Sammie Nursing Assessment Tools

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Sammie Nursing Assessment Tools by Mind Map: Sammie Nursing Assessment Tools

1. ABCDE (Resuscitation Council, 2015) Airway, Breathing, Circulation, Disability, Exposure

2. AVPU (NICE, 2007) Alert, Vocal, Pain, Unreponsive

3. BMI (WHO, 2004) Body Mass Index

3.1. Healthy weight

4. Hourly Roundings (SRFT, 2016)

4.1. 4 P's

4.1.1. Pain

4.1.2. Position

4.1.3. Possessions

4.1.4. Personal hygiene

5. MRSA Assessment Methicillin-Resistant Staphylococcus Aureus

6. Hello, my name is... (Granger, 2013)

7. Look, Listen, Measure, Feel

8. BM's

8.1. NORMAL RANGE

8.1.1. 4.0 to 6.0 mmol/L (Diabetes UK,

9. STAMP (CMU Hospitals, 2010) Screening Tool for the Assessment of Malnutrition of Peadatrics

9.1. 5 Steps

9.1.1. Diagnosis

9.1.2. Nutritional intake

9.1.3. Weight and height

9.1.4. Overall risk of malnutrition

9.1.5. Care Plan

10. MANCHEWS (2015)

10.1. NORMAL RANGES

10.1.1. Resp Rate - 20 to 29

10.1.1.1. Breaths per minutes

10.1.2. HR - 70 to 119

10.1.2.1. Beat per minute (BPM)

10.1.3. BP - 90 to 129

10.1.3.1. Millimeters of Mercury (mm/Hg)

10.1.4. Cap Refill - 1 or 2s

10.1.4.1. Seconds

10.1.5. Temp - 36.5 to 37.5

10.1.5.1. Celcius

10.1.6. O2 - 95% or higher

10.1.6.1. Oxygen satuation