Assessments and Screening Tools Flashcards
What is a FROP-Com?
Falls Risk for Older People in the Community Screen
What assessments should you complete for non transported Pts 65yrs and older and ATSI Pts 50yrs and older?
Elder at Risk Form (Protocol SE1)
FROP-Com
What protocols should be used when not transporting Pts 65yrs and older and ATSI Pts 50yrs and older?
A3 - Informed Consent, Capacity and Competency
P5 - Referral Decision
SE1 - Elder At Risk
T19 - Falls in the Elderly
What secondary surveys should be entered when non transporting Pts 65yrs and older and ATSI Pts 50yrs and older?
Elder at Risk (EAR)
FROP-Com Screen
Both found in assessment tools in the secondary survey
What does the mental health BEAT assessment stand for?
Behaviour
Emotions
Appearance
Threat
What does the mental health STATE assessment stand for?
Speech
Thought form & Content
Affect & Mood
Transfer of Care
Enlightenment & Engagement
What does the mental health THREAT assessment stand for?
Thinking of suicide
Hx of previous suicide attempts
Reasons and circumstances
Emotionally depressed
Access to lethal means
Tactics and plans
Is a person who fails to engage with clinicians a red flag?
Yes
What part of the MHA is a THREATS assessment used for?
suicide risk assessment
What are the signs of paediatric mild respiratory distress?
Airway - stridor on exertion
Behaviour and feeding - normal
- age appropriate vocalisation
Resp rate - mildly increased
Accessory muscle use - none/minimal
Apnoeic episodes - none
Oxygen - none required
What are the signs of paediatric moderate respiratory distress?
Airway - stridor at rest
- partial airway obstruction
Behaviour and feeding - irritability
- difficulty talking or crying
- difficulty feeding or sucking/eating
Resp rate - outside observation range guides (R18)
Accessory muscle use - moderate recession
- tracheal tug
- nasal flaring
- head bobbing (<3 mths)
Apnoeic episodes - abnormal pauses in breathing
Oxygen - commencement of or increasing requirement for
What are the signs of paediatric severe respiratory distress?
Airway - new onset stridor
- imminent airway obstruction
Behaviour and feeding - drowsy/agitated/confused
- unable to talk/cry
- unable to feed/suck
Resp rate - outside observation range guides (R18)
Accessory muscle use - severe recession
- gasping
- grunting
- extreme pallor
- cyanosis
- absent breath sounds/silent chest
Apnoeic episodes - yes
Oxygen - hypoxaemia, may not be corrected by oxygen
What do you use to determine pain score in paediatric Pts who can’t tell you?
Wong Baker Faces
(recognition of sick baby or child - protocol A5)
What does the FLACC Pain Scale (behavioural) include?
Face
Legs
Activity
Cry
Consolability
(recognition of sick baby or child - protocol A5)
