Oral station A and B scenario Flashcards
Background Information
System- what kind of system am I running with and what resources are available to me
Vehicle/ Crew- what level is my partner and who is with me to help
Closest facility- options for transfer locations and do I have access to flight if needed
Dispatch Information
- MOI/NOI- chief complaint and any history of this patient
Location- where is my call, what is my access to the pt, anything to be aware of outside this location ex; dogs, stairs other scene hazards
Dispatch time- what time is it now and how long will it take me to get to this location
weather- sunny, rain, snow, temp?
Scene Survey Information
Scene conditions- what does my location look like, who am I greeted by, what bystanders are here
Patient location- where do I find my pt once inside, what does my pt look like, is there anything in the room I need to note
visual impression- from the door what does my pt look like
AVPU/LOC- alert and oriented , LOC
Age, gender, weight - gather more info on pt
- vicinity appearance- as I make my way to my pt what do I notice, hazards, socioeconomic status, clean, dirty?
Bystanders- who is around to help give more information
Patient Assessment information
Chief complaint- what lead you to calling us today
History of present illness- when did this begin, has anything like this ever happened before?
Pertinent negatives pt responses and symptoms- investigate symptoms, make list of differential diagnosis and ask questions to further investigate and rule out to find pertinent negatives
SAMPLE, OPQRST
vital signs- BP, HR- regularity, pulse pressure, ECG, lung/heart sounds, pulse ox, CO2, pupils, sugar, GCS
head to toe-
resp-chest
cardio- ECG
Gastro-bowel sounds/abdominal palpation
Genitourinary- regular or irregular BM, urine output?
Musculoskeletal- crepitus, deformity
Skin- cruising, bleeding, cuts
Hematology- blood work recently?
Immunological- have you been sick recently, chronic illnesses
Neuro- PEARL? extremity strength and motor function
Psych- A&OX?
Pt management
Initial stabilization- careful movement of pts to minimize further injury
Treatments- safe treatments, transport, monitor and reassess
Monitoring devices- ECG, vitals, pulse ox, co2, sugar
additional resources- utilize help when needed
pt response to interventions- vitals, pain score, symptom management
Transport
-lifting and moving pt
mode- ground or air
facility- most appropriate hospital for pt
Conclusion
- field impression- possible diagnosis
- rational- why do you think that
- related patho
- verbal report
Notes
- manage scene and bystanders
- recognize possible false information from dispatch or detracting injuries
- pt safety, comfort and dignity top priority
- scene safety may change, maintain spacial awareness
