The document discusses the steps of performing a primary patient assessment as an emergency medical technician. It describes establishing the patient's level of consciousness, assessing their airway, breathing, and circulation, and determining priorities for care and transport. The primary assessment involves forming a general impression, determining the chief complaint, assessing mental status, airway, breathing, and circulation to quickly identify and treat any immediate life threats.
International Patient Safety Goals (IPSG)Monika Kanwar
International Patient Safety Goals (IPSG) were developed in 2006 by Joint Commission International (JCI). It helps accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
Introduction to the Visual Infusion Phlebitis (VIP) scoreivteam
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
The document discusses triage in emergency nursing. It defines triage as sorting patients based on acuity to provide the most urgent care first when resources are limited. A triage nurse must quickly identify life-threatening issues and determine each patient's priority level using standardized rating systems. The document outlines the primary and secondary assessments emergency nurses conduct to evaluate patients and identify issues requiring immediate treatment versus those that can wait. The goal of triage is to do the greatest good for the greatest number.
This document provides guidance on how to assist others in emergency situations by summarizing basic first aid principles and procedures for common injuries and illnesses. It outlines the DRABC actions to take for an unconscious casualty and the secondary survey for a conscious casualty. Key first aid steps are summarized for bleeding, shock, burns, choking, asthma attacks, seizures, fractures, heat and cold exposure, and poisonings from bites, stings or ingestion.
The document discusses emergency triage in a hospital emergency department. It describes triage as a process where a nurse rapidly evaluates patients upon arrival to determine the level of acuity and priority for care. The triage nurse assesses factors like chief complaint, appearance, vital signs, history and assigns the patient to one of five standardized triage levels, from level 1 being life-threatening to level 5 being non-urgent, with corresponding timeframes for clinician assessment. The primary role of the triage nurse is to make decisions about priority of care while monitoring for communicable diseases or violence.
Cardiopulmonary resuscitation is a technique of basic & advanced life support for purpose of oxygenating the brain & heart until appropriate definitive medical treatment can restore normal heart & Ventilatory action. Cardiopulmonary resuscitation is a life saving technique used to restore life of the people.
Nursing encompasses autonomous and collaborative care of individuals of all ages in all settings, including promoting health, preventing illness, and caring for those who are ill, disabled, or dying. Advanced Cardiovascular Life Support (ACLS) refers to clinical guidelines for urgently treating life-threatening cardiac conditions that cause or can cause cardiac arrest, using advanced medical procedures, medications, and techniques. The ACLS algorithms address airway management, ventilation, chest compressions, defibrillation, and medications to treat dangerous arrhythmias and cardiac arrest.
This document provides information on commonly used drugs in emergency and intensive care settings. It includes the generic and trade names, classification, mechanism of action, uses, dosing, contraindications, side effects and nursing considerations for over 100 different drugs. For example, it discusses paracetamol/acetaminophen as a non-opioid analgesic and antipyretic with uses for pain and fever relief. It notes dosing for adults and children, potential side effects like hepatic toxicity, and treatment for overdose with activated charcoal or N-acetylcysteine. It also summarizes aspirin as a non-narcotic analgesic, antipyretic and anti-inflammatory that inhibits platelet aggregation, with uses
International Patient Safety Goals (IPSG)Monika Kanwar
International Patient Safety Goals (IPSG) were developed in 2006 by Joint Commission International (JCI). It helps accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
Introduction to the Visual Infusion Phlebitis (VIP) scoreivteam
The Visual Infusion Phlebitis score is a standardised approach to monitoring peripheral IV catheter sites.
The fact that it encourages site observation means that it also has an impact on other peripheral IV catheter problems such as dislodgement, infiltration and infection.
The innovation of this tool is the recognition of the visual nature of peripheral IV problems and the subsequent benefits of a visual tool to identify these issues early.
As health care workers we have a duty of care to monitor the condition of a patients IV site.
Failure to monitor IV sites is seen as failure in duty of care.
The VIP score is internationally acknowledged as a proven standardised tool for the monitoring of peripheral IV catheter sites.
The document discusses triage in emergency nursing. It defines triage as sorting patients based on acuity to provide the most urgent care first when resources are limited. A triage nurse must quickly identify life-threatening issues and determine each patient's priority level using standardized rating systems. The document outlines the primary and secondary assessments emergency nurses conduct to evaluate patients and identify issues requiring immediate treatment versus those that can wait. The goal of triage is to do the greatest good for the greatest number.
This document provides guidance on how to assist others in emergency situations by summarizing basic first aid principles and procedures for common injuries and illnesses. It outlines the DRABC actions to take for an unconscious casualty and the secondary survey for a conscious casualty. Key first aid steps are summarized for bleeding, shock, burns, choking, asthma attacks, seizures, fractures, heat and cold exposure, and poisonings from bites, stings or ingestion.
The document discusses emergency triage in a hospital emergency department. It describes triage as a process where a nurse rapidly evaluates patients upon arrival to determine the level of acuity and priority for care. The triage nurse assesses factors like chief complaint, appearance, vital signs, history and assigns the patient to one of five standardized triage levels, from level 1 being life-threatening to level 5 being non-urgent, with corresponding timeframes for clinician assessment. The primary role of the triage nurse is to make decisions about priority of care while monitoring for communicable diseases or violence.
Cardiopulmonary resuscitation is a technique of basic & advanced life support for purpose of oxygenating the brain & heart until appropriate definitive medical treatment can restore normal heart & Ventilatory action. Cardiopulmonary resuscitation is a life saving technique used to restore life of the people.
Nursing encompasses autonomous and collaborative care of individuals of all ages in all settings, including promoting health, preventing illness, and caring for those who are ill, disabled, or dying. Advanced Cardiovascular Life Support (ACLS) refers to clinical guidelines for urgently treating life-threatening cardiac conditions that cause or can cause cardiac arrest, using advanced medical procedures, medications, and techniques. The ACLS algorithms address airway management, ventilation, chest compressions, defibrillation, and medications to treat dangerous arrhythmias and cardiac arrest.
This document provides information on commonly used drugs in emergency and intensive care settings. It includes the generic and trade names, classification, mechanism of action, uses, dosing, contraindications, side effects and nursing considerations for over 100 different drugs. For example, it discusses paracetamol/acetaminophen as a non-opioid analgesic and antipyretic with uses for pain and fever relief. It notes dosing for adults and children, potential side effects like hepatic toxicity, and treatment for overdose with activated charcoal or N-acetylcysteine. It also summarizes aspirin as a non-narcotic analgesic, antipyretic and anti-inflammatory that inhibits platelet aggregation, with uses
This document provides guidance on nursing management of clients receiving mechanical ventilation. It outlines indications for mechanical ventilation, equipment needs like endotracheal tubes, and procedures for intubation and connecting patients to ventilators. Key aspects of care include ensuring patient safety through monitoring, preventing complications, and promoting patient comfort through positioning, hygiene, feeding, and pain management. Ongoing assessment of ventilator settings and patient response is also emphasized.
This document discusses IV pump infusion. It begins by stating the objectives, which are to describe what an IV pump infusion is, why it is important, who benefits from it, and how to operate the machine. It then introduces IV pump infusion, noting that pumps deliver fluids or medications slowly into the bloodstream over time in a controlled manner. Pumps help prevent errors and overdoses. The document outlines indications for pumps, types of pumps, the infusion process, potential problems, and alarm messages. It concludes by summarizing that IV pumps help limit fluid administration and alert to issues, and that pumps assist in maintaining IV patency and overcoming resistance.
This document discusses scene safety for emergency medical technicians. It emphasizes that scene safety is the top priority when responding to any call. EMTs must assess hazards such as environmental conditions, hazardous materials, potential for violence, and vehicle collisions before providing care to patients. The document provides guidance on identifying hazards, requesting assistance if a scene is unsafe, and techniques for providing care while protecting oneself and patients from risks.
This document provides information on respiratory emergencies and breathing difficulties. It discusses assessing and recognizing breathing difficulties, emergency medical care, and breathing difficulties specific to infants and children. Specific conditions discussed that can cause breathing difficulties include obstructive lung diseases like emphysema, chronic bronchitis, asthma, pneumonia, pulmonary embolism, acute pulmonary edema, and spontaneous pneumothorax. For each condition, common findings and emergency treatment strategies are outlined. Assessment techniques like evaluating breath sounds are also reviewed.
This document provides information about a seminar on hemodynamic monitoring presented by UMAdevi.k. It discusses the purpose of hemodynamic monitoring in critically ill patients, which is to continuously assess the cardiovascular system and diagnose/manage complex medical conditions. Specific techniques covered include arterial blood pressure monitoring, central venous pressure monitoring, and pulmonary artery catheter pressure monitoring. Key aspects of each technique like indications, equipment, procedures, nursing responsibilities, and potential complications are defined. Normal hemodynamic values are also provided.
This document discusses epidural and intrathecal administration of medications. It defines epidural administration as injecting medication into the epidural space just outside the subarachnoid space, allowing diffusion into the cerebrospinal fluid. Intrathecal administration injects directly into the subarachnoid space. The document then outlines the proper procedures, equipment, monitoring, and potential complications for epidural administration.
This document discusses drugs used in cardiopulmonary resuscitation (CPR) and emergencies. It provides details on the mechanism of action, indications, contraindications, adverse reactions and considerations for over 30 different drugs including epinephrine, vasopressin, atropine, lidocaine, sodium bicarbonate, amiodarone, magnesium sulfate, defibrillation, naloxone, flumazenil, atipamezole, activated charcoal, adenosine, albuterol, alteplase, amiodarone, amyl nitrite, aspirin, atenolol, atropine sulfate, calcium chloride, calcium gluconate,
Inter hospital transfer of the critically ill patientsdrdani18
This document provides guidelines for the inter-hospital transfer of critically ill patients. It outlines that transfers should only be done for appropriate clinical reasons by experienced clinicians using standardized protocols, equipment, and qualifications. Key risks of transport include technical complications and physiological deterioration that must be monitored closely during transit. Thorough planning of the transfer including indications, risks, equipment, staffing and transport conditions can help transfers be done safely. Continuous monitoring and documentation during all stages of the transfer process are emphasized.
The document discusses documentation in the ICU, including the importance of clear and accurate documentation for providing quality patient care, evaluating treatment, and mitigating legal risks. It describes the types of documents used in the ICU, such as medical records, nursing notes, medication charts, and discharge summaries. The benefits of electronic medical records are outlined, such as easier access to patient files and consolidated patient information. Legal aspects of medical records, such as ensuring accuracy, confidentiality, and patient rights are also summarized.
This document defines medication error and outlines procedures for reporting medication errors. It also lists common types of medication errors including prescribing errors, omission errors, wrong time errors, and improper dose errors. Causes of errors include look-alike and sound-alike drug names, illegible handwriting, and unapproved abbreviations. Nursing responsibilities in preventing errors and standard precautions are discussed.
This presentation provides an overview of intravenous (IV) infusion. It discusses what an IV infusion is, the history of IV technology, equipment used, and the procedure for IV infusion. The procedure involves selecting a vein, preparing the site, inserting a cannula, attaching tubing to deliver the fluid or medication at a regulated flow rate, and securing and monitoring the site. The document also covers pharmacokinetic concepts like zero-order and first-order drug elimination, calculating elimination rate constants, and using a loading dose to rapidly achieve steady state drug concentrations when combining IV infusion with bolus doses. Main advantages of IV infusion are rapid delivery and 100% bioavailability while disadvantages include potential for pain, infection and coagulation issues.
This document discusses cardiopulmonary cerebral resuscitation (CPCR) in dogs and cats. It defines key terms like respiratory arrest and cardiopulmonary arrest. It outlines that overall survival to discharge is around 6-7% for dogs and 3% for cats. The document then discusses the goals and steps of basic life support (BLS) including circulation, airway, and breathing. It also covers advanced life support (ALS) techniques like drug administration, electrical defibrillation, fluid therapy, and monitoring such as ECG and end-tidal CO2. Finally, it summarizes the RECOVER initiative which aimed to establish evidence-based guidelines for small animal CPR.
This document outlines the procedure for obtaining arterial blood samples via radial or brachial artery puncture. It describes selecting the appropriate artery, performing the modified Allen test to ensure adequate collateral circulation, prepping and puncturing the skin with a needle at a 35-40 degree angle to draw blood into a heparinized syringe. Pressure must be applied for 5-10 minutes after puncture depending on factors like anticoagulation. Guidelines specify analyzing the sample for gases, documenting details, and instructing patients on the purpose and discomfort of the procedure. Aseptic technique and safety precautions are emphasized to avoid infection or damage from the puncture.
Nursing management of critically ill patient in intensive care unitsANILKUMAR BR
Critical care nursing: it is the field of nursing with a focus on the utmost care of the critically ill (or) unstable patients.
Critically ill patients : critically ill patients are those who are at risk for actual (or) potential life threatening health problems.
Admission QGeneral appearance (consciousness)
Airway: Patency Position of artificial airway (if present)
Breathing: Quantity and quality of respirations (rate, depth, pattern, symmetry, effort, use of accessory muscles) Breath sounds Presence of spontaneous breathing.
Circulation and Cerebral Perfusion: ECG (rate, rhythm, and presence of ectopy) Blood pressure Peripheral pulses and capillary refill Skin, color, temperature, moisture Presence of bleeding Level of consciousness, responsiveness.
quick Check Assessment in CCU.
Transitional Care Management: Five Steps to Fewer Readmissions, Improved Qual...Health Catalyst
Reducing readmissions is an important metric for health systems, representing both quality of care across the continuum and cost management. Under the Affordable Care Act, organizations can be penalized for unreasonably high readmission rates, making initiatives to avoid re-hospitalization a quality and cost imperative. A transitional care management plan can help organizations avoid preventable readmissions by improving care through all levels in five steps:
Start discharge at the time of admission.
Ensure medication education, access, reconciliation, and adherence.
Arrange follow-up appointments.
Arrange home healthcare.
Have patients teach back the transitional care plan.
Administering medications by intravenous bolus or pushEkta Patel
The document discusses administering medications intravenously through bolus injection or infusion. It describes the terms intravenous and bolus injection, and outlines principles for verifying qualifications, reviewing preparation and administration, identifying effects, and documenting procedures. Potential complications of peripheral intravenous therapy include phlebitis, infiltration, extravasation, hemorrhage, local infection, pulmonary edema, air embolism, catheter embolism, and catheter-related bloodstream infection. Equipment used includes gloves, tourniquet, antiseptic wipes, syringe, cannula, saline, drip set, IV fluid, adhesive plaster, tray, and towel.
- The document discusses ISBAR, a communication tool adapted from SBAR to standardize verbal and written communication, especially telephone referrals.
- ISBAR stands for Identify, Situation, Background, Assessment, Request. It provides a framework to organize crucial patient information when communicating between clinicians.
- The document encourages readers to practice using ISBAR through examples and roleplays to improve referral quality and patient safety.
Narcotic controlled drugs policy and procedurelastKnikkos
This document outlines policies and procedures for handling narcotic and controlled drugs in MOH hospitals. It defines key terms and assigns responsibilities to various departments and roles. The pharmacy department is responsible for receiving, storing, and dispensing these drugs, while maintaining proper documentation. Nurses are responsible for auditing drug counts. Strict protocols are established for prescribing, dispensing, administering, storing, recording use, and disposing of unused portions of narcotic and controlled drugs. Prescriptions must meet specific requirements and be properly documented.
The document outlines 6 international patient safety goals related to improving safety in healthcare facilities. The goals are to: 1) correctly identify patients to prevent wrong-patient errors, 2) improve communication among staff to minimize errors, 3) safely manage high-risk medications like concentrated electrolytes, 4) ensure correct surgical procedures and sites to prevent wrong-site surgeries, 5) reduce healthcare-associated infections through proper hand hygiene, and 6) assess and mitigate patient fall risks. The document provides details on requirements for each goal around developing policies and checklists.
This document discusses hemodynamic monitoring, which involves measuring the pressure, flow, and oxygenation of blood within the cardiovascular system. It describes both noninvasive and invasive methods of hemodynamic monitoring. Noninvasive methods include measuring vital signs like blood pressure and heart rate, while invasive methods involve placing catheters in the central circulation to directly measure pressures. Specific invasive monitoring techniques covered are arterial line placement, central venous pressure monitoring via a central line, and pulmonary artery catheterization to measure pressures and determine cardiac output. Normal ranges for various hemodynamic parameters are also provided.
The document discusses the secondary assessment process for emergency medical technicians. It explains that secondary assessment involves performing a more thorough examination of a patient to identify any additional medical conditions after completing the initial primary assessment. The secondary assessment includes gathering a detailed patient history, conducting a focused physical exam, and obtaining baseline vital signs to guide treatment decisions and evaluate the effectiveness of interventions. The document provides details on each step of the secondary assessment process.
The document discusses respiratory compromise, which occurs when the respiratory system becomes impaired, limiting oxygen intake and carbon dioxide expulsion. This can be caused by injuries, illnesses, or conditions affecting the airway, respiration, or ventilation. Common signs of respiratory compromise include abnormal breathing sounds, respiratory distress, changes in rate/rhythm, and altered mental status. EMTs must rapidly assess patients for adequate oxygenation and provide immediate intervention if breathing is inadequate, as respiratory failure can develop quickly and threaten life.
This document provides guidance on nursing management of clients receiving mechanical ventilation. It outlines indications for mechanical ventilation, equipment needs like endotracheal tubes, and procedures for intubation and connecting patients to ventilators. Key aspects of care include ensuring patient safety through monitoring, preventing complications, and promoting patient comfort through positioning, hygiene, feeding, and pain management. Ongoing assessment of ventilator settings and patient response is also emphasized.
This document discusses IV pump infusion. It begins by stating the objectives, which are to describe what an IV pump infusion is, why it is important, who benefits from it, and how to operate the machine. It then introduces IV pump infusion, noting that pumps deliver fluids or medications slowly into the bloodstream over time in a controlled manner. Pumps help prevent errors and overdoses. The document outlines indications for pumps, types of pumps, the infusion process, potential problems, and alarm messages. It concludes by summarizing that IV pumps help limit fluid administration and alert to issues, and that pumps assist in maintaining IV patency and overcoming resistance.
This document discusses scene safety for emergency medical technicians. It emphasizes that scene safety is the top priority when responding to any call. EMTs must assess hazards such as environmental conditions, hazardous materials, potential for violence, and vehicle collisions before providing care to patients. The document provides guidance on identifying hazards, requesting assistance if a scene is unsafe, and techniques for providing care while protecting oneself and patients from risks.
This document provides information on respiratory emergencies and breathing difficulties. It discusses assessing and recognizing breathing difficulties, emergency medical care, and breathing difficulties specific to infants and children. Specific conditions discussed that can cause breathing difficulties include obstructive lung diseases like emphysema, chronic bronchitis, asthma, pneumonia, pulmonary embolism, acute pulmonary edema, and spontaneous pneumothorax. For each condition, common findings and emergency treatment strategies are outlined. Assessment techniques like evaluating breath sounds are also reviewed.
This document provides information about a seminar on hemodynamic monitoring presented by UMAdevi.k. It discusses the purpose of hemodynamic monitoring in critically ill patients, which is to continuously assess the cardiovascular system and diagnose/manage complex medical conditions. Specific techniques covered include arterial blood pressure monitoring, central venous pressure monitoring, and pulmonary artery catheter pressure monitoring. Key aspects of each technique like indications, equipment, procedures, nursing responsibilities, and potential complications are defined. Normal hemodynamic values are also provided.
This document discusses epidural and intrathecal administration of medications. It defines epidural administration as injecting medication into the epidural space just outside the subarachnoid space, allowing diffusion into the cerebrospinal fluid. Intrathecal administration injects directly into the subarachnoid space. The document then outlines the proper procedures, equipment, monitoring, and potential complications for epidural administration.
This document discusses drugs used in cardiopulmonary resuscitation (CPR) and emergencies. It provides details on the mechanism of action, indications, contraindications, adverse reactions and considerations for over 30 different drugs including epinephrine, vasopressin, atropine, lidocaine, sodium bicarbonate, amiodarone, magnesium sulfate, defibrillation, naloxone, flumazenil, atipamezole, activated charcoal, adenosine, albuterol, alteplase, amiodarone, amyl nitrite, aspirin, atenolol, atropine sulfate, calcium chloride, calcium gluconate,
Inter hospital transfer of the critically ill patientsdrdani18
This document provides guidelines for the inter-hospital transfer of critically ill patients. It outlines that transfers should only be done for appropriate clinical reasons by experienced clinicians using standardized protocols, equipment, and qualifications. Key risks of transport include technical complications and physiological deterioration that must be monitored closely during transit. Thorough planning of the transfer including indications, risks, equipment, staffing and transport conditions can help transfers be done safely. Continuous monitoring and documentation during all stages of the transfer process are emphasized.
The document discusses documentation in the ICU, including the importance of clear and accurate documentation for providing quality patient care, evaluating treatment, and mitigating legal risks. It describes the types of documents used in the ICU, such as medical records, nursing notes, medication charts, and discharge summaries. The benefits of electronic medical records are outlined, such as easier access to patient files and consolidated patient information. Legal aspects of medical records, such as ensuring accuracy, confidentiality, and patient rights are also summarized.
This document defines medication error and outlines procedures for reporting medication errors. It also lists common types of medication errors including prescribing errors, omission errors, wrong time errors, and improper dose errors. Causes of errors include look-alike and sound-alike drug names, illegible handwriting, and unapproved abbreviations. Nursing responsibilities in preventing errors and standard precautions are discussed.
This presentation provides an overview of intravenous (IV) infusion. It discusses what an IV infusion is, the history of IV technology, equipment used, and the procedure for IV infusion. The procedure involves selecting a vein, preparing the site, inserting a cannula, attaching tubing to deliver the fluid or medication at a regulated flow rate, and securing and monitoring the site. The document also covers pharmacokinetic concepts like zero-order and first-order drug elimination, calculating elimination rate constants, and using a loading dose to rapidly achieve steady state drug concentrations when combining IV infusion with bolus doses. Main advantages of IV infusion are rapid delivery and 100% bioavailability while disadvantages include potential for pain, infection and coagulation issues.
This document discusses cardiopulmonary cerebral resuscitation (CPCR) in dogs and cats. It defines key terms like respiratory arrest and cardiopulmonary arrest. It outlines that overall survival to discharge is around 6-7% for dogs and 3% for cats. The document then discusses the goals and steps of basic life support (BLS) including circulation, airway, and breathing. It also covers advanced life support (ALS) techniques like drug administration, electrical defibrillation, fluid therapy, and monitoring such as ECG and end-tidal CO2. Finally, it summarizes the RECOVER initiative which aimed to establish evidence-based guidelines for small animal CPR.
This document outlines the procedure for obtaining arterial blood samples via radial or brachial artery puncture. It describes selecting the appropriate artery, performing the modified Allen test to ensure adequate collateral circulation, prepping and puncturing the skin with a needle at a 35-40 degree angle to draw blood into a heparinized syringe. Pressure must be applied for 5-10 minutes after puncture depending on factors like anticoagulation. Guidelines specify analyzing the sample for gases, documenting details, and instructing patients on the purpose and discomfort of the procedure. Aseptic technique and safety precautions are emphasized to avoid infection or damage from the puncture.
Nursing management of critically ill patient in intensive care unitsANILKUMAR BR
Critical care nursing: it is the field of nursing with a focus on the utmost care of the critically ill (or) unstable patients.
Critically ill patients : critically ill patients are those who are at risk for actual (or) potential life threatening health problems.
Admission QGeneral appearance (consciousness)
Airway: Patency Position of artificial airway (if present)
Breathing: Quantity and quality of respirations (rate, depth, pattern, symmetry, effort, use of accessory muscles) Breath sounds Presence of spontaneous breathing.
Circulation and Cerebral Perfusion: ECG (rate, rhythm, and presence of ectopy) Blood pressure Peripheral pulses and capillary refill Skin, color, temperature, moisture Presence of bleeding Level of consciousness, responsiveness.
quick Check Assessment in CCU.
Transitional Care Management: Five Steps to Fewer Readmissions, Improved Qual...Health Catalyst
Reducing readmissions is an important metric for health systems, representing both quality of care across the continuum and cost management. Under the Affordable Care Act, organizations can be penalized for unreasonably high readmission rates, making initiatives to avoid re-hospitalization a quality and cost imperative. A transitional care management plan can help organizations avoid preventable readmissions by improving care through all levels in five steps:
Start discharge at the time of admission.
Ensure medication education, access, reconciliation, and adherence.
Arrange follow-up appointments.
Arrange home healthcare.
Have patients teach back the transitional care plan.
Administering medications by intravenous bolus or pushEkta Patel
The document discusses administering medications intravenously through bolus injection or infusion. It describes the terms intravenous and bolus injection, and outlines principles for verifying qualifications, reviewing preparation and administration, identifying effects, and documenting procedures. Potential complications of peripheral intravenous therapy include phlebitis, infiltration, extravasation, hemorrhage, local infection, pulmonary edema, air embolism, catheter embolism, and catheter-related bloodstream infection. Equipment used includes gloves, tourniquet, antiseptic wipes, syringe, cannula, saline, drip set, IV fluid, adhesive plaster, tray, and towel.
- The document discusses ISBAR, a communication tool adapted from SBAR to standardize verbal and written communication, especially telephone referrals.
- ISBAR stands for Identify, Situation, Background, Assessment, Request. It provides a framework to organize crucial patient information when communicating between clinicians.
- The document encourages readers to practice using ISBAR through examples and roleplays to improve referral quality and patient safety.
Narcotic controlled drugs policy and procedurelastKnikkos
This document outlines policies and procedures for handling narcotic and controlled drugs in MOH hospitals. It defines key terms and assigns responsibilities to various departments and roles. The pharmacy department is responsible for receiving, storing, and dispensing these drugs, while maintaining proper documentation. Nurses are responsible for auditing drug counts. Strict protocols are established for prescribing, dispensing, administering, storing, recording use, and disposing of unused portions of narcotic and controlled drugs. Prescriptions must meet specific requirements and be properly documented.
The document outlines 6 international patient safety goals related to improving safety in healthcare facilities. The goals are to: 1) correctly identify patients to prevent wrong-patient errors, 2) improve communication among staff to minimize errors, 3) safely manage high-risk medications like concentrated electrolytes, 4) ensure correct surgical procedures and sites to prevent wrong-site surgeries, 5) reduce healthcare-associated infections through proper hand hygiene, and 6) assess and mitigate patient fall risks. The document provides details on requirements for each goal around developing policies and checklists.
This document discusses hemodynamic monitoring, which involves measuring the pressure, flow, and oxygenation of blood within the cardiovascular system. It describes both noninvasive and invasive methods of hemodynamic monitoring. Noninvasive methods include measuring vital signs like blood pressure and heart rate, while invasive methods involve placing catheters in the central circulation to directly measure pressures. Specific invasive monitoring techniques covered are arterial line placement, central venous pressure monitoring via a central line, and pulmonary artery catheterization to measure pressures and determine cardiac output. Normal ranges for various hemodynamic parameters are also provided.
The document discusses the secondary assessment process for emergency medical technicians. It explains that secondary assessment involves performing a more thorough examination of a patient to identify any additional medical conditions after completing the initial primary assessment. The secondary assessment includes gathering a detailed patient history, conducting a focused physical exam, and obtaining baseline vital signs to guide treatment decisions and evaluate the effectiveness of interventions. The document provides details on each step of the secondary assessment process.
The document discusses respiratory compromise, which occurs when the respiratory system becomes impaired, limiting oxygen intake and carbon dioxide expulsion. This can be caused by injuries, illnesses, or conditions affecting the airway, respiration, or ventilation. Common signs of respiratory compromise include abnormal breathing sounds, respiratory distress, changes in rate/rhythm, and altered mental status. EMTs must rapidly assess patients for adequate oxygenation and provide immediate intervention if breathing is inadequate, as respiratory failure can develop quickly and threaten life.
This document discusses the secondary assessment of trauma patients by emergency medical technicians. It describes assessing a patient's level of consciousness using the Glasgow Coma Scale and evaluating their motor, verbal, and eye responses to stimuli. Significant mechanisms of injury that could produce life-threatening trauma are outlined for both adults and children. The document provides guidance on performing a focused physical exam to identify injuries based on the mechanism of injury. The goal of the secondary assessment is to find potential life threats and determine if the patient requires transport to a trauma center.
This document discusses neurological emergencies that EMTs may encounter, including altered mental status, seizures, and strokes. It provides information on assessing mental status, common causes of altered status using the AEIOU TIPS mnemonic, and managing patients with neurological emergencies by focusing on airway, breathing, and circulation. The document also details the types and characteristics of seizures, including tonic-clonic, partial, and absence seizures. It stresses the importance of obtaining a patient history and monitoring breathing during seizures.
This document discusses behavioral emergencies and how to handle them as an EMT. It covers potential causes of behavioral issues like medical conditions, substance abuse, and psychiatric conditions. It emphasizes the importance of assessing for risks, maintaining safety, and looking for underlying medical problems. Specific situations covered include suicide risk assessment, substance abuse including stimulants, depressants, hallucinogens, and inhalants, and providing emergency medical care for behavioral emergency patients.
police officers providing first aid among oromia policeSamuelMerga1
The document provides information about a first aid training module, including:
1) The contents of the module which cover concepts of first aid, respiratory emergencies, wound care, burns, poisoning, bites, and bone/joint/muscle injuries.
2) Assessment methods including quizzes, exams, and teaching methods like lectures, discussions, role plays, and demonstrations.
3) The first unit introduces first aid and defines a first aider, outlines general directions for providing first aid, and describes assessing level of consciousness.
4) The second unit discusses reasons for first aid training, including helping others, self-help, and disaster preparation. It also outlines responsibilities and priorities of a first
This document discusses emergency medical care for pediatric patients. It covers pediatric assessment techniques, respiratory emergencies, and transport considerations. Key points include using developmentally appropriate communication and examination techniques with children, assessing the pediatric appearance, work of breathing, and skin circulation, and providing oxygen and ventilation support for respiratory distress while considering the unique airway anatomy in children.
The document discusses airway management and artificial ventilation. It emphasizes that proper airway management is critical for patient care and survival. Two common maneuvers for opening the airway are the head-tilt chin-lift technique and jaw-thrust maneuver. Airway adjuncts like oropharyngeal and nasopharyngeal airways can help ensure the airway remains open but require proper technique and sizing. The document provides detailed instructions for techniques to clear obstructions and suction the airway.
The document discusses the process of patient assessment for EMS providers. It covers performing a scene size-up, a primary survey to assess airway, breathing, circulation, disability and exposure, obtaining a medical history, and conducting a secondary assessment. The primary survey involves assessing level of consciousness, vital signs and identifying any life threats. The process leads to forming a field impression and treatment plan.
This document discusses poisoning emergencies that EMTs may encounter. It covers accidental and intentional poisonings from various sources like chemicals, gases, plants, insects and marine life. Quick recognition and treatment can increase survival. Poisonings can occur through inhalation, ingestion, injection or absorption. The document provides guidance on assessing and treating poisoning patients, including contacting poison control for assistance and transporting samples of suspected toxins. It also focuses on carbon monoxide poisoning and envenomation injuries from bites/stings.
This document discusses cardiovascular emergencies that EMTs may encounter and how to treat them. It focuses on nitroglycerin and aspirin administration for chest pain. Nitroglycerin is given sublingually for chest discomfort and relaxes blood vessels. Aspirin prevents blood clotting and is given to suspected heart attack patients. Signs of cardiac compromise like chest pain and shortness of breath are described. Proper assessment using OPQRST is emphasized to evaluate patients' symptoms and guide treatment.
This document provides information about advanced directives, POLST forms, and infection prevention. It discusses that an advanced directive allows a patient to state their wishes for future healthcare decisions, while a POLST form converts those wishes into medical orders. It emphasizes the importance of hand hygiene in preventing infection transmission between patients and surfaces. Key moments for hand hygiene are outlined. Common types of hospital-acquired infections and strategies for preventing them are also summarized.
This document discusses shock, its causes, signs and symptoms, and management for emergency medical technicians. It defines shock as the body's inability to circulate enough oxygenated blood to tissues. Severe injury, trauma, blood loss, or fluid loss can lead to shock. Early signs of shock include anxiety, pale skin, nausea, rapid pulse and breathing. Left untreated, shock progresses to altered mental status, low blood pressure, weak pulse, shallow breathing and cold skin. EMTs are trained to recognize shock early, provide emergency care, and ensure rapid transport to definitive care. Positioning, covering, monitoring vitals, and reassurance can help minimize shock.
Snake-bites in remote areas by Dr David WilliamsBio-Ken
The document discusses snakebite management in remote areas of Papua New Guinea. It describes training courses that teach clinical skills and airway management for snakebite. Rural health workers are being trained extensively in advanced airway techniques. For snakebites in remote facilities, the document recommends applying first aid, treating shock, and providing supportive care including airway management before transporting patients to hospitals capable of definitive treatment. It provides guidance on protocols, resources, and deciding when medical evacuation is necessary to save lives from snakebites in remote locations.
Here are some examples of open-ended and closed-ended questions you may ask during a health assessment:
Open-ended questions:
- "Tell me about your health concerns."
- "How have you been feeling lately?"
- "What brings you in today?"
Closed-ended questions:
- "Do you have any allergies?"
- "When did your symptoms start?"
- "Are you taking any medications?"
The open-ended questions allow the client to provide more details while the closed-ended questions focus on getting specific facts. Using a mix of both types of questions provides the most comprehensive information.
This document provides information on basic life support training. It discusses the legal basis for BLS training and outlines principles of emergency care including planning, logistics, initial response, and instructing bystanders. It describes emergency action principles such as surveying the scene, activating medical assistance, performing a primary victim assessment, and referring the victim for further care. The document then introduces BLS and discusses the circulatory, respiratory and nervous systems as well as clinical and biological death. It provides details on cardiopulmonary resuscitation (CPR) including definitions, when to start and stop CPR, compression-only CPR, and the CAB sequence of compressions, airway, and breathing for adults, children and infants
The document provides information on key concepts in emergency nursing. It defines emergency care and the concept of emergency nursing. It outlines the scope and principles of emergency nursing practice. These include establishing airway and ventilation, controlling hemorrhage, and conducting thorough assessments. The document also discusses principles of emergency management, triage, common emergencies like airway obstruction and hemorrhage, and how to manage injuries such as wounds, abdominal trauma, and heat stroke.
This document discusses spine injuries and their management by emergency medical technicians. It notes that trauma to the spine can cause paralysis or death. Rapid assessment and immobilization of potential spine injuries is critical to prevent further damage. The document provides guidance on mechanisms of injury that may involve the spine, signs and symptoms of spine injury, and proper techniques for immobilizing a patient to the long backboard or KED device while maintaining spinal alignment.
This document discusses submersion, diving, and water rescue emergencies that EMTs may encounter. It describes risks like currents, depth, and temperature that can complicate rescues. It also categorizes levels of drowning severity from asymptomatic to cardiac arrest. Procedures are outlined for assessing drowning patients and providing care, including spinal stabilization techniques for injured patients in the water. Medical emergencies specific to diving like air embolism and decompression sickness are also reviewed.
This document provides an overview of common over-the-counter (OTC) medications used to treat minor medical conditions. It discusses OTC drugs for headaches, eye issues, ear issues, antacids, diarrhea, nausea, colds, coughs, laxatives, skin issues, hemorrhoids and more. For each category, it lists examples of active ingredients and brand names, and also provides precautions for their use. The goal is to familiarize students with basic OTC medications and proper usage.
This document discusses aquatic emergencies such as drowning and near-drowning. It outlines various types of aquatic emergencies including drowning, diving accidents, and boating incidents. The document discusses causes of drowning, signs of near-drowning and drowning, safety measures for rescuers, and emergency treatment for aquatic accident victims including removal from the water, CPR, oxygen, and transport to advanced care. Deep-water diving emergencies like air embolisms are also addressed.
This document provides an overview of annual helicopter safety training for YEMS personnel who work with medical evacuation helicopters. It outlines safety procedures for approaching and departing helicopters, crew cooperation, safety equipment, loading and unloading patients, prohibited operations like hover entrance/exit, and patient management considerations for flights. The training covers danger zones, using safe corridors, waiting for rotor stops, following pilot instructions, and maintaining awareness of hazards.
This document outlines procedures and recommendations for Yukon EMS helicopter operations. It reviews current practices and identifies risks. Key recommendations include developing standards for training, equipment, and decision-making processes around helicopter responses. A new decision matrix and forms are proposed to help assess safety factors like weather, landing zones, and weight capacities before helicopter missions. The goal is to ensure a risk mitigation strategy that allows YEMS to safely meet patient needs across the territory.
This document discusses head trauma, including:
- The anatomy of the head and brain and types of injuries like concussions, contusions, hematomas.
- Primary and secondary brain injuries, with primary occurring immediately from force and secondary developing over hours from hypoxia or decreased blood flow.
- Assessment of head injury patients including neurological exam signs like anisocoria and posturing that indicate increased intracranial pressure.
- Management focuses on airway control, preventing hypotension, limiting agitation to reduce intracranial pressure, and treating cerebral herniation syndrome aggressively.
This document discusses vehicle extrication for emergency medical responders. It defines vehicle extrication as removing patients from a vehicle after an accident. It describes the emergency medical responder's role in assessing safety hazards, accessing the patient while stabilizing their spine, and controlling the scene until additional responders arrive. The document outlines two common types of extrication - using a Kendrick Extrication Device or performing a rapid extrication. It emphasizes the importance of personal safety and controlling spinal motion during extrication. The document also warns of potential hazards from the vehicle like leaking fluids, an unstable vehicle, airbags, and downed power lines during the extrication process.
This document discusses trauma in pregnancy and provides key information. It notes that trauma poses unique challenges due to the need to care for both the mother and unborn child. Physiological changes in pregnancy like increased risk of fainting and changes to vital signs can affect trauma assessment and treatment. Aggressive oxygen and fluid administration are critical to optimize outcomes for both. Proper positioning is also needed to prevent supine hypotension in pregnant patients. Motor vehicle collisions are a leading cause of trauma-related injuries or deaths among pregnant women.
Thoracic trauma is common, accounting for 50% of multiple trauma cases and 25% of trauma deaths. Potentially fatal thoracic injuries like tension pneumothorax, massive hemothorax, and cardiac tamponade require rapid recognition and intervention to save lives. The primary survey focuses on the "Deadly Dozen" immediate threats like airway obstruction, open pneumothorax, and flail chest, while the secondary survey evaluates less immediately life-threatening injuries like pulmonary contusion and myocardial contusion. Chest injuries frequently necessitate prompt treatment and often require urgent transport or "load-and-go" to definitive care.
The document discusses the structure and function of the nervous system. It describes the major divisions as the central nervous system (CNS), which includes the brain and spinal cord, and the peripheral nervous system (PNS). The PNS has three types of neurons that connect the CNS to the body and organs. It also describes the somatic and autonomic systems within the PNS. The autonomic system further divides into the sympathetic and parasympathetic nervous systems which work in opposition to activate the fight or flight response versus the rest and digest response. The CNS structures of the brain and spinal cord are also summarized, including the four lobes of the brain and principles of contralateral organization and lateralization of functions.
The document provides step-by-step instructions for creating realistic moulage makeup effects for emergency response training simulations. It details homemade recipes for simulated blood, bruises, burns, and other injuries using inexpensive and accessible materials. Pictures demonstrate techniques for applying different injury makeup like lacerations, impalements, and burns to achieve graphic but safe effects for training scenarios. The goal is to help emergency responders practice assessing and treating realistic-looking injuries in a controlled training environment.
The document discusses seizures, their classification, and treatment considerations for EMS. It describes how seizures are classified based on mental status (simple vs complex) and laterality (partial vs generalized). Generalized seizures involve both hemispheres and can cause loss of consciousness, while partial seizures originate in one hemisphere and may or may not affect consciousness. Status epilepticus is a medical emergency defined as continuous seizure activity. The document provides guidance for EMS on safely managing patients during and after seizure activity without forcing interventions.
This document provides information on various respiratory emergencies including their causes, signs and symptoms, and management strategies. Key points covered include:
- The respiratory system functions to oxygenate the blood and remove carbon dioxide through ventilation, diffusion, and perfusion. Failure of any part of this process can cause respiratory emergencies.
- Common respiratory emergencies discussed include upper airway obstruction, emphysema, asthma, pneumonia, toxic inhalation, and pulmonary embolism.
- Assessment involves evaluating the patient's airway, breathing, circulation, mental status and vital signs as well as taking a focused history. Signs and symptoms vary depending on the specific condition but may include dyspnea
This document provides information and guidelines for emergency medical responders (EMRs) on maintaining peripheral intravenous lines for stable patients during transport. It discusses the EMR's role in safely handling and transporting patients with existing IVs. It outlines personal safety concerns, required skills like adjusting drip rates and changing IV bags, and goals around keeping the IV patent and monitoring for complications. The document specifies considerations for IV transport, authorized and unauthorized IV solutions, complications, stabilization techniques, flow rate factors, drip rate calculations, troubleshooting problems, and required documentation.
This document provides information on poisonings and substance abuse for paramedics. It defines poisoning and substance abuse. It describes how to identify the patient and poison, determine the nature of the poison, and assess inhaled, absorbed, ingested and injected poisons. It discusses the initial assessment, airway/breathing/circulation, and transport decision for a poisoned patient. It also covers alcohol, opioids, sedatives, inhalants, stimulants, marijuana, hallucinogens and anticholinergics.
This document provides information on childbirth and obstetrical emergencies for emergency medical responders. It discusses the stages of normal labor and delivery, as well as complications that may arise like premature birth, breech birth, and prolapsed cord. Emergency procedures are outlined for handling various situations like breech delivery and umbilical cords wrapped around the baby's neck. Overall the document aims to equip EMRs with the essential knowledge needed to assist with emergency childbirth and recognize potential complications.
This document discusses the musculoskeletal system and emergencies. It covers the anatomy and functions of the musculoskeletal system including muscles, ligaments, tendons and bones. It describes different types of musculoskeletal injuries like sprains, strains, dislocations, fractures and provides treatment guidelines for splinting and immobilizing injured extremities. The document emphasizes the importance of assessing distal circulation and function before and after splinting and provides tips on proper splinting techniques and potential hazards of improper splinting.
The document discusses musculoskeletal injuries, including injuries to muscles, bones, and associated ligaments. It covers various types of musculoskeletal injuries, signs and symptoms, management of injuries, spinal injuries, head injuries, and splinting techniques. The goal for emergency responders is to manage musculoskeletal injuries, prevent further damage, minimize disability, and reduce pain.
This document provides an overview and training content for EF Johnson 53 SL ES and 51 SL ES series radios used by the Yukon Government. It covers system configuration, controls, display features, zone and site selection, registration, talkgroups, out of range indicators, and general operating policies and procedures. The training is delivered through a combination of presentation, demonstration, and hands-on exercises.
The document discusses the components and use of a metered dose inhaler (MDI) with spacer. An MDI contains salbutamol and propellant that are mixed by shaking. Using a spacer allows the medication particles to remain in the respirable 1-5 micron range to effectively deliver the dose to the lungs. Different types of spacers are available to use with MDIs.
This document provides an overview of annual aircraft safety training for rural EMS crew members who work with medical evacuation (medevac) crews. It covers definitions, standard medevac operations like ambulance parking and patient loading/unloading, airframe familiarization for different aircraft types, standard and emergency flight operations, and prohibited operations. The goal is to ensure EMS personnel can function safely as part of the medevac team on the airport tarmac and around medical evacuation aircraft during flight operations.
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
2024 HIPAA Compliance Training Guide to the Compliance OfficersConference Panel
Join us for a comprehensive 90-minute lesson designed specifically for Compliance Officers and Practice/Business Managers. This 2024 HIPAA Training session will guide you through the critical steps needed to ensure your practice is fully prepared for upcoming audits. Key updates and significant changes under the Omnibus Rule will be covered, along with the latest applicable updates for 2024.
Key Areas Covered:
Texting and Email Communication: Understand the compliance requirements for electronic communication.
Encryption Standards: Learn what is necessary and what is overhyped.
Medical Messaging and Voice Data: Ensure secure handling of sensitive information.
IT Risk Factors: Identify and mitigate risks related to your IT infrastructure.
Why Attend:
Expert Instructor: Brian Tuttle, with over 20 years in Health IT and Compliance Consulting, brings invaluable experience and knowledge, including insights from over 1000 risk assessments and direct dealings with Office of Civil Rights HIPAA auditors.
Actionable Insights: Receive practical advice on preparing for audits and avoiding common mistakes.
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Ensure your compliance strategy is up-to-date and effective. Enroll now and be prepared for the 2024 HIPAA audits.
Enroll Now to secure your spot in this crucial training session and ensure your HIPAA compliance is robust and audit-ready.
https://conferencepanel.com/conference/hipaa-training-for-the-compliance-officer-2024-updates
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Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
At Apollo Hospital, Lucknow, U.P., we provide specialized care for children experiencing dehydration and other symptoms. We also offer NICU & PICU Ambulance Facility Services. Consult our expert today for the best pediatric emergency care.
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Map: https://cutt.ly/BwCeflYo
Name: Apollo Hospital
Address: Singar Nagar, LDA Colony, Lucknow, Uttar Pradesh 226012
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Joker Wigs has been a one-stop-shop for hair products for over 26 years. We provide high-quality hair wigs, hair extensions, hair toppers, hair patch, and more for both men and women.
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdfDr Rachana Gujar
The "Comprehensive Rainy Season Advisory: Safety and Preparedness Tips" offers essential guidance for navigating rainy weather conditions. It covers strategies for staying safe during storms, flood prevention measures, and advice on preparing for inclement weather. This advisory aims to ensure individuals are equipped with the knowledge and resources to handle the challenges of the rainy season effectively, emphasizing safety, preparedness, and resilience.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
Gemma Wean- Nutritional solution for Artemiasmuskaan0008
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
The training objectives are:
To demonstrate the initial stages of primary assessment
To demonstrate assessment of airway status
To demonstrate assessment of breathing status
To demonstrate assessment of circulatory status
To present patient priority.
List the steps of the primary assessment
Define AVPU
Describe how to perform an AVPU assessment
In this program we will show you how to perform a primary assessment for medical patients and conduct a patient history.
Determining the chief complaint will be a very brief description of the reason of why EMS was called.
Your specific findings and the severity of the condition will assist your assessment
Your specific findings and the severity of the condition will assist your assessment
Your specific findings and the severity of the condition will assist your assessment
For example, the patient may open her eyes, attempt to respond or obey a command to squeeze your hand only when you speak to her.
Never perform this maneuver if there is any risk that a spinal injury could be involved.
Interdigital [IN-tur-DI-jit-tull]
Never perform this maneuver if there is any risk that a spinal injury could be involved.
Patent: [PAY-tent]
An inadequate airway can compromise the airway, as can obstructions caused by foreign objects or the tongue
It is not uncommon for a patient’s airway to be compromised.
Typically, responsive patients are able to clear objects themselves
Typically, responsive patients are able to clear objects themselves
Typically, responsive patients are able to clear objects themselves
The depth of respirations will be normal, and you will be able to observe a visible rise and fall of the chest.
The patient may be sitting in the tripod position, leaning forward with the arms or hands braced on the knees or arms of a chair.
Bradypnea - [brad-DIP-neuh]
Tachypnea [tack-KIP-neuh]
Always err on the side of administering oxygen if you aren’t sure whether it is needed
Always err on the side of administering oxygen if you aren’t sure whether it is needed
Even if major bleeding is not present, or if the bleeding is internal, the patient could still be at risk for going into shock, which must be cared for immediately.
Even if major bleeding is not present, or if the bleeding is internal, the patient could still be at risk for going into shock, which must be cared for immediately.
When taking a pulse, count the number of beats in fifteen or thirty seconds and calculate the per-minute pulse rate
A normal adult resting heart rate is sixty to one-hundred beats per minute.
A normal adult heart rate at rest is sixty to one-hundred beats per minute.
Exerting excessive pressure or checking the carotid pulse on both sides of the neck at the same time can impede circulation to the brain.
Sweaty skin on a hot day would be explainable as normal, but if it is caused by injury or illness, it would not
Keep in mind that a patient’s priority can change!
Keep in mind that a patient’s priority can change!
Keep in mind that a patient’s priority can change!
Keep in mind that a patient’s priority can change!
In this program we have shown you the:
Elements of primary assessment and how to perform them
How to determine patient responsiveness by using verbal and painful stimuli
How to assess a patient’s airway and breathing status
How to determine whether breathing is adequate
Determine circulatory status: taking the patient’s pulse and determining whether circulation is adequate