Head-to-Toe Assessment

Do you mean 10-15 minutes to do a complete assessment?
How in-depth would you like it to be?

Do you want the list of what to look at?
I still have my Head 2 Toe card from school and am willing to share it if this is what your looking for.

I would like to see that head to toe card...............................

I'm sorry guys, I got caught up with my kids this afternoon and didn't get to check in earlier! I'm getting ready to run back to work for a split shift, but I will post the copy of my Head 2 Toe card in the morning as soon as I get home, bright and early. Hope this is ok-and sorry again. Have a good night all!

Ok- here is my head 2 toe card. Pardon any spelling errors, it's been a long night! It was made specific for med-surg, but can be adapted to any area (I used the same one, specified to OB). Imagine a stick figure (I actually have one in the corner...), from head 2 toe:
In parenthases-I used prompters for the specifics.

LOC (alert/lethargic/non-responsive)
Orientation (to person,place and time)
Neuro check, if applicable
Skin-color (pale/ pink/ruddy)
Temp (cool/cold/warm/hot)
Texture (dry/diaphoretic)
*Any O2, NG tubes would go here
Apical-rate
rhythm (regular/irregular or normal/abnormal)
intensity(loud/distant)
Respirations-rate
effort (easy/non-labored)
deepth (deep/shallow/blowing)
*Chest tubes would go here
Upper extremities- If IV present, note the solution, the rate and the site. Note the site for warmth, redness,edema etc.
Abdomen-look (round/flat)
listen (BOSO present x 4 quads?Rhythm of BOSO-normal/hyper/hypoactive and the intensity-high/low-pitched)
feel (soft/firm/hard)
*Any PEG,PEJ,etc. tubes would go here.
Bowel and Bladder- voiding (color, clarity,amount)
Postop flatus?
Foley? (patent, note drainage system)
Ostomy? (note stoma)
*This would include any suprapubic caths,drains,etc.
Lower Extremities-
Homan's sign (negative/positive)
Pedal pulses (+1=weak/faint, +2 palpitable, +3 bonding)
Capillary refill (brisk/sluggish-how long if >3 seconds)
**We were taught to put any dressings or wounds in the order they came. For example, a forarm dressing would go with the upper extremities. A cast would include a circ check with the corresponding area. Edema include pitting (and the deepth) or nonpitting at the correspodning area.

I hope this helps. I don't know if it was specific to my school or not-but I still use it today to find a problem area. It's great for focusing in on a specific problem. For us- we further went on, later in the day to assess activity, I & O, etc. It takes practice to be able to do it in 15 minutes-but it comes so automatic after awhile that you start it as soon as you walk in a room.

On that note- I'm off to bed. Have a great day everyone.

I had this all centered so nicely, so that it would be easier to read-but when I posted it, it got all funky! Sorry about that.

You are very welcome. I'm glad I could help.