Trauma Assessment Skill Sheet

Medical knowledge page data
Parent	Trauma Patient Assessment

FOOTHILL COLLEGE

Trauma Patient Assessment

Candidate Name: _________________________________________ Date: ______________________

Examiner Name and Signature: _________________________________________________________

Time Started: __________ Time Ended: __________ Points: _____/53 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
Assesses and manage circulation 1 pt each: assesses pulse, assesses skin (color, temperature, moisture) assesses for & controls significant bleeding, if present	3
Assesses Disability-assesses 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, VITAL SIGNS, DIAGNOSTICS
Past medical history (attempt to obtain) 1 pt each: allergies, medications, past pertinent history, last oral intake, events leading to present illness	5
Vital signs (obtain on scene only if appropriate) 1 pt each: Pulse, Respirations, Blood Pressure, Skin Signs & Pupils	5
Diagnostics: EKG, SPO2, Glucometer, Temperature (as appropriate)	1
SECONDARY ASSESSMENT
Head Inspects mouth and palpates scalp and ears Assesses eyes for PERRL Inspects mouth, nose, and assesses facial area	3
Neck Checks position of trachea Checks jugular veins Palpates cervical spine	3
Chest Inspects chest Palpates chest Auscultates chest	3
Abdomen/Pelvis Inspects and palpates abdomen Assesses pelvis Verbalizes assessment of genital/perineum as needed	3
Lower Extremities Inspects, palpates, and assesses motor, sensory and distal circulatory functions	1
Upper Extremities Inspects, palpates, and assesses motor, sensory and distal circulatory functions	1
Posterior Thorax, Lumbar, and Buttocks Inspects and palpates posterior thorax Inspects and palpates lumbar and buttocks area	2
Manages secondary injuries and wounds appropriately	1
REASSESSMENT
Primary Survey	1
Repeats vital signs	1
Evaluates response to treatments	1
Repeats secondary assessment regarding patient complaint or injuries	1

Points Possible: 53 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
Failure to manage injuries and wounds appropriately
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
Failure to manage shock appropriately. (heat, positioning, O2)

Notes:

Page data
SDG	SDG03 Good health and well-being
Authors	Catherine Mohr
License	CC-BY-SA-4.0
Language	English (en)
Related	0 subpages, 1 pages link here
Impact	303 page views
Created	January 12, 2022 by Catherine Mohr
Modified	March 1, 2023 by Felipe Schenone
Cite as	Catherine Mohr (2022–2023). "Trauma Assessment Skill Sheet". Appropedia. Retrieved April 23, 2024.
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