conscious patient assesment

Question 1

SCENE ASSESSMENT?

Answer 1

S- afety- myself/colleague/patient/IPC/PPE
M- MOI
A- additional resources
R- privacy dignity/ wmas policies/ procedures
T- triage

Question 2

GENERAL OBSERVATIONS

Answer 2

• colour/tone/palor/ position/use of accessory muscles

- AVPU- Alert/voice/pain/ unresponsive

Question 3

PRIMARY SURVEY

Answer 3

Airway- talking so has airway
Breathing/ Circulation- PULSE/RESP RATE/CAP REFILL
Disability- pupils check
Expose- warning

Question 4

OLDCARTS

Answer 4

Onset
Location
Duration
Characteristics
Aggrevating/alleviating/ associating symptoms
Radiation
Temperal factors
Severity- pain score

Question 5

PAST MEDICAL HISTORY

Answer 5

MEDICAL (JAMTHREADS)

JAUNDICE
ANAEMIA
MALIGNENCIES/CANCER
TUBERCULOSIS
HEART CONDITIONS- HYPERTENSION
RHEUMATIC FEVER
EPILEPSY
ASTHMA/COPD
DIABETES
STROKE  

CHILDHOOD ILLNESSES
HOSPITALISATIONS
OBSTETRICS/GYNAE/SEXUAL
PSYCHIATRIC- 
SURGERY?
MEDICATION? DRUGS?

Question 6

FAMILY HISTORY

Answer 6

Parents/ sibling health

Question 7

SOCIAL HISTORY

Answer 7

Habitat
Ocupation
Recreation
Fitness/diet
Smoking/drink/drugs
Exposure to infection- travel
Support- family care

Question 8

REVIEW OF SYSTEMS

Answer 8

GENERAL- FATIGUE/WEIGHT/FEVER/ GENERAL HEALTH
NEUROLOGICAL- HEADACHES/DIZZINESS/FITS/FAINTS/FITS
CARDIOVASCULAR- CHEST PAIN
REPIRATORY- CHEST PAIN/ COUGH/SPUTUM
GASTROINTESTINAL- NAUSEA/VOMMITING/ ABDO PAIN
URINARY- PEE/POO NORMAL/COLOUR/BACK PAIN
ANY OTHER PROBLEMS NOT MENTIONED

Question 9

REVIEW OF SYSTEMS

Answer 9

GENERAL HEALTH- fatigue/appetite/weight
CARDIOVASCULAR- chest pain/palpitations
RESPIRATORY- chest pain/ cough/sputum/pleuritic pain
GASTROINTESTINAL- vommiting/ abdo pain
GENITOURINARY- back pain/ uti symptoms
MUSCULOSKELETAL- pain/ swelling/ stiffness/ struggle weight bearing

Question 10

PATIENT HANDOVER

Answer 10

SITUATION
BACKGROUD
ASSESSMENT
RECCOMENDAIONS