Patient Assessment
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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