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purpose
policy statement
definitions
scope
procedures
training/retraining
policy approvals
Things to include in policies and procedures
Airway
Breathing
Circulation
Disability
Exposure
ABCDE acronym
13-15
mild Glasgow coma scale score
9-12
moderate Glasgow coma scale score
3-8
severe Glasgow coma scale score
< 2 seconds
normal capillary refill time
< 3 seconds
normal time for skin turgor check
cranial nerve function
determines pupillary light reflex
< 100 mmHg
red flag for low systolic BP
Deformities or Discolorations
Crepitus and Contusion
Abrasion and Avulsion
Penetrations and Punctures
Burns
Tenderness
Lacerations
Swelling and Symmetry
DCAP-BTLS Acronym
15 minutes
frequency to check vital signs when patient is stable
5 minutes
frequency to check vital signs when patient is unstable
Situation
Background
Assessment
Recommendation
SBAR acronym for patient hand offs