1. 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.

2. Allergies & Adrenaline Auto-injectors

3. Patient Assessment “
A response of the body’s immune system to normally harmless substances, such as pollens, foods, and house dust mites. “
Allergy UK

4. Patient Assessment

5. SEM of pollen from house plants
Patient Assessment
SEM of pollen from house plants

6. It’s faeces are common allergens around the home
Patient Assessment
A house dust mite.
It’s faeces are common allergens around the home

7. Patient Assessment

8. Patient Assessment

9. 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

10. 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

11. Patient Assessment
Play Video

12. A second dose can be administered after 5-15mins, if necessary
Patient Assessment
A second dose can be administered after 5-15mins, if necessary

13. 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.