Yes, in our ER , we do a total body skin assessment. If you come in seizing, needless to say, a bruise on your leg does not take priority. ( Does this really need to be written/explained to you?)
However, before you are transferred to another unit, or discharged, you will have a "once over" by a ER nurse.
How long do you think it takes an experienced ER nurse to do a visual skin assessment on you? All of our patients are undressed and put into hospital gowns. The majority are on monitoring--electrodes-blood pressure, etc.
There is a place on our ER admission assessment form: "skin assessment". It is filled out and the ER nurse signs it.
And yes, to most people, our ER would look like a zoo.
However, each patient has a nurse who is responsible for carrying out all the ER policies while he is a patient in the ER and the nurse sees to it that the patient is not transferred out of ER until all the "checks" are done.
If you were assisting a patient out of their clothes and applying electrodes and b.p. cuff, ; how long would it take you to look for any signs of trauma?
We do not have any nurse aides in our ER.
If a patient is able to undress themselves and get into the hospital gown, how long would it take you to look the patient over and check for signs of trauma?
It isn't a time consuming task at all. It is a high priority at our hospital. Each unit even has a camera.