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10 Cards in this Set
- Front
- Back
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Hand Hygiene
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hand sanitize when approaching pt.
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Introduction
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"Good morning, my name is Alexa and I will be your student nurse today. I will be performing a quick head-to-toe assessment which will only take 20 minutes, is that okay?"
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ID
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"I'm just going to check your ID bracelet, can you tell me your name and DOB?" - this information is the same as given at report. |
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Orientation
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"Can you please tell me what is the date today and where are we right now?" - orientation x3 present |
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Memory Question
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"What did you have for breakfast this morning?"
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Pain Assessment
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"So I heard you were having some pain today, can you tell me about it?" P - what makes it worst/better, treatment Q - description of pain R - radiates S - scale (0-10) T - onset, duration U - what pt. feels/thinks |
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Memory Question Part 2
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"Sorry I forgot, what did you say you had for breakfast this morning?" - asking this 2nd question to see if answer is constant which shows that proper cognitive process is present. |
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Physical Appearance
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Pt: appears - stated age - sexual develop appropriate for gender, & age - alert, oriented - even colour tone - facial features symmetrical with movement - posture comfortably erect |
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Behaviour
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pt: - maintains eye contact - expression appropriate to situation - comfortable and cooperative - speech is clear w understandable articulation - clothing was appropriate to season, situation - clean and groomed appropriately |
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Rise Bed
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