Vital Signs Flashcards
How often are Vital signs completed ?
Every 5 minutes, q5, on RTC patients (unstable)
Every 15 minutes, q15, on NRTC patients (stable) l.
What Vital Signs are we taking and recording on the Patient Record ?
Glasgow Coma Scale (LOC)
Blood pressure
Pulse rate and quality
Respiratory Rate and Quality
Pulse Oximetry (SpO2)
Skin characteristics
Pupil Assessment
Blood Glucose Level (if indicated)
Body Temp (only one per call)
Auscultation (if indicated)
What is the Glasgow Coma Scale (GCS)?
A structured assessment of consciousness.
What are the four steps of the Glasgow Coma scale (GCS) ?
Check - for factors that may limit or impact the assessment (eye injury, impairment, sedation, or existing paralysis)
Observe - eyes, verbal, motor response
Stimulate- verbally. No response physical stimulation.
Rate - each component and award the best score in each section
What does ISBAR stand for ?
Identification
Situation
Background
Assessment
Recommendations or Results
What is ISBAR ?
It is designed to structure a prompt and accurate report in a variety of settings.
Include : physical findings, vital signs with any treatments provided and results. Treatment plan.
When is ISBAR used ?
To notify hospital, triage report, bedside report, calling emergency physicians for direct medical orders
When is Triage report given?
When arriving at the hospital.
What is bedside report ?
You give a bedside report to whoever is resuming care of the patient, once you hand them over at the hospital
What does it mean if the Pulse Oximetry SpO2 is reading 100 ?
Possible carbon monoxide poisoning
What is a normal blood sugar reading ?
4-7
What are the numbers for E+V+M ?
4+5+6 =15
How to we check blood pressure ?
Pump the arm (thing) until 180 then Release some air as soon as you can head a beat. Note the number. Then when you can’t hear any more beats, note the last number.
Example 120\70
