Medical Assement Flashcards
Part 1 :
Bsi Scene safety
# of Pt.
Additional resources
Cheif complaint: Hello what is going on
Part 2 Abc
ABC
Is my Pt. Alert ,responsive
Airway - assess airway ( listen for sounds )
Breathing -( listen for rate, rhythm, quality ) is my Pt. Breathing
Put them on o2 via non rebirther 15 l p. Min
Circulation - does my Pt. Have a pulse
Rate - rhtym - quality - feel for it
Skin color ( look and feel )
“Whiling assessing skin color , temp and condition do I note any bleeding trauma “
This is a high priority TRANSPORT we”ll request ALS, we’ll package Pt. For transport but not delay for Als
Part 3 physical assessment
Talk to Pt…. OPQRST
ONSET - how did this come on
Provocation - what where you doing when this started
Quality - describe pain
Radiation- does it move
Severity - scale of 1-10
Time - when did it start
Obtain SAMPlE
Signs/ symptoms- pt. Presents w/ sign and symptoms of ( shortness of breath(epi)chest pain ( aspirin 325mg, nitro) anaphylaxis ( inhaler)
Allergies- allergies to meds
Meds - R U taking Meds
Medical History- has this happened b4 , other medical probs
Last oral intake
Events - what where you doing b4 this started
VITALS . Ask for them
BP,
HR
RR
o2.Sat
Blood surgar
Part 4 intervention/ treatment
According to MA statewide treatment protocols my 5 rights are
I have the pt.
The right meds, time does route and document.
I can alway contact medical control for further consults
This is when you administer administer epi, aspirin 1st than help with nitro or inhaler
Part 5
Package pt. For transport to correct facilities
Part6
Reassessment
Say your reassessing pt.
Is anything else bothering you any new pains
Reasses vitals
Part 7
I’m notifing receiving facility and on arrival transfer care . This assessment is complete