Order Flashcards
0
Q
Introduce self
A
Student nurse
1
Q
Wash hands
A
Long time
2
Q
A&O X3
A
Name (wristband)
DOB (wristband)
Today’s date
Where are you?
3
Q
Pain?
A
Explain rating
Tolerable level
Home remedies
4
Q
Privacy
A
Curtain. Door.
5
Q
Ergonomics
A
Bed up!!!
6
Q
Clean it up!
A
Sanitize hands and scope
7
Q
Eyes
A
PERRLA Pupil size Light off Constriction/consensual Light on Accommodation
8
Q
Blood pressure
A
Arm preference? Resting? Pulse Respirations (wink wink) Clean off pulse oximetry Put it on
9
Q
UE assessment
A
BILATERALLY Skin temp Color Edema Turgor Check capillary refill Two finger squeeze Push up push down
10
Q
Radial pulses
A
BILATERALLY
Amplitude 1-4
11
Q
Cardiac
A
On Skin Palpate 2nd intercostal A.P.E.T.M. Palpate for apical Listen for 60 seconds
12
Q
Lungs
A
10 front
12 back with axillary
13
Q
Abdominal
A
Lay down Cover up/drape Inspect Auscultation Palpation (tender)
14
Q
Legs
A
Warmth Edema Pulses (amplitude) Tibial Pedal Capillary refill toes Push and pull
