NR i304 i– iHealth iAssessment iII iHead
ito iToe iAssessment iFinal iScript
Introduction i& iAIDET
***Knock iKnock***
Me: May iI icome iin?
Patient: Yes.
Me: Hi, imy iname iis i(insert iname) iand iI iam ia istudent inurse iat iChamberlain iUniversity, iand iI
ihave iphysician’s iorders ito iperform ia ihead ito itoe iassessment ion iyou iwhich iwill itake iabout
i15-20 iminutes, iis inow ia igood itime?
Patient: Yes.
Me: I iam igoing ito istart ioff iwith iproviding iyou iwith isome iprivacy iby iclosing ioff ithese icurtains
iand itaking icare iof imy ihand ihygiene.
✓ close icurtains
✓ perform ihand ihygiene
✓ put ion igloves
Me: Can iI iget iyour iname iand idate iof ibirth iplease?
Patient: (Patient iName); iJune i27, i1999
Me: Okay, ilet ime ijust icheck iyour iwristband ito iverify.
✓ check iwristband
Guadalupe iJaime, iJune i27, i1999
Okay iMs. iJaime, iare iyou iallergic ito iany:
ifood,
medications
ishellfish
iiodine/betadine
,ilatex,
tapes ior iany iother iadhesives?
Patient: No.
Me: And iare iyou iin iany ipain itoday?
Patient: No.
Me: Okay, ido iyou iknow iwhere iyou iare iMs. iJaime?
, Patient: Chamberlain iUniversity
Me: Okay, ido iyou iknow iwhat iyear iit iis?
Patient 2019
Me: And ido iyou iknow iwho iour icurrent ipresident iis?
Patient: Donald iTrump
Me: Patient iis ialert iand ioriented i(x4)
Speech iis iclear iand iclothing iis iappropriate ito itime iand iplace.
General iAppearance
Me: Okay, iwe’re igonna igo iahead iand imove ion ito iyour igeneral iappearance.
✓ look iat ithe ipatient
Posture iis ierect.
Skin iis iappropriate ito iage.
Skin icolor iis iappropriate ito iethnicity.
iNo isigns iof iacute idistress.
Nutrition iis iadequate.
Mood iand ibehavior iare iappropriate ito isituation.
iAnd iclothing iis iappropriate ito isituation ias iwell.
i(No ivisible idevices ior iequipment ibeing iused.)
Vital iSigns
Me: I iwill inow ibe itaking iyour ivital isigns.
✓ check itemperature
o before ichecking ithe itemp, iask iif ipatient ihad ianything ihot ior icold ito idrink,
ior ismoked iin ithe ilast i30 imins
✓ check ithe ipulse ioximetry
✓ take ithe iblood ipressure
o ask iif ipatient iknows itheir iusual iblood ipressure imeasurement
✓ check irespirations
o count ifor i30 iseconds iand imultiple iby i2
Skin i& iNails
Me: I’m igonna igo iahead iand istart iwith iyour iskin.
Skin icolor iis iappropriate ito iethnicity.
There iare ino isigns iof ilesions, iincisions, iwounds, irashes, iand ino itattoos ivisible.
iI’m igonna igo iahead iand icheck ifor iyour itemperature.
ito iToe iAssessment iFinal iScript
Introduction i& iAIDET
***Knock iKnock***
Me: May iI icome iin?
Patient: Yes.
Me: Hi, imy iname iis i(insert iname) iand iI iam ia istudent inurse iat iChamberlain iUniversity, iand iI
ihave iphysician’s iorders ito iperform ia ihead ito itoe iassessment ion iyou iwhich iwill itake iabout
i15-20 iminutes, iis inow ia igood itime?
Patient: Yes.
Me: I iam igoing ito istart ioff iwith iproviding iyou iwith isome iprivacy iby iclosing ioff ithese icurtains
iand itaking icare iof imy ihand ihygiene.
✓ close icurtains
✓ perform ihand ihygiene
✓ put ion igloves
Me: Can iI iget iyour iname iand idate iof ibirth iplease?
Patient: (Patient iName); iJune i27, i1999
Me: Okay, ilet ime ijust icheck iyour iwristband ito iverify.
✓ check iwristband
Guadalupe iJaime, iJune i27, i1999
Okay iMs. iJaime, iare iyou iallergic ito iany:
ifood,
medications
ishellfish
iiodine/betadine
,ilatex,
tapes ior iany iother iadhesives?
Patient: No.
Me: And iare iyou iin iany ipain itoday?
Patient: No.
Me: Okay, ido iyou iknow iwhere iyou iare iMs. iJaime?
, Patient: Chamberlain iUniversity
Me: Okay, ido iyou iknow iwhat iyear iit iis?
Patient 2019
Me: And ido iyou iknow iwho iour icurrent ipresident iis?
Patient: Donald iTrump
Me: Patient iis ialert iand ioriented i(x4)
Speech iis iclear iand iclothing iis iappropriate ito itime iand iplace.
General iAppearance
Me: Okay, iwe’re igonna igo iahead iand imove ion ito iyour igeneral iappearance.
✓ look iat ithe ipatient
Posture iis ierect.
Skin iis iappropriate ito iage.
Skin icolor iis iappropriate ito iethnicity.
iNo isigns iof iacute idistress.
Nutrition iis iadequate.
Mood iand ibehavior iare iappropriate ito isituation.
iAnd iclothing iis iappropriate ito isituation ias iwell.
i(No ivisible idevices ior iequipment ibeing iused.)
Vital iSigns
Me: I iwill inow ibe itaking iyour ivital isigns.
✓ check itemperature
o before ichecking ithe itemp, iask iif ipatient ihad ianything ihot ior icold ito idrink,
ior ismoked iin ithe ilast i30 imins
✓ check ithe ipulse ioximetry
✓ take ithe iblood ipressure
o ask iif ipatient iknows itheir iusual iblood ipressure imeasurement
✓ check irespirations
o count ifor i30 iseconds iand imultiple iby i2
Skin i& iNails
Me: I’m igonna igo iahead iand istart iwith iyour iskin.
Skin icolor iis iappropriate ito iethnicity.
There iare ino isigns iof ilesions, iincisions, iwounds, irashes, iand ino itattoos ivisible.
iI’m igonna igo iahead iand icheck ifor iyour itemperature.
