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15 Cards in this Set
- Front
- Back
- 3rd side (hint)
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A - Assess
P - Presence or A - Absence of abnormalities L - Level of mobility P - Pain with mobility I - Intervene R - Response |
Muscular Skeletal Management
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A I R
P A L P |
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N - Nonskid
E - Equipment S - Supp devices T - Tolerate W - What they did A - Assistant devices B - Balance L - Level of mobility E - Extraneous movement R - Response of patient |
Mobility
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N E S T - (To Do)
W A B L E R - (To Chart) |
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C is for infants <1 only
C - Check fontanel while upgright O - Orientation PPT - Person place, time VAT - Visual, auditory, tactile P - Pupils PERRL - pupils equal, round, reative to light S - Strength bilaterally (extremity) |
Neurological Assessment
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C O P S
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P - Privacy
P - Pee P - Position P - Pain S - Suction off O - Observe (distention, cont) D - Don gloves A - Auscultate - 4 quadrants P - Palpate 1-2 cm's O - On suction P - Per orders, measure girth |
Abdominal Assessment
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4 P's P P P P S O D A P O P
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G - Glove only if there are open sores
E - Edema (compare visually) T - Temp P - Pulses P - Perfusion CCC - color, cap refill, clubbing M - Motor S - Sensation |
Peripheral Vascular Assessment
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G E T P P M S (Get past PMS)
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F - Flow rate
A - Activity N - Nose S - Safety H - Humidification O - O2 status CCCO - color, cap refill, clubbing, O2 sats P - Position |
Oxygen Management
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F A N S H O P
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A - Assess
I - Intervene M - Medicate D - Distract/Relax B - Back rub M - Mouth care W - Wash face C - Change/straighten linen A - Apply heat/cold R - Reposition R - Response |
Comfort Management
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A I R
M D B M W C A R |
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A - Assess
I - Intervene M - Medicate R - Reassess pain level B - Back rub I - Instill heat/cold R - Reposition D - Distract/relax R - Reassess |
Pain Management
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A I R
M R B I R D |
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A - Assess
SEPTICM - Skin edema, pressure ulcer risk score, temp, integrity, color, moisture I - Intervene (not needed) M - Moisture reduction O - Offer food/fluid B - Bony prominences S - Shearing skin prevent R - Response |
Skin Assessment
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S E P T I C M M O B S
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A - Assess
T A L L Type: (contusion, abrasion, laceration, incision, puncture, penetrating, pressure ulcer) Appearance, location, look for drainage I - Intervene R - Response |
Wound Management
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A I R
T A L L C A L I P P P |
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A - Assess
I - Intervene STRIP - solution, temp, receptacle, irrigate (amount, return fluid), protect Dressing Change DRDCALL R - Response |
Irrigation Management
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A I R
S T R I P D R D C A L L |
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D - Drainage
A - Assess C - Cleanse T - Tube S - Specimen Collection O - Obtain L - Label D - Designated container/place |
Drainage & Specimen Colleciton
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D A C T
S O L D |
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A - Assess (Readiness to learn, learning needs or barriers to learning)
I - Intervene (Provide info) R - Reassess (Ask questions to find out if patient learned new information) |
Patient Teaching
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A I R
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E - Elevate HOB if not contraindicated
P - Pattern + rate S - Shallow S - Sounds A - Accessory muscles L - Labored/Un T - Tolerated assessment? |
Respiratory Assessment
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E P S S A L T (Epsom salt)
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G - Gloves on
R - Receptacle A - Arrange tissue P - Position pt E - Elevate HOB up if not contraindicated S - Splint with pillow A - Assess EPS SALT I - Intervene DB/DB & C/CP Suction - SIRP Bulb syringe - DIA R - Reassess EPS SALT |
Respiratory Management
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G R A P E S
then A I R |
