MSK Flashcards
End of bed assessment
[critical]
MSK
Safety Patients general appearance Levels of consciousness Age Gender Obvious pain/position Environment Obese/wasted Time critical
Initial approach to patient
[critical]
MSK
Greets the patient
Obtains consent
Take a history
[critical]
MSK
Presenting complaint History of presenting complaint Previous medical/surgical history Drug history Allergies Family history Social history Review of systems
Examination: General principles
MSK
Expose & assess the limb/affected area above and below the injury
Compare and contrast injured anatomy with uninjured equivalent
Examination: Look
[critical]
MSK
Deformity Swelling Symmetry Pallor Wounds
Examination: Feel
[critical]
MSK
Explanation to patient
assess for: Tenderness Distal pulse Capillary refill Distal sensation
Examination: Move
[critical]
MSK
Explanation to patient
Assess for: Range of movement &/or ability to mobilise Active movement Passive movement Resisted movement
Pain Assessment
[critical]
MSK
Site Onset Charecter Radiation Alleviating factors Timing Exasperating factors Score 0-10 Pain score - good explanation to patient
Examination: further tests
[critical]
MSK
Observations suggested by scenario
BP
BM
MSK Examination: impression
Give 3 and rationale for each
Non-Conveyed
MSK
On going care
Safety netting - advice to patient
Refer to another HCP:
Accurate details
Structure handover using SBAR
PRF signed
Conveyed
MSK
Destination
On going care
Reassessment of observations
Handover to HCP
accurate details
Structure - use SBAR
NEWS2/Pathfinder/PRT
MSK
NEWS2
Pathfinder
PRT