN 1 through 12
LoC alert and oriented X3
SMALLTAP
Immediate (sky horse table). Remember these three words later. Who is the president of the united states?
Recent (What was the weather this morning), recent, remote memory (who is the president)
Rombergs
Gait
Upper and lower extremity coordination (point to point, heel to shin)
Strength upper lower extremities
Light touch
sharp dull
vibration on DIP of thumb
monofilament testing on feet
deep tendon reflexes upper AND lower
ABD 1st actions
Questions. Pass, Character, Change PCC?
D/C BB?
CHuBS
N/V?
Contour X 2
D/C BB Diarrhea constiptation black tarry or bloody
CHUBS - Cramps, Heartburn, bUUUrp/gas, Belch, Swallow
ABD 2nd actions
Inspect abdomen for SCUMV SLDD C tape
SCUMV - Symmetry, contour, umbilicus, movement of abdomen, veins
SLDD - Scars, Lesions, distribution of hair, distended
C tape - Color and measure umbilicus to posterior
ABD 3rd action
Hernia inguinal/umbilical - bear down
Pain
Auscultate quadrants and abd aorta for bruitis
ABD fourth action
Percuss quadrants
ABD 5th action
Palpate quadrants
Palpate bladder distension
CVA
Male/female rectal if indicated
Cardio
- look at vital signs (THROB)
- compare right and left BP readings and it shouldn’t be more than 10 mmHg difference.
- Questions - chest pain, SOB, fatigue, history cardiac disease? Smoking, alcohol, caffeine, exercise, diet, cardiac medications
- Overall condition
- LoC
- Skin color, moisture, temperature, capillary refill
- Palpate carotid arteries RRR one at a time
- Ausculate carotids for bruitis
- JVD
- Check peripheral pulses for strong, equal bilateral and no peripheral edema.
- skin moisture, temperature, texture
- Apical pulsation
- PMI
- 5 landmarks. HR between 60 and 100/min. RRR.
CHASED SPF M
caffeine, history of disease, alcohol, smoking, exercise, diet
Shortness of breath, chest Pain, fatigue, medications
Respiratory
- RR 12-20. Regular rhythem and normal depth
- ERPS - Equal Rise and fall during insp exp, Posture, Smoking status
- PLOTS - Pregnancy, Lung diseases, Oxygen, Trauma, Surgery
- Cough present - sputum, color consistency, odor
- Inspect thorax for symmetry and configuration. no barrel chest or accessory muscles.
- Posterior thorax - No bony deformities, curvatures, skyphosis, scoliosis
- Lung expansion posterior thorax - watch thumbs
- Palpate and percuss over anterior and posterior chest while asking if its tender. No masses present.
- Auscultate and take deep breath during each one. No crackles or wheezes.
- Abnormal curvature of spine
- breast exam if indicated
ERPS PLOTS
RR&D - regular rate and depth
ERPS PLOTS- Equal rise, posture, smoke, Pregnancy, Lung diseases, oxygen, truama, surgery
MSK 1st steps
Overall appearance and movement
Gait, balance - tandem, tip toe, heels
Inspect pulses (pedal, radial)
Inspect hair distribution and edema on legs
Inspect lateral view for spine curvature
Inspect posteior spine skyphosis or scoliosis
Palpate spine for tenderness
1.
MSK 2nd steps
ROM spine lateral flexion, rotation, flexion, extension
MSK 3rd step
Inspect, palpate and RoM of all muscle groups of upper and lower extremities. Also strength.
“Any pain with movement?”
FESS UP DOWN without
Firm Edema Smooth Symmetric, hyper, hypo tonic and A-trophy
“Symmetric, firm, smooth, no hypotonic, hypertonic, atrophy, edema”
FESS UP DOWN without
Firm Edema Smooth Symmetric, hyper, hypo tonic and A-trophy
Concluding steps
Document assessment findings, meds, non med, interventions into medical record
