Acute Care 1: Universal Approach for Critical Patient Care
| Steps | Patient Approach | Intervention | |||||||||
| Step 1 | Notification of Patient Arrival | Alert
team/Appropriate protocols/Consider resources |
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| Step 2 | Immediate
Control Immobilization |
Restrain/Immobilize Adequate lighting Appropriate work surface Receive EMS report |
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| Step
3 Team Leader  |
Initial
(Primary) Survey '10 Seconds of Silence' Assess life threats Airway inadequate? Breathing inadequate? Circulation inadequate? Disabilitiy/LOC/Defib |
Immediate
transfer? Treat life threats Correct problems Control bleeding/Defib IV access/Replace volume AVPU/GCS/DONT |
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Simultaneous
Actions |
Sample history | S=Signs/symptoms A=Allergy M=Meds P=Past med history L=Last meal E=Events |
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| Team Members | Assist Team Leader | Apply
oxygen Gain exposure Obtain vitals/SAO2 ECG monitor IV access/Medications Obtain labs and x-rays Urinary catheter Dextrose evaluation Other |
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| Step 4 | Preliminary Impression | Focused
evaluation (secondary survery)  Focused physical exam Diagnostic tests Diagnostic procedures |
Focused
Pathways as needed OB Neonatal Respiratory Cardiovascular Trauma Gastrointestinal/Abdominal Altered LOC/unknown |
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| Step 5 | Working
Diagnosis/ Ongoing Care/ Disposition No patient response or patient deteriorates - return to initial (primary survey) |
Refer
to
diagnostic treatment portals Continue to reassess Consultation Stabilization Disposition  |
Admit Transfer Discharge |
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| Step 6 | Team Process Review | Team input/assess need for debriefing |