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A: Promote the patient to talk
B: Placing hand on the patients chest
C: Taking their pulse
D: Assess pain scale if patients response indicates pain
E: Head to toe Skin assessment

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A: Is the patient responding clearly?
B: Check their chest for rising and falling.
C: Is the patient awake and responsive? Is the pulse regular and consistent?
D: Is the patient conscious? Evaluating coherency of patient. (alert and oriented) Neuro assessment. Does patient respond to pain?
E: Skin assessment. Clues that can indicate potential injuries (broken skin, damage to internal environment)

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A:
B:
C:
D:
E:

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A: Asking the patient how they are going listening for their response, if responding verbally that is a sign of no obstruction , while greeting the patient watch their chest rise and fall as well as taking into account the position they are in.
B: placing your hand on the patients chest and take their respiratory rate, assessing their depth and rate of breathing, also if connected to the monitor check what their o2 saturation is. Assess their work of breathing while taking respiratory rate, if there are breathing fast or seem to have trouble taking breaths
C: while palpating their pulse assess the colour of the skin, their capillary refill, assess their blood pressure as well as their temperature. You can also assess if there's any blood present (such as bruising under the skin)
D: asking if they have any pain, if so assess the type of pain, area of pain and characteristics of pain. We should also assess the patients conscious state via the Glasgow coma scale. BGLs can also be assessed as when they are too low they can lead to lowered conscious state, due to the risk of fainting, etc. Pupils can also be assessed for conscious state.
E: observe their body for any bruises, cuts, pressure injuries, scraps, wounds.

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A: Airway assessments can be completed simultaneously as positioning refers to the way that they are sitting which is easy to observe, the rise and fall of a patient's chest can be assessed whilst they are talking and recovery position is only necessary if the airway is blocked.
B: Place hand on chest and take respiratory rate, it is important to know whether or not they are on oxygen and how much of it. Listening for a wheeze or difficulty in breathing.
C: This is assessed by a simple touch or observation, when touching the patient's skin place a small amount of pressure to test the colour and temperature. Pulse can be taken at the same time as this and swelling is also obvious to the touch, capillary refill is observed after removing pressure from the skin.
D: Upon observing the patient it is usually obvious whether they are in pain due to facial grimacing or body positioning, you can also ask them their level of pain on a pain scale (0-10). Pupils are tested by observation of the size in relation to an expected size of a pupil and by shining a torch towards their eyes to test for dilation and constriction.
E: This is usually a fast and easy assessment since it involves observing the patient's skin for bruises, cuts, pressure injuries or any other underlying injuries. And whether they've been exposed previously to conditions such as heat or cold.

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A: talk to the patient, if they say something back their airway is clear
B: place hand on chest
C: palpate arm to see the strength and rhythm of pulse
D: look at their posture and gate to examine for pain and ask them if they are in pain
E: see if there are any obvious injuries

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GCS
Pain scale (0-10)
Pain stimulus

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placing hand on their chest and take the respiratory rate
assessing work of breathing
02 saturation

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COLDSPA
PQRST
BGL
Pupil reactivity
Posture and gate

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Colour, Capillary refill, Temperature, pulses, blood pressure, swelling

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Positioning
Watching chest rise and fall
Ability to talk
Listening
Recovery position

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Exposure refers to the literal definition of the word, exposing the patient's body to examine their skin for injuries such as bruises, cuts,  pressure injuries, or any other underlying injuries, while also maintaining privacy and keeping the patient warm. Showering is a good method for uncovering any unidentified wounds or potential issues. 

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Exposure refers to the literal definition of the word, exposing the patient's body to examine their skin for injuries such as bruises, cuts,  pressure injuries, or any other underlying injuries, while also maintaining privacy and keeping the patient warm. Showering is a good method for uncovering any unidentified wounds or potential issues. 