Hello, I am a nursing student and I am soon being checked off doing a competent head to toe assessment in clincal. I was wondering if people could look over what my plan was and if I am correct or missing something! Thank you!!! I'm very nervous :/ Also my instructor said she really only wants to see a quick basic one to do a basic assessment not to extensive like feeling hair and checking reflexes. So I was wondering if I have everything below appropriate for a quick assesment!
I would first introduce my self ans wash my hands. Then I would tell Pt I am performing a head to toe assessment.
I start by raising the bed and asking what there name and DOB is and check Id band. Also ask where she is located and what month is it. To check orientation also could ask why are u here.
Then I would take vital signs apical pulse, BP, 02, temp, pain after
I would look at there eyes ans pupils with my pen light. After eyes I would listen to there lungs front ans back. I would look at skin on there arms andfeel for temperature and check capillary refill on nails
Then I would listen to bowel sounds and ask where there last bm was. Then I would check there legs for color temp ans edema. And check for pedial pulse.
Does this cover all basics for a quick assessment? THANK YOU!
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Hello, I am a nursing student and I am soon being checked off doing a competent head to toe assessment in clincal. I was wondering if people could look over what my plan was and if I am correct or missing something! Thank you!!! I'm very nervous :/ Also my instructor said she really only wants to see a quick basic one to do a basic assessment not to extensive like feeling hair and checking reflexes. So I was wondering if I have everything below appropriate for a quick assesment!
I would first introduce my self ans wash my hands. Then I would tell Pt I am performing a head to toe assessment.
I start by raising the bed and asking what there name and DOB is and check Id band. Also ask where she is located and what month is it. To check orientation also could ask why are u here.
Then I would take vital signs apical pulse, BP, 02, temp, pain after
I would look at there eyes ans pupils with my pen light. After eyes I would listen to there lungs front ans back. I would look at skin on there arms andfeel for temperature and check capillary refill on nails
Then I would listen to bowel sounds and ask where there last bm was. Then I would check there legs for color temp ans edema. And check for pedial pulse.
Does this cover all basics for a quick assessment? THANK YOU!