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8 Cards in this Set
- Front
- Back
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Step 1 starting |
Wash hands Introduce self Provide privacy |
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Step 2 IDA |
Check IDA Explain procedure, ask permission Check LOC Evaluate pain, location, character, rating |
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Step 3 Head neck supraclavicle |
Evaluate head, hair, neck, paying attention to skin. Check hair and scalp checking for lumps bumps, hair texture Face n Head semetry, lesion Eyes look at sclera color, pupil reaction, accommodation. Mucosa membranes in eyes, mouth, nose Listen to carotid artery |
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Step 4 thoracic |
Assess skin for Ask about coughs, dsypnea, sputum Listen to the lungs. 26 location Listen to heart sounds and valves Apical pulse accurate for 1 full min, for rhythm, strength, regular (5 valve) |
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Step 5 abdomen |
Evaluate skin of abdomin Ask about bowel movements Listen to bowel sounds 4 quadrants Palpatine 4 Q for tenderness, pain |
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Step 6 arms |
Assess skin on arms, include turgor check, skin over boney areas Palpatine biradial pulses Check strength |
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Step 7 lower body |
Assess skin on legs, over boney areas Edema? Check pulses (4) Check strength and cap refill Check back, coccyx and heel for pressure sores |
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Step 8 wrap up |
Ask if PT has any questions or needs Make comfortable, give call button Wash hands Provide privacy |
