Procedure guide Flashcards
What is NOD?
Name
Occupation
Duty (why are you here?)
What are some introduction questions for patients?
Name, Age, Gender,
If possible - who brought you in today?
ID by wristband to double check who your patient is
What is the chief compliant?
(CC)
The main reason for the patients visit
What are common symptoms for someone with respiratory issues?
(that we look for)
Cough
Sputum
Pain
SOB
Orthopnea (the sensation of breathlessness in the recumbent position, relieved by sitting or standing)
What is the recumbent position?
Anyone that is basically lying down.
What questions would you ask when identifying: the history of present illness?
When did it start?
What does it feel like? (Burning, clenching, radiating…etc)
How often does it happen?
Where is it?
Limitations of activity due to it?
Anything to make it better or worse?
What questions would you ask when identifying: past medical history?
Allergies
Medication
Surgeries
Previous hospital visits
childhood diseases
What questions would you ask when identifying: Tobacco use.
Are you using it currently?
When did you quit?
For how long?
How many packs per day? (packs per day x years)
Any other drug use? like cannabis or vaping?
Is there an interest in quitting? have you attempted to quit?
how do you calculate cigarette pack years?
multiplying the number of packs of cigarettes smoked per day by the number of years the person has smoked.
What questions would you ask when identifying: Family history
Relatives with diseases?
What concerns are there with occupational/environmental history?
Anything that could affect health due to work
What are SpO2 normal values?
(blood oxygen levels)
Anything greater than 92% - can vary depending on doctors orders though.
Start doing this at the beginning of the interview.
When do you check for Respiratory rate (RR)
During heart rate check. While “checking for pulse”, also be checking for RR normal
Normal RR = 12-20 Br/Min
What is a normal heart rate?
60-100 bpm
How do you check temperature?
Using a temporal thermometer, start at mid forehead and press button as you move down the side of face until you reach ear (very vascular area)
Normal is 37 degrees +- 0.5
How should you check blood pressure?
Walk patient through what you are doing, ask permission. Warn about it squeezing.
Normal = ~120/80
What do you do after setting patient on oxygen
Determine duration of flow.
_____psi x (conversion factor) = _______L / (flow rate) = minutes until empty
suprasternal notch
hollow U-shaped depression just above the manubrium, in between the clavicles
palpate for depression at the base of the neck
Sternal angle
Directly below the suprasternal notch.
Palpate down the manubrium until you feel ridge between the gladiolous and manubrium
2nd rib
Locate the sternal angle
2nd rib is located at this level of the manubrium
Manubrium
Palpate depression at the base of the neck
Bone felt at the top is manubrium
Gladiolus
Palpate down manubrium
Once you feel below sternal angle is gladiolus
Xiphoid
Palpate base of gladiolus
Depression at the bottom of gladiolus is xiphoid
C7
Patient extends neck and head forward
Most prominent spinous process is C7