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Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides.
The PAT also drives initial resuscitation and stabilization efforts based on the assessment findings. The PAT is widely taught, among other contexts, in all American advanced pediatric life support courses for all types of providers (doctors, nurses, prehospital personnel) and hence represents both a validated practice and teaching tool.
En route assessment begins with a repeat of the initial assessment and ensuring that the patient still has a patent airway, breathes or is being properly ventilated, and has a pulse. For stable patients, ongoing care is then provided aligned to prolonged field care guidelines. [13]
An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care. [1]
A rapid trauma assessment goes from head to toe to find these life threats: [1] [3] [5] Cervical spinal injury; Level of consciousness; Skull fractures, crepitus, and signs of brain injury; Airway problems (although these were checked during the initial assessment, they are rechecked during the rapid trauma assessment) such as tracheal deviation
Its goal is to teach a simplified and standardized approach to trauma patients. Originally designed for emergency situations where only one doctor and one nurse are present, ATLS is now widely accepted as the standard of care for initial assessment and treatment in trauma centers. The premise of the ATLS program is to treat the greatest threat ...
Wound assessment includes observation of the wound, surveying the patient, as well as identifying relevant clinical data from physical examination and patient's health history. Clinical data recorded during an initial assessment serves as a baseline for prescribing the appropriate treatment.
The four components of a SOAP note are Subjective, Objective, Assessment, and Plan. [1] [2] [8] The length and focus of each component of a SOAP note vary depending on the specialty; for instance, a surgical SOAP note is likely to be much briefer than a medical SOAP note, and will focus on issues that relate to post-surgical status.