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S1.E4 ∙ Gut Feeling Thu, Mar 27, 1997 Doctors suspect a rare bacterial infection after children suffer kidney failure; a gunshot wound forces a physician to perform his first open-heart surgery; a life-threatening sleep disorder.
Apr 20, 2006 · Total Runtime 6h (6 episodes) Country United Kingdom. Languages English. Genres Drama. Vital Signs is a British television drama series airing on ITV from 2006. It stars Tamzin Outhwaite as a supermarket check-out operator who decides to become a doctor.
- April 21, 2006
- Gather Equipment
- Introduction
- Heart Rate
- Respiratory Rate
- Oxygen Saturation
- Blood Pressure
- Level of Consciousness
- Temperature
- Recording Observations on A News2 Chart
- To Complete The Assessment…
Pulse oximeterBlood pressure monitorThermometerWatchWash your hands and don PPEif appropriate. Introduce yourself to the patient including your name and role. Confirm the patient’s name and date of birth. Briefly explain what the procedure will involve using patient-friendly language. Gain consentto proceed with recording observations (vital signs). Ask if the patient has any painbefore proceeding.
Assessing heart rate
1. Palpate the patient’s radial pulse, located at the radial side of the wrist, with the tips of your index and middle fingersaligned longitudinally over the course of the artery. 2. Once you have located the radial pulse, assess the rate and rhythm. You can calculate the heart rate in several ways, including measuring for 60 seconds, measuring for 30 seconds and multiplying by 2 or measuring for 15 seconds and multiplying by 4. The shorter the interval used, the higher the risk of obtaining...
Assessing respiratory rate
1. Whilst still palpating the radial pulse (but no longer counting it), assess the patient’s respiratory rate. Palpation of the radial pulse at this stage is purely to avoid making the patient aware you are directly observing their breathing, as this can alter the respiratory rate. 2. Note any asymmetries in the expiratory and inspiratory phasesof respiration (e.g. the expiratory phase is often prolonged in asthma exacerbations and in patients with COPD). 3. Assess the patient’s respiratory r...
Oxygen saturation is measured using a pulse oximeter. When recording oxygen saturations, note whether the patient is on supplemental oxygen or breathing room air. 1. Select an appropriate site for the pulse oximeter. If using the fingernail, ensure no nail varnish or dirt is covering the nail. 2. Switch on the pulse oximeter. 3. Place the pulse oxi...
Measurement ofblood pressurecan be performed manually using a stethoscope and sphygmomanometer or by using an automatic blood pressure monitor. The NEWS2 score only assigns a score based on the systolic blood pressure. However, the diastolic blood pressure should be recorded on the chart.
A patient’s level of consciousness can be measured using the ACVPU scale: 1. Alert: the patient is fully alert with spontaneous eye-opening 2. Confusion (new): the patient is alert, but confused or disorientated 3. Voice: the patient responds to a verbal stimulus 4. Pain: the patient responds to a pain stimulus only 5. Unresponsive: no response to ...
Temperature is usually assessed using a tympanic thermometeras this is a rapid and non-invasive way of recording temperature. Other methods for recording temperature include oral, rectal and axillaryreadings.
The measured observations should be recorded on a NEWS2 chartand the total NEWS2 score calculated. You can download a blank PDF version here.
Explain to the patient that the assessment is now complete. Thank the patientfor their time. Dispose of PPE appropriately and wash your hands. Summarise your findings and NEWS2 score.
Jun 3, 2011 · This chapter will deal with the basic elements of patient assessment (Vital Signs and History Taking.) In those chapters that follow (dealing with patient assessment) the individual components...
- 9 min
- 22.7K
- thediannedy
Oct 25, 2018 · A guide listing the titles and air dates for each episode of the radio series Vital Signs.
Do you find yourself in drama everywhere you go? Are you adding or taking away from others? Sometimes you need to take a step back and review the vital signs of your life and relationships. Do...
- 43 min
- 10.8K
- Nona Jones
Measuring and recording vital signs is an essential step in assessing the risk of serious illness, aiding diagnosis and ensuring the correct course of action. Measuring vital signs includes taking the child's temperature and measuring heart rate, respiratory rate and capillary refill time.
