QPA

Question 1

What is QPA

Answer 1

Quick priority assessment

Question 2

Safety outside the room

Answer 2

Hand hygiene
Check for isolation precautions/risk precautions

Question 3

Safety in the room environment

Answer 3

Free of clutter
Brakes on
Rails up
Check equipment
Bed down

Question 4

General appearance

Answer 4

Patient responding
Patient moving

Question 5

Airway

Answer 5

Open? Patient talking?

Question 6

Breathing

Answer 6

Look and listen
Listen for dyspnea

Question 7

Circulation

Answer 7

Observe skin colour, hand test

Radial pulse

Foot colour / temp

Capillary refill

Question 8

LOC/LOO

Answer 8

Level of consciousness and level of orientation
- responding? Alert?

Orientation
- name place and time

Question 9

What’s going in

Answer 9

Site to source
(O2, IV, etc)

Question 10

What’s coming out?

Answer 10

Catheter, wound dressing, , NG tubes

Question 11

Pain assessment

Answer 11

Region
Severity
Quality
Onset
Provocative/palliative
Timing/treatment
Understanding
Values

Question 12

Complete vital signs

Answer 12

TPR, BP, o2

Question 13

Focused assessment if necessary

Answer 13

Consider client medical diagnosis

Question 14

Safety when leaving

Answer 14

Bed in lowest position
Rails up
Brakes on
Client has what they need
Call bell in reach
Inform when you will be back