4 main ways that focused assessments differ from complete assessments.
- Collects data about an already identified problem
- More narrow scope leads to a more short time frame
- Helps determine if problem still exists or status has changed
- Appraises any new, overlooked, or misdiagnosed issue
What do you try to identify in a focused neurological assessment?
Any impairments that a person has in responding to their environment
4 general areas of neuro. assessment.
- LOC
- Sensory and motor function
- Pupillary changes and extra ocular movements
- Vitals and respiration patterns.
Why are respirations important to note for neuro assessments?
The resp. system is controlled by the neuro. system
In cardiac assessments, what are we listening to and for?
- To heart valves
For: - Quality of rate and rhythm
- Any abnormal sounds (murmurs for example)
- apical pulse
Who must we ALWAYS do a peripheral neuromuscular assessment on?
Any pt’s with fractures
6 components of nerve damage
- Pain
- Pallor
- Paralysis
- Pulselessness
- Poikilothermia (Temp)
- Paresthesia (Tingling)
5 components of pain
- Provokes
- Quality (Dull, Sharp, Crushing)
- Radiates?
- Severity (1-10)
- Time (Onset/Duration)
For the Modified early warning score (MEWS) what are the ranges?
- Green (0-3): Continue Routine
- Yellow (4): Inform CN so they decide frequency of observation
- Orange (5): Notify MD and consider ICU transfer
- Red (Over or equal to 6): Hourly Vitals check and try to transfer to higher care facility
What are the color placements of Telemetry leads?
Clouds over grass (White over Green)
Smoke over Fire (Black over Red)
Love Chocolate (Brown in middle)
