Bedside Assessment of the Hospitalized AdultFollow a General SequenceIntroductionGeneral AppearanceMeasurementsNeurologicRespiratoryCardiovascularSkinAbdomenGenitourinaryActivityCheck InfusionsChartingTipsAssessing the Unconscious PatientSlide 17Bedside Assessment of Bedside Assessment of the the Hospitalized AdultHospitalized AdultChapter 28Chapter 28Follow a General Follow a General SequenceSequenceBe organizedBe organizedHave proper equipmentHave proper equipmentKnow what precautions patient may be on:Know what precautions patient may be on:Isolation (Type I, II, Airborne)Isolation (Type I, II, Airborne)FallFallSeizureSeizureNeutropenicNeutropenicVisitor RestrictionsVisitor RestrictionsLatex allergiesLatex allergiesWhether procedures cannot be performed on a Whether procedures cannot be performed on a particular extremityparticular extremityIntroductionIntroductionIntroduce selfIntroduce selfExplain purposeExplain purposeExplain upcoming procedures, Explain upcoming procedures, treatment that is scheduledtreatment that is scheduledGeneral AppearanceGeneral AppearanceMeasurementsMeasurementsCheck VSCheck VSHave correct cuff sizeHave correct cuff sizeIncluding pulse oximetryIncluding pulse oximetryAssess painAssess painIf medication has been given, note responseIf medication has been given, note responseFor IV – 30 minutes after givingFor IV – 30 minutes after givingFor oral – 1 hourFor oral – 1 hourNeurologicNeurologicRespiratoryRespiratoryCardiovascularCardiovascularSkinSkinAbdomenAbdomenGenitourinaryGenitourinaryActivityActivityCheck InfusionsCheck InfusionsIV linesIV linesPatencyPatencyInsertion sitesInsertion sitesIV pumpsIV pumpsSettingsSettingsAmount in bagAmount in bagPCA pumpsPCA pumpsCheck historyCheck historyCheck dose vs. machine settingsCheck dose vs. machine settingsTPN: rate and flow TPN: rate and flow Tube feedings Tube feedingsChartingChartingKnow what abbreviations are not Know what abbreviations are not permitted according to institution permitted according to institution guidelinesguidelinesBe conciseBe conciseBe completeBe completeTipsTipsMinimize position changesMinimize position changesOrganizationOrganizationAppropriate equipmentAppropriate equipmentUse the assistance of another, if Use the assistance of another, if needed, in helping to move patient needed, in helping to move patient Protect patient against fallsProtect patient against fallsBe systemic in approach, but Be systemic in approach, but be be flexibleflexibleAllow time to discuss findingsAllow time to discuss findingsKeep interruptions to a minimumKeep interruptions to a minimumMaintain privacyMaintain privacyMain patient safety throughoutMain patient safety throughoutAssessing the Unconscious Assessing the Unconscious PatientPatientHealth care records and family Health care records and family provide valuable HH infoprovide valuable HH infoOmit parts that require patient Omit parts that require patient cooperationcooperationAssess neurological status throughAssess neurological status throughLOC: Glascow Coma scaleLOC: Glascow Coma scaleCorneal reflexCorneal reflexBabinski’s reflexBabinski’s reflexSuperficial and deep pain responseSuperficial and deep pain
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