Medical Assessment

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MedicalMedicalThe AssessmentAssessment M y s t e r y CAN YOU SOLVE THE MYSTERY? S.A.M.P.P.L.E. Treat Signs & Symptoms Signs & Symptoms Signs = Objective Treat Life Threats • Treat the Patient! Symptoms = Subjective “What seems to be the trouble today?” Allergies B.S.I. To medications To environmental factors Is the Scene Safe? “Do you have any allergies?” D Medications Prescribed and over the counter Are they being taken as directed “What kind of medications do you A.V.P.U. take and what are they for?” A.B.C.D. Pertinent Past History Related to the chief complaint A&O Status Does not need to be an in depth novel “Has this happened before?” “What medical problems do you have?” S.A.M.P.P.L.E. Pain No = Move to “L” O.P.Q.R.S.T. Yes = OPQRST Last Oral Intake Vital Signs • D Could it relate/contribute to Chief Complaint Does it relate/contribute to Signs and Symptoms “When was the last time you ate anything, What’sWhat’s YourYour Impression?Impression? and what was it?” Events Leading to A.V.P.U. ASK OPEN ENDED Goes to possible causes or exacerbating factors Alert Patient is looking at you and aware QUESTIONS! Does it relate/contribute to Signs and Symptoms Verbal “What were you doing when it started?” Patient responds after you talk to them CloseClose EndedEnded ONLYONLY ifif Pain Patient only responds to painful stimuli Appropriate for O.P.Q.R.S.T. Unresponsive Patient does not respond to any stimuli Situation.Situation. Onset “When did it start?” A&O Status D = Decision Provocation Alert and Oriented Load and Go “Is there anything that makes it feel better?” x1 = Person • Patient has an immediate life threat and “Is there anything that makes it feel worse?” x2 = Place needs immediate transport to definitive care Quality x3 = Time Stay and Play “What does it feel like to you, can you describe it?” x4 = Situation • Can you start giving the patient some Radiation relief from symptoms before transport “Does it move to other areas of your body?” Level of Care without putting there health at risk? Severity Backup? Treat everything at • “On a scale of 1 to 10 with 10 being the worst Do you have enough resources on hand pain you have ever felt, what number would the basic level rst, to care for your patient? you give this pain right now?” then move to an • Do you have more than one patient? Time • Do you need to consult medical direction? advanced level of “How long has this been going on?” care only if it is • Is your scene still safe? • What kind of case is this? necessary. - Medical, Trauma, Psych, Combination? www.stevenscanlon.com.

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Cardiovascular Assessment
Cardiovascular Assessment A Home study Course Offered by Nurses Research Publications P.O. Box 480 Hayward CA 94543-0480 Office: 510-888-9070 Fax: 510-537-3434 No unauthorized duplication photocopying of this course is permitted Editor: Nurses Research 1 HOW TO USE THIS COURSE Thank you for choosing Nurses Research Publication home study for your continuing education. This course may be completed as rapidly as you desire. However there is a one-year maximum time limit. If you have downloaded this course from our website you will need to log back on to pay and complete your test. After you submit your test for grading you will be asked to complete a course evaluation and then your certificate of completion will appear on your screen for you to print and keep for your records. Satisfactory completion of the examination requires a passing score of at least 70%. No part of this course may be copied or circulated under copyright law. Instructions: 1. Read the course objectives. 2. Read and study the course. 3. Log back onto our website to pay and take the test. If you have already paid for the course you will be asked to login using the username and password you selected when you registered for the course. 4. When you are satisfied that the answers are correct click grade test. 5. Complete the evaluation. 6. Print your certificate of completion. If you have a procedural question or “nursing” question regarding the materials, call (510) 888-9070 for assistance. Only instructors or our director may answer a nursing question about the test.
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History & Physical Format
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