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Admission Avoidance Assessment of vital signs

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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

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