Patient Assessment

Primary Patient survey:

• A:  ensure patient is protecting airway & assess consciousness (GCS)
• B:  Breathing pattern acceptable, Pulse Oximetry acceptable
• C:  Patient cardiovascularly stable, venous access acceptable
• Obtain hand over information from the referring doctor

Secondary survey:

• Examine patient thoroughly
• Notify duty intensive care specialist
• Document essential orders
• Ventilation
• Sedation, analgesia, drugs and infusions
• Fluid therapy
• Discuss  management with nursing staff and team
• Everyone must be aware of the plan!
• Basic monitoring and procedures:
• ECG
• Invasive / non invasive monitoring
• Urinary catheter / NG tube
• Basic investigations & CT, MRI, Angiogram as indicated
• Case note documentation (see below)
• Inform and counsel relatives in general terms

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