Patient Assist: Difference between revisions
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For all | For all patient assist calls the following protocol guidelines are to be followed and documented: | ||
{| class="wikitable" | {| class="wikitable" | ||
|+ | |+ | ||
|Manual Vitals | |Manual Vitals | ||
|Assess AVPU/GCS and compare to normal baseline if possible. | | | ||
Tachycardia (HR>100) or relative hypotension (SBP<110) is concerning for sepsis. | *Obtain a full set of vitals signs to include blood pressure (palpable systolic is acceptable), pulse, respiratory rate and effort, GCS, AVPU, pain score and scale, and SaO2. | ||
Assess skin color, condition, and temp. | *Assess AVPU/GCS and compare to normal baseline if possible. | ||
Assess blood sugar level. | *Tachycardia (HR>100) or relative hypotension (SBP<110) is concerning for sepsis. | ||
Perform second set of vitals after movement | *Assess skin color, condition, and temp. | ||
*Assess blood sugar level. | |||
*Perform second set of vitals after movement | |||
|- | |- | ||
|Events leading to fall or patient assist | |Events leading to fall or patient assist | ||
|Any new symptoms? | | | ||
Generalized weakness? | *Any new symptoms? | ||
Poor appetite? | *Generalized weakness? | ||
Shortness of breath? | *Poor appetite? | ||
Syncope? | *Shortness of breath? | ||
Any LOC? | *Syncope? | ||
Assess living conditions, trip hazards, etc. | *Any LOC? | ||
*Assess living conditions, trip hazards, etc. | |||
|- | |- | ||
|Medications | |Medications | ||
|Any new medications? | | | ||
Blood thinners | *Any new medications? | ||
Anti-platelet agents | *Blood thinners? | ||
Proper dose taken for the day | *Anti-platelet agents? | ||
Compliant with prescribed medications?''' | *Proper dose taken for the day? | ||
*Compliant with prescribed medications?''' | |||
|- | |- | ||
|Assessment (Including Stroke) | |Assessment (Including Stroke) |
Latest revision as of 18:51, 11 February 2025
For all patient assist calls the following protocol guidelines are to be followed and documented:
Manual Vitals |
|
Events leading to fall or patient assist |
|
Medications |
|
Assessment (Including Stroke) | Head-to-toe assessment - not just for trauma but for medical illness such as stroke, CHF, acute MI, or infection |
Walk | ALWAYS determine if able to ambulate at baseline prior to refusal. If possible confer with family, caretaker, spouse on scene. |
...and document what you find! Be sure to include the information gathered into your report. | Involve family and caregivers
Be specific about your concerns when discussing refusal. Always advocate in the patients' best interest If necessary and applicable refer the patient to local community paramedicince programs. |