1. Slide 1 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Ongoing Assessment Chapter 13

2. Slide 2 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Case History You and your partner are proceeding to the hospital with a patient who was struck by a car and sustained head, neck, and lower leg injuries. All of the injuries have been assessed and properly treated. You and your partner are proceeding to the hospital with a patient who was struck by a car and sustained head, neck, and lower leg injuries. All of the injuries have been assessed and properly treated.

3. Slide 3 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Ongoing Assessment  Plays important role in hospital and prehospital care  Patient’s condition can improve, deteriorate, or remain unchanged.  EMT can respond to changes.  Hospital can recognize evolving condition.  Must be done at regular intervals

4. Slide 4 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Components  Repeat initial assessment.  Repeat vital signs.  Repeat focused assessment.  Check interventions.

5. Slide 5 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Repeat Initial Assessment  Reevaluate for life- threatening conditions.  Stable patient  Repeat and record every 15 minutes.  Unstable patient  Repeat and record every 5 minutes.

6. Slide 6 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Vital Signs  Repeat vital signs.  May show trends that point to improvement or deterioration  Stable patient  Repeat and record every 15 minutes.  Unstable patient  Repeat and record every 5 minutes.

7. Slide 7 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Monitor Skin  Color  Temperature  Moisture

8. Slide 8 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Reestablish Patient Priorities  Airway  Ventilation  Circulation  Other problems

9. Slide 9 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Repeat Focused Assessment  Factors to consider  Patient complaint  Injuries  Check interventions:  Airway and ventilation  Oxygenation  Bleeding control  Splints

10. Slide 10 Copyright © 2007, 2004, by Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved. Summary  Repeat initial assessment.  ABCs  Recheck vital signs.  Repeat focused assessment.  Check interventions.  Respond to changes.  Notify hospital of changes and trends.