Secondary Assessment Flashcards
What are the two sets of acronyms you use during the secondary assessment?
SAMPLE & OPQRST
What does the S stand for in SAMPLE?
Signs/symptoms: what is causing you discomfort?
What does the A stand for in SAMPLE?
Allergies: are you allergic to anything? Exposed?
What does the M stand for in SAMPLE?
Medications: take any medications? Wrong dose? New meds?
What does the P stand for in SAMPLE?
Past medical history: past conditions, or incidents? Example diabetes
What does the L stand for in SAMPLE?
Last oral intake: what & when last eat/drink
What does the E stand for in SAMPLE?
Events leading up: what were you doing when it started?
What does O stand for in OPQRST?
Onset: did this happen suddenly? Or gradually?
What does P stand for in OPQRST?
Provokes: what makes the pain better or worse?
What does Q stand for in OPQRST?
Quality: type of pain? Squeezing, sharp, dull, throbbing?
What does the R stand for in OPQRST?
Radiating: is the pain “moving at all” to other areas?
What does the S stand for in OPQRST?
Severity: how severe on a scale of 1-10?
What does the T stand for in OPQRST?
Timing: when did it start? Constant or come and go?
What should you be asking during Signs and Symptoms of SAMPLE?
What is causing you discomfort?
What should you be asking during Allergies of SAMPLE?
Are you allergic to anything?
Have you been exposed?
What should you be asking during Medications of SAMPLE?
Take any medications?
Wrong dose?
New medications?
What should you be asking during Past Medical History of SAMPLE?
Past conditions?
Or incidents like this?
Example diabetes
What should you be asking during Last Oral intake of SAMPLE?
When did you last eat or drink?
What did you last eat or drink?
What should you be asking during events leading up to in SAMPLE?
What were you doing when it started?
What should you be asking during Onset of OPQRST?
Did this happen suddenly or gradually?
What should you be asking during Provokes of OPQRST?
What makes the pain better or worse?
What should you be asking during Quality in OPQRST?
Type of pain?
Squeezing, sharp, dull, throbbing?
What should you be asking during Radiating in OPQRST?
Is the pain moving at all to other areas?
What should you be asking during Severity in OPQRST?
How severe on a scale of 1-10?
What should you be asking during Timing in OPQRST?
When did it start?
Constant or come and go?
What is the next step after patient interview during secondary assessment?
Vital Signs
What are the 6 vitals you check during secondary assessment?
Level of consciousness
Blood pressure
Respiration
Pulse
SP02
Pupils
What measures SP02?
Pulse oximeter
What do you want the pupils to look like?
P: pupils
E: equal
A: and
R: reactive to
L: light
What does PEARL stand for?
Pupils equal and reactive to light
What are you checking for when you check respiration and pulse?
Rate
Rhythm
Character
What is the 3rd step in secondary survey?
Head to Toe examination
What are the three things you’re checking for during head to toe examination?
Skin
Palpate (slowly feeling for injuries)
Distal extremities
What are you checking for during skin on head to toe examination?
Color
Feel
Moisture
Temperature (use a thermometer when core temp relevant)
What are you checking for during Palpate in head to toe examination?
Slowly, thoroughly and methodically feel for injuries
What are you checking for in distal extremities of head to toe examination?
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)
What are the three steps of the secondary surgery?
Patient interview
Vital signs
Head to toe examination
What are the 4 catagories of the patient assessment model?
Scene assessment
Primary assessment
Second assessment
Ongoing assessment
What are the 4 catagories of the patient assessment model?
Scene assessment
Primary assessment
Second assessment
Ongoing assessment
