Secondary Assessment

Question 1

What are the two sets of acronyms you use during the secondary assessment?

Answer 1

SAMPLE & OPQRST

Question 2

What does the S stand for in SAMPLE?

Answer 2

Signs/symptoms: what is causing you discomfort?

Question 3

What does the A stand for in SAMPLE?

Answer 3

Allergies: are you allergic to anything? Exposed?

Question 4

What does the M stand for in SAMPLE?

Answer 4

Medications: take any medications? Wrong dose? New meds?

Question 5

What does the P stand for in SAMPLE?

Answer 5

Past medical history: past conditions, or incidents? Example diabetes

Question 6

What does the L stand for in SAMPLE?

Answer 6

Last oral intake: what & when last eat/drink

Question 7

What does the E stand for in SAMPLE?

Answer 7

Events leading up: what were you doing when it started?

Question 8

What does O stand for in OPQRST?

Answer 8

Onset: did this happen suddenly? Or gradually?

Question 9

What does P stand for in OPQRST?

Answer 9

Provokes: what makes the pain better or worse?

Question 10

What does Q stand for in OPQRST?

Answer 10

Quality: type of pain? Squeezing, sharp, dull, throbbing?

Question 11

What does the R stand for in OPQRST?

Answer 11

Radiating: is the pain “moving at all” to other areas?

Question 12

What does the S stand for in OPQRST?

Answer 12

Severity: how severe on a scale of 1-10?

Question 13

What does the T stand for in OPQRST?

Answer 13

Timing: when did it start? Constant or come and go?

Question 14

What should you be asking during Signs and Symptoms of SAMPLE?

Answer 14

What is causing you discomfort?

Question 15

What should you be asking during Allergies of SAMPLE?

Answer 15

Are you allergic to anything?
Have you been exposed?

Question 16

What should you be asking during Medications of SAMPLE?

Answer 16

Take any medications?
Wrong dose?
New medications?

Question 17

What should you be asking during Past Medical History of SAMPLE?

Answer 17

Past conditions?
Or incidents like this?
Example diabetes

Question 18

What should you be asking during Last Oral intake of SAMPLE?

Answer 18

When did you last eat or drink?
What did you last eat or drink?

Question 19

What should you be asking during events leading up to in SAMPLE?

Answer 19

What were you doing when it started?

Question 20

What should you be asking during Onset of OPQRST?

Answer 20

Did this happen suddenly or gradually?

Question 21

What should you be asking during Provokes of OPQRST?

Answer 21

What makes the pain better or worse?

Question 22

What should you be asking during Quality in OPQRST?

Answer 22

Type of pain?
Squeezing, sharp, dull, throbbing?

Question 23

What should you be asking during Radiating in OPQRST?

Answer 23

Is the pain moving at all to other areas?

Question 24

What should you be asking during Severity in OPQRST?

Answer 24

How severe on a scale of 1-10?

Question 25

What should you be asking during Timing in OPQRST?

Answer 25

When did it start? Constant or come and go?

Question 26

What is the next step after patient interview during secondary assessment?

Answer 26

Vital Signs

Question 27

What are the 6 vitals you check during secondary assessment?

Answer 27

Level of consciousness Blood pressure Respiration Pulse SP02 Pupils

Question 28

What measures SP02?

Answer 28

Pulse oximeter

Question 29

What do you want the pupils to look like?

Answer 29

P: pupils E: equal A: and R: reactive to L: light

Question 30

What does PEARL stand for?

Answer 30

Pupils equal and reactive to light

Question 31

What are you checking for when you check respiration and pulse?

Answer 31

Rate Rhythm Character

Question 32

What is the 3rd step in secondary survey?

Answer 32

Head to Toe examination

Question 33

What are the three things you’re checking for during head to toe examination?

Answer 33

Skin Palpate (slowly feeling for injuries) Distal extremities

Question 34

What are you checking for during skin on head to toe examination?

Answer 34

Color Feel Moisture Temperature (use a thermometer when core temp relevant)

Question 35

What are you checking for during Palpate in head to toe examination?

Answer 35

Slowly, thoroughly and methodically feel for injuries

Question 36

What are you checking for in distal extremities of head to toe examination?

Answer 36

Compare pulses to other side Compare capillary refill to other side Check for motor deficits (wiggle your toes) Check for sensory deficits (do u feel that)

Question 37

What are the three steps of the secondary surgery?

Answer 37

Patient interview Vital signs Head to toe examination

Question 38

What are the 4 catagories of the patient assessment model?

Answer 38

Scene assessment Primary assessment Second assessment Ongoing assessment

Question 39

What are the 4 catagories of the patient assessment model?

Answer 39

Scene assessment Primary assessment Second assessment Ongoing assessment