Introduction to Health Assessment - The Primary Survey PDF

Introduction to health assessment – the primary survey NSB103: Health Assessment and Clinical Reasoning Dr James Hughes | Senior Lecturer | | Acute and Critical Care Theme Leader | Postgraduate Course Coodinator. CRICOS No.00213J ...

Introduction to health assessment – the primary survey NSB103: Health Assessment and Clinical Reasoning Dr James Hughes | Senior Lecturer | | Acute and Critical Care Theme Leader | Postgraduate Course Coodinator. CRICOS No.00213J  ACKNOWLEDGEMENT OF TRADITIONAL OWNERS QUT acknowledges the Turrbal and Yugara, as the First Nations owners of the lands where QUT now stands. We pay respect to their Elders, lores, customs and creation spirits. We recognise that these lands have always been places of teaching, research and learning. QUT acknowledges the important role Aboriginal and Torres Strait Islander people play within the QUT community. CRICOS No.00213J  Learning Outcomes Identify the importance of a structured nursing assessment Application of the primary survey to the assessment of the patient across the lifespan Identify and relate vital signs to the primary survey Consider the primary survey within the context of the Clinical Reasoning Cycle CRICOS No.00213J  Recommended Reading Chapter 16: Vital signs: Using a primary survey approach for patient assessment. Potter & Perry’s Fundamentals of Nursing - ANZ edition CRICOS No.00213J  The importance of structured nursing assessment The primary survey forms the basis of clinical assessment in every patient encounter. Clinical assessment allows the nurse to: Identify abnormal findings Detect clinical deterioration Feeds information into the clinical reasoning cycle to plan care. When clinical assessment fails our patients are put at risk. CRICOS No.00213J  What is a primary survey Primary surveys are used to rapidly identify potential or actual life threats that require immediate intervention CRICOS No.00213J  The primary survey Core physical assessment arranged in order of performance of the primary survey (Douglas, C., Booker, C., Fox, R., Windsor, C., Osborne, S., & Gardner, G. (2016). Nursing physical assessment for patient safety in general wards: reaching consensus on core skills. Journal of clinical nursing, 25(13-14), 1890-1900.) CRICOS No.00213J  Before we begin Danger! CRICOS No.00213J  The airway Potter PA, Perry AG 2013 Fundamentals of nursing, 8th edn. Mosby, St Louis. https://das.uk.com/content/patient_info/what_is_airway_management CRICOS No.00213J  The airway Gencpinar, P., & Duman, M. (2015). Importance of back blow maneuvers in a 6 month old patient with sudden upper airway obstruction. Turkish Journal of Emergency Medicine, 15(4), 177-178. CRICOS No.00213J  Breathing CRICOS No.00213J  Breathing Breathing assessment is defined by five areas of nursing assessment: Respiratory rate Depth of respirations Patterns of respiration Lung sounds Oxygenation CRICOS No.00213J  Circulation CRICOS No.00213J  Circulation CRICOS No.00213J  Disability https://www.pinterest.com.au/pin/150166968800292408/ https://www.ems1.com/ems-training/articles/use-avpu-scale-to-determine-a-patients-level-of- consciousness-FVpjgzNGwSJAGoeQ/ CRICOS No.00213J  Disability – Pain “Pain is whatever the experiencing person says it is, existing whenever he says it does” – Margo McCaffery (1968) Pain is subjective – therefore the only person who can tell how much pain they are in is the person experiencing the pain. Assess for pain in a manner that is appropriate for the patient in front of you, believe them and act upon it. CRICOS No.00213J  Exposure https://tenor.com/view/the-simpsons-homer-freezing-cold-gif-12701110 CRICOS No.00213J  Exposure https://yanksmannequins.com/male-heads/48- mannequin-head-h37-0793588791551.html https://en.wikipedia.org/wiki/Toe CRICOS No.00213J  Summary Primary assessment identifies immediate life-threating alterations in function. It forms the basis of clinical assessment for all of our patients. Primary assessment feeds information into the first three stages of the clinical reasoning cycle. CRICOS No.00213J