Play the Video Explain the importance of the patient assessment including the need for early and repeat application. Explain how this forms into the handover. Pulse Describe the two pulse sites available and the preference of each, looking for RSR (Rate, Strength & regulatory) Describe the ‘average’ adult pulse rate, and then explain the differences in age. Split the group into pairs and get them to take the radial pulse for 1 minute, explaining the importance of sticking to the minute for the initial measurement. Allow the group to also have a go at finding each other’s carotid pulses. Breathing Again for 1 minute on the initial measurement, taking note of; depth, rate and rhythm. Rates for breathes are: >12 =12-20bpm 5-12=20-24bpm 2-5=24-30bpm 1-2= 26-34bpm <1=30-40bpm. Pain Score 0 – 10. Try not to lead the response. Explain that a single measurement is only a snapshot, for it to be really useful there needs to be repeat measurements. This way they can see how the pain is changing and how. Explain the Wong Baker Faces – good for children, dementia & learning difficulties. SAMPLE Signs and Symptoms – Ask what the difference between the two is. Allergies – Medication allergies unless it is a reaction. Medications – Ask for green slips or doset boxes, consider insulin in the fridge. Past medical history Last food or drink Events – Talk about this episode.
Allergies & Adrenaline Auto-injectors
Patient Assessment “ A response of the body’s immune system to normally harmless substances, such as pollens, foods, and house dust mites. “ Allergy UK
Patient Assessment
SEM of pollen from house plants Patient Assessment SEM of pollen from house plants
It’s faeces are common allergens around the home Patient Assessment A house dust mite. It’s faeces are common allergens around the home
Patient Assessment
Patient Assessment
Angioedema (Swelling) Rash Hypotension (Low BP) Patient Assessment Major Reaction Urticaria (Hives) Angioedema (Swelling) Rash Hypotension (Low BP) Tachycardia (Fast Heart, >100bpm) Dyspnoea (Difficulty breathing) Vomiting (Throwing up!) Hypoxia (Low Oxygen in the Blood) <LOC
Consider Adrenaline auto-injector Request backup Fowler position Patient Assessment Major Reaction ABC Consider Adrenaline auto-injector Request backup Fowler position High flow oxygen Monitor (pulse, breathing) SAMPLE Be prepared for unconsciousness Be prepared for arrest
Patient Assessment Play Video
A second dose can be administered after 5-15mins, if necessary Patient Assessment A second dose can be administered after 5-15mins, if necessary
Patient Assessment Explain the importance of the patient assessment including the need for early and repeat application. Explain how this forms into the handover. Pulse Describe the two pulse sites available and the preference of each, looking for RSR (Rate, Strength & regulatory) Describe the ‘average’ adult pulse rate, and then explain the differences in age. Split the group into pairs and get them to take the radial pulse for 1 minute, explaining the importance of sticking to the minute for the initial measurement. Allow the group to also have a go at finding each other’s carotid pulses. Breathing Again for 1 minute on the initial measurement, taking note of; depth, rate and rhythm. Rates for breathes are: >12 =12-20bpm 5-12=20-24bpm 2-5=24-30bpm 1-2= 26-34bpm <1=30-40bpm. Pain Score 0 – 10. Try not to lead the response. Explain that a single measurement is only a snapshot, for it to be really useful there needs to be repeat measurements. This way they can see how the pain is changing and how. Explain the Wong Baker Faces – good for children, dementia & learning difficulties. SAMPLE Signs and Symptoms – Ask what the difference between the two is. Allergies – Medication allergies unless it is a reaction. Medications – Ask for green slips or doset boxes, consider insulin in the fridge. Past medical history Last food or drink Events – Talk about this episode.