ongoing assessment chapter 13. components of the ongoing assessment final steps in the patient...

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Ongoing Ongoing Assessment Assessment CHAPTER 13 CHAPTER 13

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Ongoing Ongoing AssessmentAssessment

CH

AP

TER

13

CH

AP

TER

13

Components of the Components of the Ongoing AssessmentOngoing AssessmentComponents of the Components of the Ongoing AssessmentOngoing Assessment

Final Steps in the Patient Assessment

Process

Final Steps in the Patient Assessment

Process

Patients must be

continuously

evaluated through

an ongoing

assessment.

Ongoing Assessment Components Ongoing Assessment Components

Repeat the initial assessmentRepeat the initial assessment Mental statusMental status Airway patencyAirway patency Breathing rate and qualityBreathing rate and quality Skin color, temperature, condition & perfusionSkin color, temperature, condition & perfusion Reestablish patient priorityReestablish patient priority

Record vital signsRecord vital signs

Repeat focused assessmentRepeat focused assessment

Evaluate interventionsEvaluate interventions

Repeat the Initial Repeat the Initial AssessmentAssessmentRepeat the Initial Repeat the Initial AssessmentAssessment

If unresponsive, check If unresponsive, check reaction to reaction to painful stimuli.painful stimuli.

Inspect the Inspect the mouth mouth and and ensure airway patency.ensure airway patency.

Assess Assess skinskin temperature and temperature and condition.condition.

Repeat Vital Signs and Repeat Vital Signs and Focused AssessmentFocused AssessmentRepeat Vital Signs and Repeat Vital Signs and Focused AssessmentFocused Assessment

Reassess patients:Reassess patients:

If stable - If stable - everyevery 1515 minutes minutes

If unstable - If unstable - every every 55 minutes minutes

Check InterventionsCheck InterventionsCheck InterventionsCheck Interventions

Keep nonrebreather bag Keep nonrebreather bag inflated and maintain adequate inflated and maintain adequate oxygen flow.oxygen flow.

Interventions to ReassessInterventions to Reassess Ensure adequate ventilationsEnsure adequate ventilations

Check bleeding statusCheck bleeding status

Make sure that splints are still secureMake sure that splints are still secure

Check spinal immobilization statusCheck spinal immobilization status

Effectiveness or response to any treatmentEffectiveness or response to any treatment

SU

MM

AR

YS

UM

MA

RY Components of the Ongoing Components of the Ongoing

AssessmentAssessment

Repeat the Initial AssessmentRepeat the Initial Assessment

Repeat Vital Signs and Focused Repeat Vital Signs and Focused AssessmentAssessment

Check InterventionsCheck Interventions