chapter 12 ongoing assessment - triton college 12 • 3-6.4 explain the value of performing an...
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Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Chapter 12
Ongoing Assessment
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
U.S. DOT Objectives Directory
U.S. DOT Objectives are covered and/or supported by the PowerPoint™ Slide Program and Notes for Emergency Care, 11th Ed. Please see the Chapter 12 correlation below.
*KNOWLEDGE AND ATTITUDE
• 3-6.1 Discuss the reasons for repeating the initial assessment as part of the ongoing assessment. Slides 5-6
• 3-6.2 Describe the components of the ongoing assessment. Slides 4-11
• 3-6.3 Describe trending of assessment components. Slide 12
• 3-6.4 Explain the value of performing an ongoing assessment. Slide 13
• 3-6.5 Recognize and respect the feelings that patients might experience during assessment.
• 3-6.6 Explain the value of trending assessment components to other health professionals who assume care of the patient. Slides 5, 12
(cont.)
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
U.S. DOT Objectives Directory
*SKILLS
• 3-6.7 Demonstrate the skills involved in performing the ongoing assessment.
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Steps of the
Ongoing
Assessment
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Repeat initial assessment.
Reassess and record vital signs.
Repeat focused assessment.
Check on treatment in progress.
Steps of the Ongoing
Assessment
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Repeat Initial Assessment
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Reassess and Record Vital Signs
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Repeat Focused Assessment
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Check Interventions
(cont.)
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Is oxygen delivery adequate?
–Look at skin color.
Are artificial ventilations adequate?
–Make sure chest rises and falls.
Changes in pulse oximetry reading?
–Increase oxygen as necessary
Check Interventions
(cont.)
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Are there any signs of bleeding?
– Look for new blood.
Any other conditions or changes?
– Check splinted extremities for distal
pulse, sensation, and movement.
Check Interventions
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Trends are changes over time.
Changes noted over time are
significant (e.g., changes in BP or
pulse).
EMT may need to adjust or establish
new treatments.
Observing Trends
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
Reassess
every
15 minutes
Reassess
every
5 minutes
Reassessment
Stable Unstable
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
1. Name the four steps of the ongoing
assessment and list what assessment
you will make during each step.
2. Explain the value of recording, or
documenting, your assessment
findings, and explain the meaning of
the term trending.
Review Questions
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
How does the patient’s mental status
affect the way you maintain the
patient’s airway?
What questions should you ask the
patient and her husband?
Street Scenes
(cont.)
Limmer et al., Emergency Care, 11th Edition
© 2009 by Pearson Education, Inc., Upper Saddle River, NJ
DOT
Directory
How should you perform an ongoing
assessment on this patient?
Street Scenes