Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Nursing Protocols TASER REMOVAL AND AFTER CARE Reference: Assessment Made Incredibly Easy: 2nd Edition, 3 minute Assessment, Patient Care Guidelines for Nurse Practitioners ALLERGIES: Date: Time: SUBJECTIVE CC: Symptom onset/location/duration/timing: Character/10-scale, if pain: Aggravating/alleviating factors: Significant past medical history: LMP: UPT Results: Date: OBJECTIVE T: General appearance: P: Respiratory distress Speech: Behavior: Clear Y Garbled Calm R: N BP: Chest Pain Y Slurred Orientation: Cooperative Blunt guarded SaO2: N Signs of Shock A&O Disoriented Agitated Have the barbs been removed N Y Location of barbs ___________________________________ Combative Y FSBS: N Palpitations Confused Flat Lethargic Y N Unresponsive Withdrawn Barbs present and in bedded Description of area_______________________________ Call Provider if: a. The dart has penetrated more that ½” into the thick portion of the dart’s barrel b. If dart is embedded in the genitalia or face/neck (Possible transport to the ED) c. If pregnant. FHT_______________ Emergency Department if: a. If the dart is embedded in the eyelid/globe Additional Information: ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Other pertinent findings: TASER REMOVAL AND AFTER CARE NP-T02-1009 (revised 1104) pg 1of2 Name: DOB: ID: Race: Location: Sex: M B W H A other F T NAME: DOB: ASSESSMENT 1. Taser Barb Removal 2. Taser barb after care 3. PLAN – Incarcerated Inmates Pre-incarceration, barb present and embedded: Complete Preincarceration diversion sheet and refer to ED If incarcerated notify Provider for orders Do not approach the patient until the scene is secure Assess ABCs and provide emergency treatment as indicated a. Perform 12-lead EKG on all patients > 35years or with pre-existing cardiac disease Evaluate and treat for secondary injuries Clean and bandage puncture sites Tetanus toxoid or DT 0.5ml IM detoid if immunization is > 5years Notify the on-call provider if: a. There are co-existing injuries/conditions that require intervention b. There are complications associated with dart removal Schedule for next Provider sick call Refer to Mental Health Team as indicated Notify provider if patient pregnant EDUCATION Notify Medical if any: 1. Change or worsening of condition 2. For S&S of infection Staff Signature/Title Date/Time After being seen today, I will receive the above medications and treatments. I understand my responsibility for care. _______________________________________________Inmate Signature PROGRESS NOTES Date/ Time TASER REMOVAL AND AFTER CARE NP-T02-1009 (revised 1104) pg 2of2