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AHIV - ch 10

QuestionAnswer
Hand-off communication (report) should include: - Situation & admitting diagnosis - Pertinent medical history (implantable devices & hx of organ transplant) - Assessment & diagnostic findings (critical) - Transmission-based precautions & safety concerns - Interventions provided & response
Triage Organized system for sorting or classifying patients into priority levels, depending on illness or injury severity
Emergent triage Implies that a condition exists that poses an immediate threat to life or limb (Ex: chest pain with diaphoresis, hemorrhage, respiratory distress, stroke, vital sign instability)
Urgent triage Indicates that the patient should be treated quickly but that an immediate threat to life does not exist at the moment (Ex: severe abdominal pain, fractures, renal colic, respiratory infections, & soft-tissue injuries)
Nonurgent triage Can generally tolerate waiting several hours for health care services without a significant risk for clinical deterioration (Ex: simple fractures, rashes, sprains & strains, & UTI)
Level I trauma center Regional resource facility that is capable of providing leadership & total collaborative care for every aspect of injury, from prevention through rehabilitation (Ex: UF Gainesville)
Level II trauma centers Usually located in community hospitals & are capable of providing care to the vast majority of injured patients; transfers patient if needs exceed resource capabilities (Baptist, OPMC, Memorial)
Level III trauma centers Critical link to higher-capability trauma centers in communities that do not have ready access to level I or II centers (Putnam)
Level IV trauma center Offer advanced life support care in rural or remote settings that do not have ready access to a higher-level trauma center such as a ski
Primary survey The initial assessment of the trauma patient; Airway Breathing Circulation Disability (neuro status) Exposure (ABCs); *exception: stop bleeding first*
AVPU Alert Responsive to voice Responsive to pain Unresponsive
Glascow Coma Scale (GCS) Assessment that scores eye opening, verbal response, & motor response (anything below 7 is bad)
Secondary survey Comprehensive head-to-toe assessment to identify other injuries or medical issues that need to be managed or that might affect the course of treatment
Created by: tatianalopez03
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