Patient Assessment (NOI) Flashcards
List the steps of: I. Scene Size-Up
I. Scene Size-Up
A. Standard Precautions: Body Substance Isolation
B. Scene Safety
C. Determine the Problem
D. Determine the Number of Patients
E. Call for Resources
F. Consider C-Spine Precautions
List the steps of: A. Standard Precautions: Body Substance Isolation
What comes next?
A. Standard Precautions: Body Substance Isolation
i. Gloves and goggles at a minimum
ii. Any other personal protection as needed
Next- Scene Safety
List the details of: B. Scene Safety
What comes next?
B. Scene Safety
(Yourself, Crew, Patient, Bystanders)
Next- Determine the Problem
List the details of: C. Determine the Problem
What comes next?
C. Determine the Problem
i. Trauma (MOI)
ii. Medical (NOI)
iii. Both
Next - D. Determine the Number of Patients
What comes after “Determine the Problem”
What comes after?
D. Determine the Number of Patients
Next- E. Call for Resources
List the details of: E. Call for Resources
What comes after?
E. Call for Resources
i. ALS at a minimum
ii. Other resources as needed
Next- F. Consider C-Spine Precautions
List all the steps and details of: I. Scene Size-Up
What comes next?
I. Scene Size-Up
A. Standard Precautions: Body Substance Isolation
i. Gloves and goggles at a minimum
ii. Any other personal protection as needed
B. Scene Safety
(Yourself, Crew, Patient, Bystanders)
C. Determine the Problem
i. Trauma (MOI)
ii. Medical (NOI)
iii. Both
D. Determine the Number of Patients
E. Call for Resources
i. ALS at a minimum
ii. Other resources as needed
F. Consider C-Spine Precautions
Next- When all completed above
Move to section II. Primary Assessment
List all the steps for: II. Primary Assessment
II. Primary Assessment
A. General Impression
B. Mental Status
C. Airway
D. Breathing
E. Circulation
F. Establish Patient Priority Transport Decision: Stay and Treat/Load and Go
List all the details of: A. General Impression
What comes next?
A. General Impression
i. Evaluate Environment
ii. Age, gender, level of distress (may be provided already)
iii. Introduce yourself, crew, and agency - obtain consent
iv. Determine chief complaint
v. Expose patient if needed (perform rapid head to toe)
vi. Identify any immediate life treats: treat immediately then begin transport
(open chest wound, heavy bleeding, paradoxical breathing, airway compromise)
vii. Manual c-spine immobilization as indicated
viii. Position the patient
Next- B. Mental Status
List of the details for: B. Mental Status
What comes next?
B. Mental Status
i. Alert (Is patient A x O - 4 - person, place, time & event?)
ii. Responds to verbal stimuli
iii. Responds to painful stimuli
iv. Unresponsive
Next- C. Airway
List the details for: C. Airway
What comes next?
C. Airway
i. Alert and talking: assume the airway is open
ii. Altered/Unresponsive
1. Open airway appropriate to if medical or trauma
2. Obstructed airway
a. Abdominal thrusts for conscious patient
b. Chest compressions for unconscious patient
Next- D. Breathing
List the details for: D. Breathing
What comes next?
D. Breathing
i. Look, listen, and feel
ii. Rate
iii. Rhythm
iv. Quality
1. Tidal volume and breath sounds
Next- E. Circulation
List the details for: E. Circulation
What comes next?
E. Circulation
i. Pulse
1. Conscious: radial first
2. Unconscious: carotid first
ii. No pulse and apneic: CPR
1. Medical: AED and CPR
2. Trauma: CPR only
iii. Perfusion - skin
1. Color, temperature, moisture
iv. Treat for shock if needed
Next- F. Establish Patient Priority Transport Decision: Stay and Treat/Load and Go
List the details for: F. Establish Patient Priority Transport Decision: Stay and Treat/Load and Go
F. Establish Patient Priority Transport Decision: Stay and Treat/Load and Go
-Medical
– Stay and Play - Move to: III. Secondary Patient Assessment
– Load and Go - Transport
-Trauma
— Rapid head-to-toe assessment. Move to: VII. Secondary Trauma Assessment
List all the steps and details for: II. Primary Assessment
What comes after?
II. Primary Assessment
A. General Impression
i. Evaluate environment
ii. Age, gender, level of distress (may be provided already)
iii. Introduce yourself, crew, and agency - obtain consent
iv. Determine chief complaint
v. Expose patient if necessary (perform rapid head to toe)
vi. Identify any immediate life threats: treat immediately then begin transport (open chest wound, heavy bleeding, paradoxical breathing, airway compromise)
vii. Manual c-spine immobilization as indicated
viii. Position patient
B. Mental Status
i. Alert (Is patient A x O - 4 - Person, Place, Time, & Event?)
ii. Responds to verbal stimuli
iii. Responds to painful stimuli
iv. Unresponsive
C. Airway
i. Alert and talking: assume the airway is open
ii. Altered/unresponsive
1. Open airway as appropriate to if medical or trauma
2. Obstructed airway
a. Abdominal thrusts for conscious patient
b. Chest compressions for unconscious patient
D. Breathing
i. Look, listen, and feel
ii. Rate
iii. Rhythm
iv. Quality
1. Tidal volume and breath sounds
E. Circulation
i. Pulse
1. Conscious: radial first
2. Unconscious: carotid first
ii. No pulse and apneic: CPR
1. Medical: AED and CPR
2. Trauma: CPR only
iii. Perfusion - skin
1. Color, temperature, moisture
iv. Treat for shock if needed
F. Establish Patient Priority Transport Decision: Stay and Treat/Load and Go
-Medical
– Stay and Play - Move to section III: Secondary Medical Assessment
– Load and Go - Transport
-Trauma
– Rapid head to toe. Move to section VII: Secondary Trauma Assessment
Next- Section III. Secondary Medical Assessment
List all the steps for: III. Secondary Medical Assessment
What comes after?
III. Secondary Medical Assessment
A. Respirations
B. Pulse
C. Skin
D. Pupils
E. Blood Pressure
F. Blood Glucose
After- Section IV: Interview (SAMPLE/OPQRST)
List all the details for: A. Respirations
What comes next?
A. Respirations
i. Rate
ii. Rhythm
iii. Quality
1. Tidal volume and breath sounds
iv. Pulse oximetry
Next- B. Pulse
List all details for: B. Pulse
What comes next?
B. Pulse
i. Rate
ii. Rhythm
iii. Quality
Next- C. Skin
List all details for: C. Skin
What are the next three steps after?
C. Skin
i. Color, temperature, moisture
Next Three-
D. Pupils - PERRL
E. Blood Pressure
F. Blood Glucose
List all steps and details for: III. Secondary Medical Assessment
What comes after?
III. Secondary Medical Assessment
A. Respirations
i. Rate
ii. Rhythm
iii. Quality
1. Tidal volume and breath sounds
iv. Pulse oximetry
B. Pulse
i. Rate
ii. Rhythm
iii. Quality
C. Skin
i. Color, temperature, moisture
D. Pupils - PERRL
E. Blood Pressure
F. Blood Glucose
After- Section IV. Interview (SAMPLE/OPQRST)
List all the steps and details for: IV. Interview (SAMPLE/OPQRST)
What comes after?
IV. Interview (SAMPLE/OPQRST)
A. Signs/Symptoms (Chief Complaint)
i. Onset
ii. Provocation/Palliation
iii. Quality
iv. Radiation/Region
v. Severity
vi. Time
B. Allergies
C. Medication
D. Past Pertinent Medical History
E. Last
i. Meal/Bathroom
ii. Anything pertinent to C/C
F. Events leading up to present injury/illness
After- Section V. Re-evaluate Transport Decision
List all the steps and details for: V. Re-evaluate Transport Decision
What comes after?
V. Re-evaluate Transport Decision
A. Any further treatment/contact Medical Control
B. Transport (Time Stops)
After- Section VI. Reassessment
List all the steps and details for: VI. Reassessment
VI. Reassessment
A. Mental Status
B. Airway
C. Breathing
D. Circulation
E. Vital Signs
E. Chief complaint/Interventions
i. If no change or conditions worsens
1. Retreat patient if appropriate
2. Reassess
ii. If significant changes/improvement
1. Reassess
2. Monitor for changes
F. Contact Receiving Facility
