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Adult Assessment

Clinical Indications: Last update 06/2011

    Any patient requesting a medical evaluation that is too large to be measured with a Broselow-Luten Resuscitation Tape.

Procedure:

    1. Scene size-up, including universal precautions, scene safety, environmental hazards assessment, need for additional resources, by-stander safety, and patient/caregiver interaction
    2. Assess need for additional resources.
    3. Initial assessment includes a general impression as well as the status of a patient's airway, breathing, and circulation.
    4. Assess mental status (e.g., AVPU) and disability (e.g., GCS).
    5. Control major hemorrhage and assess overall priority of patient.
    6. Perform a focused history and physical based on patient's chief complaint.
    7. Perform vital signs to include pulse, respirations, cap refill, skin condition, temperature, lung sounds, blood pressure, glucose check, pupils(First BP must be manual. Minimum of 2 BP's for BLS patients, minimum of 3 BP's for ALS patients)

includingSA02 and ETCO2 with ALS patients every five (5) minutes

    8. Assess need for critical interventions.
    9. Complete SAMPLE and OPQRRRST.
    10. Maintain an on-going assessment throughout transport, to include patient response/possible complications of interventions, need for additional interventions, and assessment of evolving patient complaints/conditions.

Competency Based Skill Requirements:

    Successfully complete an annual skill evaluation inclusive of the indications, contraindications, technique, and the possible complications of the procedure.

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