Presentation is loading. Please wait.

Presentation is loading. Please wait.

Admission Avoidance Assessment of vital signs

Published byFerdinand Harrell Modified over 5 years ago

Similar presentations

Presentation on theme: "Admission Avoidance Assessment of vital signs"— Presentation transcript:

1 Admission Avoidance Assessment of vital signs
Improving resident safety across services

2 Learning Aims to provide
refresh on ABCDE focus on important clinical and non-technical skills in care home setting practice skills without risking resident safety explore some of the core issues of care, compassion and a resident centred approach 1 © SaIL Centre 2015

3 The acutely deteriorating resident (patient) -
Aim to co-ordinate, utilise and apply all available resources to optimise resident (patient) safety and outcomes. With a view to avoid hospital admission or escalate a timely transfer Resources include all people involved with their skills, abilities and attitudes, as well as their limitations, in addition to equipment. © SaIL Centre 2015

4 ABCDE approach for effective assessment
Underlying principles Complete initial assessment Breaks down complex situations into more manageable parts Treatment of life threatening problems Provides access to life-saving treatment Establishes common situational awareness among all treatment providers Reassessment Assesses effects of treatment/interventions Call for help early Can buy time to establish a final diagnosis and treatment . 3 © SaIL Centre 2015 3

5 Role of assessment & how?
Q&A – how can we assess the resident © SaIL Centre 2015

6 Assessment without measurement tools
Look, Listen & Feel Are there any problems? What intervention is needed? Airway – Lips to trachea – is it compromised / patent? Breathing – rate, rhythm, depth – is it effortless? Circulation – skin assessment & urine output Disability –conscious level – AVPU, Glucose Exposure- other symptoms / sites © SaIL Centre 2015

7 © SaIL Centre 2015

8 Assessment and monitoring: physiological observations
Initial assessment if skilled should include at least: Observation of the resident Airway & respiratory rate oxygen saturation/ residents colour heart rate – pulse & cold or clammy skin systolic blood pressure temperature level of consciousness - AVPU fluid balance (if appropriate) Early warning score (hospitals only) Also Capillary refill, blood glucose, ABGs NOTES FOR PRESENTERS: Initial assessment of the patient in Hospital, GP surgery or by a registered nurses should include the above. © SaIL Centre 2015

9 Assessment and monitoring: physiological observations – score of Zero
NEWS (2012) - 7 parameters for hospital use heart rate – (resting) respiratory rate – breaths systolic blood pressure – level of consciousness – Alert oxygen saturation >/= 96% Temperature – fluid balance - NA NOTES FOR PRESENTERS: FYI – National early warning score for hospitals – For Info Only Can hide slide depending on audience © SaIL Centre 2015

10 In summary Use your resident, relative, colleagues © SaIL Centre 2015

11 Escalation using SBAR S = Situation B = Background A = Assessment
R = Recommendation Provides a framework for communication for health care team about a residents/ patient's condition & don’t forget to structure your escalation communication © SaIL Centre 2015

12 References Thim et al (2012) Initial assessment and treatment with the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach. Int J of General Medicine pdf © SaIL Centre 2015

Download ppt "Admission Avoidance Assessment of vital signs"

Similar presentations

Recognising the Deteriorating Patient

Recognising the Deteriorating Patient
1 Debs Thomas Faculty Educator, Debs Thomas Faculty Educator,

1 Debs Thomas Faculty Educator, Debs Thomas Faculty Educator,
Competency Title : Observations and The Deteriorating Patient for HCAs C Competency Title : Observations and The Deteriorating Patient for HCAs Competency.

Competency Title : Observations and The Deteriorating Patient for HCAs C Competency Title : Observations and The Deteriorating Patient for HCAs Competency.
Program Content (cont...) Module 3: Responding to clinical deterioration – managing common acute conditions Communicating clinical concerns—using ISBAR.

Program Content (cont...) Module 3: Responding to clinical deterioration – managing common acute conditions Communicating clinical concerns—using ISBAR.
Recognition and management of the seriously ill child Dr Esyld Watson Consultant in Adult and Paediatric Emergency Medicine.

Recognition and management of the seriously ill child Dr Esyld Watson Consultant in Adult and Paediatric Emergency Medicine.
SBAR Situation Background Assessment Recommendation

SBAR Situation Background Assessment Recommendation
GOOD MEWS, BAD MEWS Using simulated learning to increase confidence and decision making skills when managing medical emergencies – third year nursing students.

GOOD MEWS, BAD MEWS Using simulated learning to increase confidence and decision making skills when managing medical emergencies – third year nursing students.
Ugochi Nwulu Senior Research Associate Patient bedside monitoring at the Queen Elizabeth Hospital Birmingham.

Ugochi Nwulu Senior Research Associate Patient bedside monitoring at the Queen Elizabeth Hospital Birmingham.
Background staff ...rarely carry out routine observations during the night ...observations are seen as tasks with a low priority... National Patient.

Background staff "...rarely carry out routine observations during the night "...observations are seen as tasks with a low priority..." National Patient.
2nd Edition Programme Launch 2014 Susan Garland PGdip, BA (Hons), RNT,RN, RM, FHEA Debbi Atkinson MA, BSc (Hons), RGN, RN (Child), DipHE, PGCE 1.

2nd Edition Programme Launch 2014 Susan Garland PGdip, BA (Hons), RNT,RN, RM, FHEA Debbi Atkinson MA, BSc (Hons), RGN, RN (Child), DipHE, PGCE 1.
Acute care Assessment and Management. Airway Obstruction because of…  CNS depression  Blood, vomit, foreign body  Trauma  Infection, inflammation.

Acute care Assessment and Management. Airway Obstruction because of…  CNS depression  Blood, vomit, foreign body  Trauma  Infection, inflammation.
Lighthouse Development Team

Lighthouse Development Team
Institute of Health Skills and Education College of Medicine, Dentistry and Nursing University of Dundee Masters in Biomedical Engineering Masters in Design.

Institute of Health Skills and Education College of Medicine, Dentistry and Nursing University of Dundee Masters in Biomedical Engineering Masters in Design.
Reflecting on the presentations: Share experiences from your own Health Board area / locality / site in relation to the part of the patients’ flow discussed:

Reflecting on the presentations: Share experiences from your own Health Board area / locality / site in relation to the part of the patients’ flow discussed:
IMPROVING PRODUCTIVITY BY FOCUSSING ON QUALITY OF CARE - A PROGRAMME OF RESEARCH AT THE HOSPITAL Dr Gill Clements Roger Killen March 2006.

IMPROVING PRODUCTIVITY BY FOCUSSING ON QUALITY OF CARE - A PROGRAMME OF RESEARCH AT THE HOSPITAL Dr Gill Clements Roger Killen March 2006.
PATIENT ASSESSMENT Overview. 2  The assessment process is your tool to: ensure the safety of yourself and others get help when you need it rationally.

PATIENT ASSESSMENT Overview. 2  The assessment process is your tool to: ensure the safety of yourself and others get help when you need it rationally.
Recognizing Medical Emergencies at the Bedside A guide for bedside nurses to make their days go better!

Recognizing Medical Emergencies at the Bedside A guide for bedside nurses to make their days go better!
Causes and Prevention of Cardiac Arrest

Causes and Prevention of Cardiac Arrest
©2013 MFMER | slide-1 Clinical Nurse Specialist Driven Practice Change: Standardizing Vital Sign and Oxygen Saturation Monitoring Practices Kelly Derby,

©2013 MFMER | slide-1 Clinical Nurse Specialist Driven Practice Change: Standardizing Vital Sign and Oxygen Saturation Monitoring Practices Kelly Derby,
Management of Common Post-Operative Emergencies Are July Interns Ready for Prime Time? Jocelyn Logan-Collins, Stephen Barnes, Karen Huezo, Timothy Pritts.

Management of Common Post-Operative Emergencies Are July Interns Ready for Prime Time? Jocelyn Logan-Collins, Stephen Barnes, Karen Huezo, Timothy Pritts.

Similar presentations

Ads by Google