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EMR Course > Patient Assessment > Flashcards

Patient Assessment Flashcards

1
Q

What are the components of the patient assessment process?

A
  • Scene Assessment
  • Primary Assessment
  • Secondary Assessment
  • Patient History
  • Ongoing Assessment
  • Patient hand-off
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2
Q

What are the components of the primary assessment?

A
  • General Impression
  • Level of consciousness
  • Airway
  • Breathing
  • Circulation
  • EMS Update
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3
Q

Why would you apply manual stabilization to your patient’s head and neck?

A

Whenever there is a possibility of spinal injury

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4
Q

What are the components of the EMS update?

A
  • Age and gender
  • Chief complaint
  • Level of consciousness
  • Airway and breathing status
  • Circulation status
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5
Q

What are 3 basic methods of performing a secondary assessment?

A
  • Inspection (looking)
  • Auscultation (listening)
  • Palpation (feeling)
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6
Q

What mnemonic helps you recall the conditions to look for in the secondary assessment? and what does each letter stand for?

A

DOTS
D - Deformities
O - Open injuries
T - Tenderness
S - Swelling

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7
Q

On what body part does a tympanic thermometer take a reading?

A

The ear canal

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8
Q

In which patients is a capillary refill used?

A

Children under 6 years of age

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9
Q

What is the best reason for using a pulse oximeter?

A

To identify changes - improvement or deterioration

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10
Q

What mnemonic can help you recall the parts of a patient history? and what does each letter stand for?

A

SAMPLE
S - Signs and symptoms
A - Allergies
M - Medicine
P - Past medical history
L - Last oral intake
E - Events

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11
Q

What are the components of an ongoing assessment?

A
  • Repeat primary assessment
  • Repeat the secondary assessment
  • Reassess treatment and interventions
  • Calm and reassure the patient
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12
Q

What information should be included in the patient hand-off report?

A
  • Patient age and gender
  • Chief complaint
  • Level of Consciousness
  • Airway status
  • Breathing status
  • Circulation status
  • Secondary Assessment findings
  • SAMPLE history
  • Treatment and interventions
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13
Q

Identify 3 unique patient groups that require special consideration

A
  • Physical or intellectual disabilities
  • Morbidly obese
  • Elderly
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14
Q

Why might it be difficult to obtain a medial history from these unique patients?

A
  • Normal mobility may not be possible and mask issues
  • Deteriorated intellect - memory issues make getting an accurate history difficult
  • bariatric patients may have isolated from society and have hygiene and skin issues and have not seen a doctor
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15
Q

What conditions make using a pulse oximeter inaccurate or valueless?

A
  • Carbon monoxide poisoning
  • Hypothermia
  • Shock
  • Cardiac arrest
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16
Q

What are the normal blood pressure ranges for:
Child
Adult

A

Child - 2x patients age + 80 / 50 to 80 mmHg
Adults
- Male: age + 100 (to 150mmHg) / 65 to 90 mmHg
- Female: age + 100 (to 140 mmHg) / 55 to 80 mmHg

17
Q

What is systolic pressure?

A

The pressure resulting from the contraction of the heart forcing blood into the arteries

18
Q

What is diastolic pressure?

A

The pressure resulting from the relaxation of the heart between contractions

19
Q

What is considered a RTC for Mechanism of injury?

A
  • Free fall from a height greater than 6.5 m (20ft)
  • Severe deceleration in an MVA:
    • High speed accident or major vehicular damage
    • Broken windshield, bent steering wheel, or significant damage to passenger compartment
    • Occupant thrown from vehicle
    • One or more occupants killed
  • Roll-over type of accident
  • Pedestrian, motorcyclist or bicyclist struck at greater than 30 km/h
  • Severe crush injuries
  • Smoke or toxic gas inhalation
  • Decompression illness
  • Near drowning
  • Electrical injuries
20
Q

What is considered RTC for the anatomy of the injury

A
  • Severe brain injury, defined as:
    • Glasgow coma score of 13 or less
    • Pupillary inequality greater than 1 mm and sluggish response to light with an altered LOC
  • Depressed skull fracture
  • Penetrating injury to the head, neck, chest, abdomen or groin
  • Two or more proximal long bone fractures (femur, humerus)
  • Dislocated hip or knee (considered limb threatening)
  • No distal circulation on a limb injury
  • Flail chest
  • Pregnant woman with significant trauma
  • Amputation of an extremity other than a toe or finger Page 18 2021 | JIBC EMR TT & P
  • Spinal cord injury associated with neurological deficit. (E.g. numbness/tingling, paraplegia or quadriplegia)
  • Penetrating eye injuries
  • Burns:
    • Inhalation injury
    • Extensive facial burns
    • Electrical burns
    • Partial thickness burns to more than 10% of the body surface
    • Full thickness degree burns to more than 2% of the body surface
    • Burns encircling a limb
    • Major burns to the hands, feet or genitalia
    • Chemical burns

EMR Course (16 decks)

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