Final Competency Flashcards
What elements are included in the “general survey” portion of the shift assessment.
general survey, vital signs, diet/NPO, blood glucose, activity level
What elements are included in the “pain” portion of the shift assessment.
Pain score, pain scale used, PQRSTU, last pain med given at what time, what med, and the follow up score
What elements are included in the “neuromuscular/neurovascular” portion of the shift assessment.
Alert/oriented, sedated/confused/PERRLA, CMS checks, strength (grip, push/pull, pedal push/pull), sensation (touch, vision, hearing), vision/hearing impairments
What elements are included in the “cardiovascular” portion of the shift assessment.
regular/irregular rhythms, radial/pedal pulses, Cap refill, edema location and level, TEDs/SCDs
What elements are included in the “respiratory” portion of the shift assessment.
upper/middle/lower lung sounds, respiration quality (even, labored, unlabored, SOB and DOE,), cough (prod/nonprod), IS (inspirational spirom)
What elements are included in the “G.I.” portion of the shift assessment.
Abdomen shape, bowel sounds, stool, appetite, hydration (mL per day), nausea/vomiting (amount/color)
What elements are included in the “renal” portion of the shift assessment.
voiding method, color/clarity/odor, input/output, bedpan/urinal/incontinence, briefs, urostomy/suprapubic catheter.
What elements are included in the “skin” portion of the shift assessment.
color, temperature, moisture, integrity, surgical incisions, dressing, drainage systems.
What elements are included in the “psychosocial” portion of the shift assessment.
support system, sleep pattern, mood/affect/behavior
What elements are included in the “labs” portion of the shift assessment.
abnormal labs/diagnostics
What are the different sections of the shift assessment
general survey, pain, neuromuscular/vascular, cardiovascular, respiratory, GI, renal, skin, psychosocial, labs, other.
what could you include or ask about in the other section of the shift assessment.
spiritual, social, diet etc.
