Universal Patient Care — Adult Algorithm

What should be brought to the patient on a safe scene?

All necessary equipment.

What conduct is expected on every patient contact?

Professionalism and courtesy.

What protective step is done on every patient contact?

Use appropriate PPE.

What is done if the scene is unsafe in universal patient care?

Call for help and additional resources.

When do you approach an unsafe scene in universal patient care?

After staging until the scene is safe.

What procedure guides patient assessment in universal care?

Adult Assessment Procedure.

What assessment is done first in universal care?

Initial assessment.

What basic interventions are started in universal care?

BLS maneuvers.

When is oxygen started in universal care?

If indicated, with an appropriate device.

What infection precautions are considered in universal care?

Airborne or droplet precautions, if indicated.

What is evaluated first for a trauma patient?

Mechanism of injury.

What procedure is considered for a trauma patient if indicated?

Spinal Precautions procedure.

What assessment is done for a significant MOI?

Primary and secondary trauma assessment.

What is obtained after the trauma assessment for a significant MOI?

Vital signs.

What history is obtained for a significant MOI?

SAMPLE.

What assessment is done for a trauma patient without significant MOI?

Focused assessment on the specific injury, if time allows.

What is obtained for a trauma patient without significant MOI?

Vital signs.

What history is obtained for a trauma patient without significant MOI?

SAMPLE.

What is assessed first for a medical patient?

Mental status.

What assessment is done for an unresponsive medical patient?

Primary and secondary assessment.

Where does the HPI come from for an unresponsive medical patient?

Available sources and scene survey.

What history is obtained for an unresponsive medical patient?

SAMPLE.

What is obtained for an unresponsive medical patient after history?

Vital signs.

What history is obtained first for a responsive medical patient?

Chief complaint and SAMPLE.

What assessment is done for a responsive medical patient?

Focused assessment on the specific complaint.

What is obtained for a responsive medical patient after assessment?

Vital signs.

Where do you go after the initial universal assessment?

Exit to the appropriate protocol.

When is the assessment repeated in universal care?

While preparing for transport.

What assessment continues throughout care?

Ongoing assessment.

What is repeated during ongoing assessment?

Vital signs.

What is evaluated during ongoing assessment?

Interventions and procedures.

What patient data is included in handoff?

Patient information.

What belongings are included in handoff?

Personal property.

What care record is included in handoff?

Summary of care.

What outcome is included in handoff?

Response to prehospital care.

What is the final step of universal patient care?

Transport.