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: