Summary CNUR 107 Detailed System Assessments with Step-by-Step Guidance (for OSCE or Final Exam)
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Institución
University Of Regina (
)
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Physical Examination and Health Assessment - Canadian
This document contains detailed, step-by-step instructions on how to complete each system assessment covered in CNUR 107. The outline for this document came from the provided System Assessment Worksheet when I took the class. That sheet contains all expectations for what you need to say, do, and kn...
Physical Examination and Health Assessment, 3rd Edition TEST BANK by Carolyn Jarvis, Verified Chapters 1 - 31, Complete Newest Version
Physical Examination and Health Assessment, 3rd Edition TEST BANK by Carolyn Jarvis, Verified Chapters 1 - 31, Complete Newest Version
TEST BANK For Physical Examination and Health Assessment, 3rd Edition by Carolyn Jarvis, Verified Chapters 1 - 31, Complete Newest Version
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University of Regina (
)
Nursing
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oliviamack
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107 SYSTEM ASSESSMENTS
SASKATCHEWAN POLYTECHNIC, UNIVERSITY OF REGINA
SCBSCN
WINTER 2023
YEAR 1
,60 SECOND
ABCS
AIRWAY
A & O x 3?
Check name band & confirm DOB
Airway open?
Able to talk
Speak clearly
BREATHING
Must state 2
How are they breathing? (relaxed, effortless, even?)
Rate (fast/slow) normal 10-20/min
Struggling?
Accessory muscles?
CIRCULATION
Colour of skin (consistent/even)
o Must assess whole body to state consistency throughout
Abnormal colour?
Capillary refill (should be > 2 secs)
Mentation – alert/confused/hallucinating
At this point…
1. Any further assessing
2. Anything wrong with ABC
3. Anyone need to be called? Urgent/non-urgent
TUBES/LINES/DRESSINGS
IV – follow tubing to pump & bag & ensure correct rate/solution
Saline lock - check site
NG tube
Suction - is it working? Is it being used
Drains – type, describe drainage, suction
Catheters – bag location? Tubing? Urine colour/amount
Oxygen delivery device
Is O2 device hooked up to wall?
Is O2 running at correct rate?
Is suction working properly?
PATIENT SAFETY SURVEY
Bed rails up (as requested) A&O
Call bell within reach Fall risk?
Bed in lowest position Must state at least one…
Brakes on o Glasses
TLR logo o Hearing aids
Allergy bracelet (if applicable) o Mobility aids
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