Assessment Types
This type of assessment covers the entire body
Head to Toe
This tool is used to assess pupillary accommodation, pupil size and symmetry
What is a penlight?
ABCEDFGH ASSESSMENT - LETTER A
Letter assesses this, goals and interventions include these.
What is Airway?
Goal - establish patent airway
Intervene - what is suction
This acronym is used to assess pupils.
What is PERRLA?
The nursing process was introduced/first used in this decade.
What is the 1950's
This assessment zeroes in on a specific issue or body part.
What is a focused physical assessment?
This involves assessment of neuro, cardiovascular, respiratory, GI, GU, integumentary systems (in that order)
What is a Head-to-Toe assessment?
ABCEDFGH ASSESSMENT - LETTER B
Letter assesses this, goals and interventions include these.
What is breathing?
What are oxygenation and ventilation?
What is administer O2?
This is the normal time for capillary refill.
What is less than 2 seconds?
This step of the nursing process involves data collection from the patient.
What is Assessment?
This assessment occurs from outside the room, based on your distant observation
Door Look assessment?
You look at alertness, hygiene, posture, skin color, eye movement when assessing this.
What is general appearance?
This condition involves fluid accumulation in tissues.
It starts with the letter E!
What is edema?
This term describes equal movement and appearance on both sides of the face.
What is symmetry?
These senses are useful in assessment and observation.
What are:
Sight
Hearing
Touch
Smell
This assessment is used to monitor changes
What is an ongoing or time-lapsed assessment?
APTM in cardiovascular assessment includes what?
What are Aortic, Pulmonic, Tricuspid, Mitral heart valves?
This pulse is located on the top of the foot - Starts with the letter D.
What is the dorsalis pedis pulse?
This muscle strength score indicates full strength against resistance.
What is 5/5?
This is a type of goals used in patient care planning.
What is a SMART Goal?
Specific
Measurable
Achievable
Relevant, Time Bound
This assessment is typically done when something critical occurs suddenly.
What is an emergency/BLS assessment
You assess this by examining head to toe, front to back.
What is the integumentary system?
ABCEDFGH ASSESSMENT - LETTER C
Letter assesses this, goals and interventions include these.
What is Circulation?
What is stable circulation?
What are, establish IV/IO access, control bleeding and administer fluids?
This temperature change in extremities may indicate poor circulation.
What is cool or cold skin?
This type of assessment is used during an emergency. What is it?
What is it used to Assess
BLS Assessment.
Used to assess for life-threatening Emergencies.
Used to establish presence of cardiac arrest.