8 Ways to Improve Patient Assessment Skills

Patient assessment is a very important skill every EMS professional will use. The National EMS Education Standards, Emergency Medical Technician instructional guidelines devote a significant amount of class time to teaching students the knowledge and skills needed to perform patient assessment.

Patient assessment is broken down into three steps.

Primary Assessment: This is the quick, first impression an EMT makes of the patient. It helps set the general impression of overall patient condition. An EMT or paramedic checks the ABCS – Airway, Breathing, Circulation, and Skin, and begins to stabilize and treat the patient.

Secondary Assessment: Otherwise known as the “Head to Toe assessment,” it is a detailed physical assessment, literally head to toe. The caregiver assesses diagnostic criteria such as pupil and eye condition, condition of the neck and trachea, chest rise and fall, and examines the extremities, among other things. The EMT looks for hidden injuries and things that don’t appear normal.

Ongoing Assessment: The Ongoing Assessment monitors changes in the patient’s condition and reveals the trend in their progression, good or bad. Ongoing assessment includes checking and re-checking vital signs as well as re-doing a head-to-toe check to see if they are improving. With a responsive patient, an EMT can even simply ask, “Are you feeling better or worse?”

Classroom education in EMS spends a lot of time on teaching assessment skills to EMS providers. However, field experience will build and strengthen patient assessment skills in different ways. As you develop proficiency in the field, here are tips that can help.

8 Tips to Patient Assessment

    1. Start the assessment as soon as you arrive on scene. Take in the patient’s immediate environment, and look for signs that can be impacting their health, such as poor air flow or a dirty or cluttered room.

    2. Check the radial pulse. Introduce yourself to the patient, and check his/her radial pulse. A radial pulse can tell you three things very quickly: the status of a patient’s airway, breathing, and circulation. You can also feel the temperature and moisture of the patient’s skin; and if they are able to respond verbally to your introduction, you can assess their alertness and breathing.

    3. Develop your own patient assessment routine. Textbooks and lectures can teach you the steps of patient assessment, but as you enter field work, you will want to develop a routine that works for you. Developing muscle memory starts in simulation training, and will improve with experience.

    4. First impressions are important. As you start to work with real patients, learn to trust your instincts. You will start to recognize what a normal presentation is, and abnormal things will jump out at you. Don’t be afraid to expedite treatment and transportation when you feel it’s appropriate.

    5. Take a thorough history. When a patient is conscious and responsive, this is a simple interviewing process between you and the patient. In the case of an unconscious or unresponsive patient, a family member or bystander can answer questions as a physical assessment is performed. Sometimes, though, all you have are the patient surroundings and the physical assessment. You will have to look for on-scene clues to give you insight into the current problem.

    6. The AVPU scale is part of the ongoing assessment. “Alert, Voice, Pain, Unconscious” (AVPU) provides a lot of information upfront, but be sure to continue to ask questions to make sure a patient is staying alert and oriented.

    7. Go ahead and diagnose. An EMT’s or paramedic’s initial diagnosis is not the final say, but assessing a patient accurately and forming an initial diagnosis will help you learn. After a call, doing some research into symptoms and talking to ER personnel will increase your knowledge and help you be a better provider.

    8. Learn to adapt. Be smart and stay flexible on a call. Not everything is going to go according to the book! Thinking critically, developing a routine, and adapting to the situation will serve your patients best. Patient assessment is a baseline, critical skill for EMS providers; it informs treatment decisions. You’ll always be learning, so stay open to the process.

Hands-on simulation training is used to help students develop assessment skills, but something that may be lacking is the actual environment assessment and treatment. Virtual Reality (VR) simulation can help bridge this gap.

  • Opening slide
    Opening slide
    VES Logo and Intro
  • VES VRPatients
    VES VRPatients
    Meet the VR patients!
  • Demo 1
    Demo 1
    A woman interacts with VR.
  • Demo 2
    Demo 2
    Where does it hurt?
  • Demo 3
    Demo 3
    Appropriate for military simulation training.
  • Demo 4
    Demo 4
    In-home assessment VR.
  • Demo 5
    Demo 5
    People interact with VR at a trade show.
  • Demo 6
    Demo 6
    Another tradeshow demonstration by VES staff.
  • Demo 7
    Demo 7
    Cases and features menu in VR patients.
  • Demo 8
    Demo 8
    Cases and features menu, continued.



Pocket Nurse has teamed up with Virtual Education Systems (VES) to distribute VRPatients, a VR system that is immersive and helps students learn patient assessment with real-time feedback.

Amy Hallstein is a Major Account Manager at Pocket Nurse.

Resources:
8 Patient Assessment Tips for New EMS Providers, EMS1

Eight Ways You Can Ace Your Patient Assessment, Life Under the Lights

115 thoughts on “8 Ways to Improve Patient Assessment Skills

  1. Pingback: cialis 20mg cost
  2. Pingback: buy ventolin hfa
  3. Pingback: dapoxetine alkohol
  4. Pingback: zithromax otc
  5. Pingback: buy ivermectin nz
  6. Pingback: Anonymous
  7. Pingback: Anonymous
  8. Pingback: Anonymous
  9. Pingback: stromectol price
  10. Pingback: meritking
  11. Pingback: meritroyalbet
  12. Pingback: madridbet
  13. Pingback: meritroyalbet
  14. Pingback: meritroyalbet
  15. Pingback: meritroyalbet
  16. Pingback: elexusbet
  17. Pingback: stromectol nz
  18. Pingback: viagra sale jhb
  19. Pingback: cialis daily
  20. Pingback: tadalafil vidal
  21. Pingback: baymavi
  22. Pingback: tadalafil peptides
  23. Pingback: tadalafilo
  24. Pingback: baymavi
  25. Pingback: tadalafil otc
  26. Pingback: stromectol sales
  27. Pingback: sildenafil tablets
  28. Pingback: generic
  29. Pingback: walmart cialis
  30. Pingback: tombala siteleri
  31. Pingback: merck's covid pill
  32. Pingback: cialis black
  33. Pingback: stromectol uk buy
  34. Pingback: pfizer viagra
  35. Pingback: generic cialis
  36. Pingback: meritroyalbet
  37. Pingback: eurocasino
  38. Pingback: cialis tadalafil
  39. Pingback: fda ivermectin
  40. Pingback: stromectol tablets
  41. Pingback: us generic cialis
  42. Pingback: tadalafil cialis
  43. Pingback: cialis online
  44. Pingback: ivermectin 20 mg
  45. Pingback: ivermectin 3mg otc
  46. Pingback: stromectol tab 3mg
  47. Pingback: lasix tabs
  48. Pingback: stromectol 3mg
  49. Pingback: ivermectin ireland
  50. Pingback: madridbet giriş
  51. Pingback: luckylandslots
  52. Pingback: how much is cialis
  53. Pingback: cheap stromectol
  54. Pingback: ivermectin cena
  55. Pingback: ivermectin syrup

Leave a Reply