Health Assess. - what is your routine

Follow your abc of nursing. Always take breath sounds first , tell the pt you would like to listen to their breath sounds. Do a head to toe assessment. Breath sounds, bowel sounds, feel the extremeties for edema check distal pulses. Take VS ex. b/p, p, r, t Ask the pt if they have moved their bowel or bladder what time, color, ect. Do they have an appetite. Don't forget I&O. There may be a flow sheet in the hospital or facility you are working at . A flow sheet is a great guide to follow. Always remember abc and head to toe. Head to toe------eyes, ears, nose, lips, mucous membranes, skin color texture, cyanotic or not. Chest , heart, lungs, abd, ext, ect