Altered Level of Consciousness
Date conversion 04.06.2018 Size 6.14 Kb.
ASPECT OF CARE – REVIEW CRITERIA
ALTERED LEVEL OF CONSCIOUSNESS
100% of all trip sheets of patients with Altered Level of Consciousness shall be reviewed to include the following Aspects of Care.
Physical exam findings to include: neurological functions (ie – level of consciousness, pupillary response, modalities, sensation /perception, ability to follow verbal commands.) This aspect of care would exclude CARDIAC ARREST.
BLS REVIEW CRITERIA:
Response to verbal or tactical (painful) stimuli
Airway management (to include oral or nasal airway as tolerated, oxygen application, assist ventilations if respirations are inadequate)
Positioning of patient to prevent aspiration
Administration of oral glucose if patient airway is maintained and patient is suspected to hypoglycemic.
ALS REVIEW CRITERIA (includes all of BLS criteria):
Airway management with endo or nasal tracheal intubation as indicated / oxygenation
Pulse oximetry (as part of vital signs)
Shock management with Patent IV lifeline and fluid replacement
Administration of Nalaxone or Dextrose as indicated
Fingerstick glucose level
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