Vital Signs
What is the normal adult pulse range?
60-100 bpm
What is a chief complaint?
Main reason for visit
What does SAMPLE stand for?
Signs/Symptoms, Allergies, Medications, Past Medical History, Last Oral Intake, Events leading up
Why is documentation important?
Ensures patient safety and Easier communication
What does Tachycardia mean?
Fast heart rate
What is normal adult blood pressure?
120/80
Is nausea a symptom or diagnosis?
Symptom
What does OPQRST assess?
Patients pain or Chief complaint
What should documentation be?
Accurate and clear
What does Bradycardia mean?
Slow heart rate
What is considered high blood presssure
130/80
why is chief complaint important?
Guides care and diagnosis
What does the "P" in OPQRST stands for?
Provocation/Palliation (what makes it better or worse)
What is one risk of poor documentation?
Legal issues or poor patient care
What does Hypertension mean?
High blood pressure