ALERTDon appropriate personal protective equipment (PPE) based on the patient’s signs and symptoms and indications for isolation precautions. Show
Refer to the American Heart Association (AHA) interim guidelines for resuscitation of the patient with coronavirus disease 2019 (COVID-19) or a person under investigation (PUI) (Box 1).undefined#ref2">2 Do not begin the secondary assessment until the primary assessment is complete and resuscitation procedures have been initiated as indicated. Continue to monitor airway, breathing, circulatory, and neurologic status during the secondary assessment. If any life-threatening problems arise, return to the primary assessment and intervene as indicated. Prioritize and initiate interventions for injuries or conditions discovered in the secondary assessment after the entire head-to-toe examination is complete. OVERVIEWThe purpose of the secondary assessment is to rapidly and systematically assess injured patients from head to toe to identify all injuries and to rapidly and systematically assess critically ill patients when the cause of their signs and symptoms is unclear. Interventions for injuries or conditions discovered in the secondary assessment should be prioritized and initiated after the entire secondary assessment is complete. EDUCATION
ASSESSMENT AND PREPARATIONAssessment
Preparation
PROCEDURE
F = Full Set of Vital Signs and Family Presence
G = Get Monitoring Devices and Give Comfort
L = Laboratory Studies
M = Monitoring (Cardiac)
N = Nasogastric or Orogastric Tube
O = Oxygenation and Ventilation (SpO2, End-Tidal Carbon Dioxide [ETCO2])
P = Pain Assessment and Management
H = History and Head-to-Toe Assessment
Head and Face
Neck
Chest
Abdomen and Flanks
Pelvis and Perineum
Extremities
I = Inspect Posterior Surfaces
J = Just Keep Reevaluating
Completing the Procedure
MONITORING AND CARE
EXPECTED OUTCOMES
UNEXPECTED OUTCOMES
DOCUMENTATION
PEDIATRIC CONSIDERATIONS
OLDER ADULT CONSIDERATIONS
REFERENCES
Elsevier Skills Levels of Evidence
Which of the following is the purpose of a secondary assessment?The purpose of the secondary assessment is to rapidly and systematically assess injured patients from head to toe to identify all injuries and to rapidly and systematically assess critically ill patients when the cause of their signs and symptoms is unclear.
What is a secondary assessment?The secondary assessment is a rapid and systematic assessment of an injured pediatric patient from head to toe to identify all injuries or of a patient who is seriously ill when the cause of signs and symptoms is unclear.
Which of the following would be included in the secondary assessment of a patient quizlet?The secondary assessment of the conscious medical patient has four parts: history of the present illness, past medical history, physical examination, and: vital signs.
What vital signs should you check during a secondary assessment?At a minimum, the clinician should obtain blood pressure, SPo2, BGL, pulse rate, respiratory rate, temperature, and pain level.
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