Rapid Assessment of the Acutely Ill Patient sets out the principles and practices needed for early recognition and assessment of patients either at risk of or showing signs of acute deterioration, or those recently relocated from higher levels of care. The focus is on patient assessment, interpretation and evaluation of data, immediate management of significant problems, ongoing and further assessments in order to improve clinical outcomes. Rapid Assessment of the Acutely Ill Patient provides a framework for a systematic initial patient assessment and explores principles of effective assessment. Body systems are considered in order of life-threatening priority following the ABCDE approach, dealing with the assessment and management of airway, breathing, circulation, disability - and everything else; covering topics such as visual, palpatory and auscultatory assessment, use of additional documented information (charts, notes etc), and interpreting diagnostic investigations. Methods to ensure effective communication and team-working are also discussed.Key featuresPart of the Essential Clinical Skills for Nurses seriesAimed at nurses working in wards and specialist departmentsExplores the assessment skills required for a rapid response to a patient at risk of becoming acutely unwellEnables students and practitioners to develop practical and interpretative skillsProvides a framework for assessment and principles of first line treatmentIncludes ‘Look’, ‘Listen’, ‘Feel’ and ‘Measure’ iconsSheila Adam is Head of Nursing, Specialist Hospitals Board, UCL Hospitals NHS Foundation Trust and author of Nursing in Critical Care: Science and Practice (now in its 2nd edition), The Oxford Handbook of Critical Care Nursing and Nutrition in the Critically Ill.John Welch is Nurse Consultant in Critical Care, University College London Hospitals NHS Foundation Trust, and former Chair of the National Outreach Forum.Mandy Odell is Nurse Consultant in Critical Care, Royal Berkshire NHS Foundation Trust, Nurse and Allied Health Professional representative for the Intensive Care Society and former Chair of the British Association of Critical Care Nurses.
Author(s): Sheila Adam, Mandy Odell, John Welch
Edition: 1
Year: 2010
Language: English
Pages: 249
Rapid Assessment of the Acutely Ill Patient......Page 5
Contents......Page 7
Foreword......Page 8
Preface......Page 10
1: Why Rapid Assessment Is Essential for Ward Staff......Page 11
2: Track and Trigger Systems: Early Warning Scores, Calling Criteria and Rapid Response Teams......Page 23
3: Assessment Techniques......Page 40
4: A–B–C–D–E: Airway Assessment and Management Techniques......Page 53
5: A-B-C-D-E: Breathing (and Failure to Breathe)......Page 71
6: A–B–C–D–E: Circulation (and Circulatory Failure)......Page 108
7: A–B–C–D–E: Acute Neurological Care (Disability)......Page 163
8: A–B–C–D–E: Everything that Should Be Considered for Other Potential Problems......Page 191
9: Patient-centred Care, Team Working and Communication......Page 208
Appendix 1: Acid–Base Balance and Arterial Blood Gases......Page 231
Appendix 2: Oxygen Delivery Devices......Page 237
Index......Page 242