Head To Toe Assessment In 5 Minutes
Head to Toe Assessment in 5 Minutes
(Well, maybe a little longer than that)
Table of Contents
Outline:
I. HEAD TO TOE ASSESSMENT IN 5 MINUTES or MORE
II. ASSESSMENT BY BODY SYSTEMS
III. SPECIAL CONSIDERATIONS FOR THE CLIENT WITH DEVELOPMENTAL DISABILITIES
IV. VITAL SIGNS - TEMPERATURE, PULSE, RESPIRATION, BLOOD PRESSURE
V. NEUROLOGICAL ASSESSMENT
VI. HEART ASSESSMENT
VII. AUSCULTATION OF BREATH SOUNDS
VIII. MENTAL STATUS EXAM
IX. SHORT PORTABLE MENTAL STATUS QUESTIONNAIRE (SPMSQ)
X. HEAD TO TOE ASSESSMENT CHECKLIST
XI. SAMPLE CHARTING ENTRY
Objectives
Objectives: At the conclusion of this program the participant will be able to:
1. Identify components of a head to toe assessment.
2. Identify components of a systems by system assessment.
3. Differentiate between normal and abnormal vital sign parameters.
4. Identify key components of the neurological exam.
5. Identify key components of heart assessment.
6. Identify key components of respiratory assessment.
7. Describe the Mental Status Exam.
8. Identify key components of a basic head to toe assessment by following a flow chart.
9. Complete exam components at 85% competency.
A head to toe assessment is the baseline and ongoing data that is needed on every patient. Once a systematic technique is developed, the assessment can be completed in a relatively short period of time.
Assessment is done at the beginning of each shift, and at regular intervals during the shift. Since many healthcare professionals work 12 hour shifts, assessment needs to be done more than once.
Our hope is that this packet will give you some techniques, rationale and a process to make the assessment process more predictable for you. Some helpful components of this packet include:
Overview of Vital Signs
Neurological Assessment
Heart Assessment
Respiratory Assessment
Mental Status Exam
Assessment Check List
Sample Narrative Charting
Head to Toe Assessment Template
HEAD TO TOE ASSESSMENT IN 5 MINUTES or MORE
(Well, maybe a little longer than that)
Table of Contents
Outline:
I. HEAD TO TOE ASSESSMENT IN 5 MINUTES or MORE
II. ASSESSMENT BY BODY SYSTEMS
III. SPECIAL CONSIDERATIONS FOR THE CLIENT WITH DEVELOPMENTAL DISABILITIES
IV. VITAL SIGNS - TEMPERATURE, PULSE, RESPIRATION, BLOOD PRESSURE
V. NEUROLOGICAL ASSESSMENT
VI. HEART ASSESSMENT
VII. AUSCULTATION OF BREATH SOUNDS
VIII. MENTAL STATUS EXAM
IX. SHORT PORTABLE MENTAL STATUS QUESTIONNAIRE (SPMSQ)
X. HEAD TO TOE ASSESSMENT CHECKLIST
XI. SAMPLE CHARTING ENTRY
Objectives
Objectives: At the conclusion of this program the participant will be able to:
1. Identify components of a head to toe assessment.
2. Identify components of a systems by system assessment.
3. Differentiate between normal and abnormal vital sign parameters.
4. Identify key components of the neurological exam.
5. Identify key components of heart assessment.
6. Identify key components of respiratory assessment.
7. Describe the Mental Status Exam.
8. Identify key components of a basic head to toe assessment by following a flow chart.
9. Complete exam components at 85% competency.
A head to toe assessment is the baseline and ongoing data that is needed on every patient. Once a systematic technique is developed, the assessment can be completed in a relatively short period of time.
Assessment is done at the beginning of each shift, and at regular intervals during the shift. Since many healthcare professionals work 12 hour shifts, assessment needs to be done more than once.
Our hope is that this packet will give you some techniques, rationale and a process to make the assessment process more predictable for you. Some helpful components of this packet include:
Overview of Vital Signs
Neurological Assessment
Heart Assessment
Respiratory Assessment
Mental Status Exam
Assessment Check List
Sample Narrative Charting
Head to Toe Assessment Template
HEAD TO TOE ASSESSMENT IN 5 MINUTES or MORE