wk8 Head to Toe Assessent + intro to acute care

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pain

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first thing you’re checking during the assessment

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TOA

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Transfer of accountability

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Nursing

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9 Terms

1
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pain

first thing you’re checking during the assessment

2
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TOA

Transfer of accountability

3
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priotitzation

what’s now deviating from normal. ‘if this is not now treated how can this cause harm later?’

4
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critical / priority signs

airway + breathing, circulation, LOC, bleeding, pain, nausea + vomiting, incontinence``

5
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SBAR

situation, background, assessment, recommendation

6
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situation

clearly and briefly describe the current situation

7
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background

provide clear, relevant background information on the pt

8
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assessment

state your professional conclusion, based on the situation and background

9
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recommendation

tell the person wtih whom you’re communicating what you need from him or her, in a clear and relevant way