📝 Primary, Secondary & Focused Assessment Flashcards
What are the three types of assessment?
Primary
Secondary
Focused
What type of assessment is done first?
Primary
How long should the primary assessment take?
<30 seconds
What does a secondary assessment inclide?
More detailed assessment
Physical exam
Vital signs
Health History
Focused assessments
What acronym is used for primary assessment?
DRsABCDE
What does the D in DRsABCDE stand for and what does it involved?
Danger
Identify risks to yourself and others such as infection (PPE), clutter, spills and aggressive individuals
What does the R in DRsABCDE stand for and what does it involved?
Response
Is the patient responsive?
* Speak loudly and clearly
* Ask the patient to open their eyes
* Squeeze their should
No response = attempt painful stimulus (trapezius, supraorbital, sternum, nail bed)
What does the s in DRsABCDE stand for and what does it involved?
Send for help
Can do so at any point during assessment
Do not leave the patient
Use the call button or shout for help
What does the A in DRsABCDE stand for and what does it involved?
Airway
Can be open, threatened or blocked
Can the patient speak? Is their signs of choking?
What does the B in DRsABCDE stand for and what does it involved?
Breathing
Are the breathing?
Is breathing fast/slow? Increased work?
What does the C in DRsABCDE stand for and what does it involved?
Circulation
Skin colour, pulse strength, capillary refill
NEED CONSENT TO TOUCH PATIENT
What does the second D in DRsABCDE stand for and what does it involved?
Disability
Neurological function = AVPU
If altered then do BGL or PEARL
Do they have pain?
What does AVPU stand for?
Alert
Verbal stimulus
Painful stimulus
Unresponsive
What is the PEARL test?
Pupils Equal And Reactive to Light
Disability assessment
What does BGL stand for?
Blood Glucose Levels
