Patient Assessment

Primary Patient survey:

  • A:  ensure patient is protecting airway & assess consciousness (GCS)
  • B:  Breathing pattern acceptable, Pulse Oximetry acceptable
  • C:  Patient cardiovascularly stable, venous access acceptable
  • Obtain hand over information from the referring doctor


Secondary survey:

  • Examine patient thoroughly
  • Notify duty intensive care specialist
  • Document essential orders
  • Ventilation
  • Sedation, analgesia, drugs and infusions
  • Fluid therapy
  • Discuss  management with nursing staff and team
  • Everyone must be aware of the plan!
  • Basic monitoring and procedures:
    • ECG
    • Invasive / non invasive monitoring
  • Urinary catheter / NG tube
  • Basic investigations & CT, MRI, Angiogram as indicated
  • Case note documentation (see below)
  • Inform and counsel relatives in general terms




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Page last reviewed: 13 May 2014