patient assesment Flashcards
OPQRST
better known as the “S” in SAMPLE
Onset, Provocation, Quality, Radiation, Severity, Time
SAMPLE
is used to ask questions and interview the patient
Sign and Symptoms, Allergies, Medication, Pertinent past, Last intake, Events
DCAPBTLS
used to remember what we are looking for when touching a person during an assessment
Deformities, Contusions, Abrasions, Punctures, Burns, Tenderness, Lacerations, Swelling
Primary(initial) assessment
AVPU, CC, ABCDE
used to find life threatening situations and treat them immediately when found
Secondary(general) assessment
SAMPLE, vitals, and physical assessment
Ongoing assessment
start over AVPU. 5 minutes for unstable and 15 minutes for stable
MOI/IOS
during scene size up
mechanism of injury, index of suspicion (common sense)
In order assessments
general impression, scene size up, initial assessment, secondary assessment, ongoing assessment, report
detailed assessment
performed in general assessment, head to toe exam
should take less than 90 seconds
focused physical exam
based largely on the nature of the patients complaint
BSI
body substance isolation. all bodily fluids are contaminated
Legal. what is confidential
all information about one’s patient is confidential. this means not only their health situation but also, living situation, family and finances