c

 

V Greet patients and identify your self.

V aintain privacy and confidentiality
V disualize all incoming patients even while interviewing others.
V aintain good communication between triage and treatment area
V maintain excellent communication with waiting area.
V se all resources to maintain high standard of care.

c
 

V from French word meaning ͞to sort͟

V at is used to sort patients into groups based on the severity of their health problems and the
immediacy with which these problems must be treated

c
 
 acts as a gatekeeper, sorting patients into categories, ensuring that the more seriously ill
are treated first


 
 

 0  
 onditions requiring immediate medical intervention, any delay in treatment is
potentially life or limb threatening. ust be seen a
a

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c
 
 

provides essential care to wounded or burn patients in a hospital or healthcare facility and performs
daytoday duties in order to help the facility run smoothly so that patients can receive the best care at
all times.

 

 

1. Follows physician orders and administers regularly scheduled oral, topical, suppository, otic,
nasal, and ocular medications.
2. onsults with the urse anager to assess a esident who requests a ͞prn͟ (as needed)
medication.
3. eports to urse anager observations regarding changes in esident͛s status.
4. bserves the five rights of medication administration.

 
 

 etermines the fetal position, fetal presentation, and engagement. his consists of four different
actions that help determine the position and presentation. ith correct assessment and findings, it can
indicate whether the delivery would be complicated or if the mother would need to undergo aesarian
delivery.


  
 

1. sk the mother to empty the bladder. he nurse should then warm the hands and apply it to the
abdomen of the mother by using firm and gentle pressure.
2.
erform the 4 maneuvers

 

 

his determines what part of the fetus is in the fundus.

1.
lace palms on each side of the upper abdomen and palpate around the fundus.
2. af the head is at the fundus, you would feel a hard, round, and movable object. af the buttocks is
at the fundus, you will feel a soft and irregular shaped mass that is difficult to move.

×  

 
1. ove your hands downward, still on both sides of the abdomen, while applying firm and even
pressure.
2. af you palpate a smooth hard surface on one side then it would be the fetal back. af you palpate
irregular lumps it would be the hands, feet, elbows, and knees and should be on the opposite
side of the abdomen.
  c 

 
his maneuver confirms the fetal position.
1.
lace your hands above the symphysis pubis.
2. ring the thumb and fingers together and grasp the part of the fetus between them. Findings
could be the head or the buttocks.

 
 

 
his is used in the late stage of pregnancy to determine how far the fetus has descended into the pelvic
inlet.
1.
lace your hands on both sides of the lower abdomen close to the midline.
2. lide your hands downward, then press inward.
3. af you palpated the buttocks in the fundus, then you shoul feel for the head. af one cannot feel
the head, then it probably has descended.

0!
 

1. anstruct client to remain still during the test.

2. ecure electrodes for simultaneous
G tracing.
3.
xplain to the client that there will be no pain or electrical shock.
4. ubricant will be place on the skin will be cool.
5. heck order for
G, in cases of arrest, prepare the machine at the bedside at

6.
rovide
rivacy
7. anstruct patient to lie still and avoid movement
8. emove metal objects on the patients (jewelries)
9.
lace hest leads as labeled

ead 1 ed, ight rm

ead 2 ellow, eft rm
ead 3 Green, eft Foot
eutralizer lack, ight foot
d1 ed, 4th a , ight ternal order
d2 ellow, 4th a , eft sternal border
d3 Green, midway between d2 and d4
d4 rown, 5th a , eft  
d5 lack, 5th a , 
d6 diolet, 5th a , 


è 0  "  

repared by
ichael . Francisco
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