PT Exam and Intervention In The Acute Care Setting Flashcards
what things should we do b4 enter the pt’s room?
chart review
SBAR with nursing (assistance, meds, meals, precautions)
reason for admission/HPI/PMH/PSH
bring any anticipated equipment
who are the ones to decide if a pt is stable for PT?
the PTs
what should we ask nursing instead of “am I good to work with this pt?”
“I am planning to see this pt, how are they doing today?”
what should we look for when we first enter a pt’s room?
pt appearance (pain, disarray, eating, toileting)
room setup
clues about the pt (photos, books, magazines)
orientation TO the pt
orientation OF the pt
what is orientation TO the pt?
checking lines and tubes (are they connected, where do they come from and go to)
what is orientation OF the pt?
introducing yourself to the pt and anyone else in the room
A&Ox4
safety
wounds
skin changes (if necessary)
in the systems review for CVP, what should we be looking at?
BP
HR
RR
what should we look for with BP?
trends (to know their normal)
if the monitor is connected
if BP is increased, what should we do?
sit and do deep breathing
DON’T lay them down
what are the s/s of high BP?
diaphoresis, anxiety, redness, headaches
if BP is low, what should we do?
ankle pumps
what should we look for with HR?
trends (to see their normal)
BP (ig HR goes up and BP goes down)
a decrease in HR is often due to what?
an arryhthmia
if we see a decrease in HR, what should we do?
stop activity and check VS
recommend to nursing/doctor that the pt has an EKG to rule out a new arrhythmia
if HR changes, what should we do?
look at the pt, do pursed lip breathing if anxious, do diapragmatic breathing, do placed breathing, use a calm voice if increased
