1. Copyright © 2004, Mosby Inc. All rights reserved.

2. Ongoing Assessment Chapter 13 Slide 1 Copyright © 2004, Mosby Inc. All rights reserved.

3. 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. Slide 2 Copyright © 2004, Mosby Inc. All rights reserved.

4. Ongoing Assessment Plays important role in hospital and prehospital carePlays 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 intervalsMust be done at regular intervals Slide 3 Copyright © 2004, Mosby Inc. All rights reserved.

5. Components Repeat initial assessment.Repeat initial assessment. Repeat vital signs.Repeat vital signs. Repeat focused assessment.Repeat focused assessment. Check interventions.Check interventions. Slide 4 Copyright © 2004, Mosby Inc. All rights reserved.

6. Repeat Initial Assessment Reevaluate for life- threatening conditions.Reevaluate for life- threatening conditions. Stable patientStable patient  Repeat and record every 15 minutes. Unstable patientUnstable patient  Repeat and record every 5 minutes. Slide 5 Copyright © 2004, Mosby Inc. All rights reserved.

7. Vital Signs Repeat vital signs.Repeat vital signs.  May show trends that point to improvement or deterioration Stable patientStable patient  Repeat and record every 15 minutes. Unstable patientUnstable patient  Repeat and record every 5 minutes. Slide 6 Copyright © 2004, Mosby Inc. All rights reserved.

8. Monitor Skin ColorColor TemperatureTemperature MoistureMoisture Slide 7 Copyright © 2004, Mosby Inc. All rights reserved.

9. Reestablish Patient Priorities AirwayAirway VentilationVentilation CirculationCirculation Other problemsOther problems Slide 8 Copyright © 2004, Mosby Inc. All rights reserved.

10. Repeat Focused Assessment Factors to considerFactors to consider  Patient complaint  Injuries Check interventions:Check interventions:  Airway and ventilation  Oxygenation  Bleeding control  Splints Slide 9 Copyright © 2004, Mosby Inc. All rights reserved.

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