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Parent Medical Patient Assessment

FOOTHILL COLLEGE

Medical Patient Assessment

Candidate Name: _________________________________________ Date: ______________________

Examiner Name and Signature: _________________________________________________________

Time Started: __________ Time Ended: __________ Points: _____/52 PASS/FAIL (Circle One)

Points Possible Points Awarded
Takes or verbalizes appropriate PPE precautions 1
SCENE SIZE-UP
Determines the scene/situation is safe 1
Determines the mechanism of injury/nature of illness 1
Determines the number of patients 1
Requests additional help if necessary 1
Considers stabilization of spine 1
PRIMARY SURVEY
Verbalizes general impression of the patient 1
Determines responsiveness/level of consciousness 1
Determines chief complaint/apparent life-threats 1
X-(Control exsanguinating hemorrhage if present)

Assess and manage airway

3
Assess and manage breathing, assures adequate ventilation, initiates appropriate oxygen therapy (if indicated) 3
Assess and manage circulation:

-        1 pt each: assesses pulse, Assess skin (color, temperature, moisture) assesses for & controls significant bleeding,if present

3
Assess Disability-for  acute or predisposing factors for ALOC 1
Exposes patient as appropriate then protects from environment 1
Identifies priority patients/makes transport decision 1
HISTORY TAKING AND SECONDARY ASSESSMENT
History of present illness

-        1 pt each: onset, provocation, quality, radiation, severity time, clarifying questions

8
Past medical history

-        1 pt each: allergies, medications, past pertinent history, last oral intake, events leading to present illness

5
Performs secondary assessment [assess affected body part/system or, if indicated, completes rapid assessment]

-        Cardiovascular

-        Neurological

-        Integumentary

-        Reproductive

-        Pulmonary

-        Musculoskeletal

-        GI/GU

-        Psychological/Social

5
Vital signs

-        1 pt each: Pulse, Respirations, Blood Pressure, Skin Signs & Pupils

5
Diagnostics: EKG, SPO2, Glucometer, Temperature (as appropriate) 1
States field impression of patient 1
Verbalizes treatment plan /calls for appropriate assistance 1
Transport decision re-evaluated 1
REASSESSMENT
Repeats primary survey 1
Repeats vital signs 1
Evaluates response to treatments 1
Repeats secondary assessment regarding patient complaint or injuries 1

Points Possible: 52                     Total Points Awarded_______________

Critical Criteria

●      Failure to initiate or call for transport of the patient within 15-minute time limit

●      Failure to voice and ultimately provide appropriate oxygen therapy (if indicated)

●      Failure to provide adequate ventilation (if Indicated)

●      Failure to find or appropriately manage problems associated with airway, breathing, hemorrhage or shock

●      Does other detailed history or physical examination before assessing and treating threats to airway, breathing, and circulation

●      Failure to assess the need for spinal protection when indicated

Notes:

FA info icon.svgAngle down icon.svgPage data
SDG SDG03 Good health and well-being
Authors Catherine Mohr
License CC-BY-SA-4.0
Language English (en)
Translations Arabic
Related 1 subpages, 2 pages link here
Impact 233 page views
Created January 12, 2022 by Catherine Mohr
Modified March 1, 2023 by Felipe Schenone
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