Signs to look for in PT
airway-✔✔pallor
difficulty w/ speech
use of accessory muscles
obstruction
Signs to look for in PT
Breathing-✔✔restlessness
decreased pulse ox
abnormal RR
nasal flaring
ICS retractions
Signs to look for in PT
circulation-✔✔high BP (stroke?/rupture?)
decreased BP (decreased perfusion → tissues & organs die)
tachycardia
diaphoresis
blood clot
Emergent-✔✔PT’S needs w/ highest priority
ABC/safety
basic survival needs
PT goes to the ER
Urgent-✔✔Pt w/ medium & low priorities
problems that require early resolution
must handle B4 it becomes an emergency
, ex: urinary retention
PT goes to urgent careN
Non-urgent-✔✔PT’s problem does NOT need immediate attention
PT can wait to see PCP
Acute-✔✔abrupt onset & usually short course
whats going on right now
ex: broken arm
Chronic-✔✔long period of time & continuing disease process
ex: diabetes/arthritis
5 Rights of Delegation-✔✔Right task
Right circumstances
Right person
Right supervision
Right direction/Communication
Right Task-✔✔know what each person can do
Right circumstances-✔✔PT should be stable & NOT require clinical judgement
ex: UAP can move PT BUT if PT is unstable UAP should NOT ambulate
Right Person-✔✔person has proper knowledge & skills to preform task
Right Supervision-✔✔follow up & evaluate is required after each task
was it done properly?
Right Direction/Communication-✔✔have clear expectations
ability to answer questions
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