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patient assessment in 1o/12 of 203 pages
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These are my notes for first year patient assessment students.
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PATIENT ASSESSMENT✓ Scene size up
✓ Primary assessment
✓ Vital signs and monitory equipment
✓ Assessment of trauma patient
✓ Assessment of medical patient
✓ Re-assessment
✓ Critical thinking and decision making
✓ Communication and documentation
Scene size up
This is the assessment conducted by professionals in various fields. It involves gathering
information about a situation or incident to make informed decisions and ensure safety and
effectiveness of a response.
It entails the following components
1. Scene safety-explain on going nature of scene size up beyond initial moments of the
scene e.g.be able to list several potential hazards of which first responders should
actively research.
2. Nature of illness-describe considerations in establishing a danger zone at the scene
and nature of the illness
3. Number of patients-explain the importance of determining the number of patients
4. Requesting additional resources-if need be, for additional resources due to high no
of patients a quick respond should be made
5. Initial triage-Triage is the process of prioritizing patients based on the severity of
their injuries or illnesses. When there are multiple patients, triage helps identify those
who require immediate attention and those who can wait. This prioritization is crucial
for optimizing patient outcomes
6. Communication and condition-Communicating the number of patients to incoming
emergency personnel or healthcare providers ensures that everyone is aware of the
scale of the incident. This information is vital for coordinating efforts among different
agencies and healthcare teams.
Primary assessment
It is the systematic and rapid evaluation performed by first responders to identify and dress
life threatening issues.
, Objectives of primary assessment
• -Identify and address life threatening conditions
• -Establish responsiveness
• -Asses airway patency
• -Assess breathing
• -Assess circulation
• -Initiate Basic Life Support [BLS] interventions
• -Determine priority care
• -Gathering pertinent information
-Define the approach to primary assessment based on the following:
-mechanism of injury
-nature of illness
-level of responsiveness
-patients age
vital signs and monitory equipment
Vital signs monitoring equipment plays a crucial role in healthcare settings by providing
valuable information about a patient's physiological status.
Objectives include:
Early Detection of Changes in Health Status:
Early detection allows healthcare providers to intervene and address potential health issues before they
become critical.
Patient Safety:
Ensure the safety of patients by continuously monitoring vital signs such as heart rate, blood pressure,
respiratory rate, and temperature.
Promptly identify and respond to any signs of deterioration or distress.
Clinical Assessment:
Provide objective data that assists healthcare professionals in making informed clinical decisions.
Treatment Monitoring:
Adjust treatment plans based on real-time data to optimize patient outcomes.
Identification of Trends:
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