Assessment: Adult

 

Clinical Indications:

 

 

Procedure:

 

  1. Scene size-up, including universal precautions, scene safety, environmental hazards assessment, need for additional resources, by-stander safety, and patient/caregiver interaction
  2. Assess need for additional resources.
  3. Initial assessment includes a general impression as well as the status of a patient’s airway, breathing, and circulation.
  4. Assess mental status (e.g., AVPU) and disability (e.g., GCS).
  5. Control major hemorrhage and assess overall priority of patient.
  6. Perform a focused history and physical based on patient’s chief complaint.
  7. Assess need for critical interventions.
  8. Complete critical interventions and perform a complete secondary exam to include a baseline set of vital signs as directed by protocol.
  9. Maintain an on-going assessment throughout transport; to include patient response/possible complications of interventions, need for additional interventions, and assessment of evolving patient complaints/conditions.
  10. Document all findings and information associated with the assessment, performed procedures, and any administration of medications on the PCR.