Purpose of Module:
The purpose of this module is to review the initial assessment process, ongoing assessment, and perform a scene assessment of hazards, injuries, and available resources.

Time to Complete Patient and Scene Assessment Module: 1 hour

Directions for Using the Patient and Scene Assessment Module:

* You must spend at least 1/2 hour doing hands-on training.
1. Read the training objectives.
2. Review Brady Emergency Care, Eighth Edition pp. 137-188, 246-250.
3. Watch the video tape by Mosby "EMT-Basic Video Series Module 3 Patient Assessment "
4. Use the MED EMT computer based training software and complete Chapter 10 Sections 3 and 7.
5. Use Patient assessment checklist & practice on the adult mannequin.
6. Take the posttest.
7. Give the module back to the instructor or person in charge.

Training Objectives:

1. List common hazards found at the scene of a trauma and a medical patient.
2. Discuss common mechanisms of injury or nature of illness.
3. Discuss the reason for identifying the total number of patients and need for additional help or assistance at the scene.
4. Discuss the methods of assessing level of consciousness.
5. Discuss the methods of assessing airway and breathing.
6. Discuss the methods of assessing the pulse.
7. Describe normal and abnormal findings when assessing the skin.
8. Explain the reason for prioritizing a patient for care and transport.
9. Review reasons for repeating the initial assessment as part of the ongoing assessment.
10. Review components of the ongoing assessment.

Activities to Perform:

1. Watch the video tape by Mosby "EMT-Basic Video Series Module 3 Patient Assessment " Stop the tape after completion of Initial Assessment.
2. Use the MED EMT computer based training software and complete Chapter 10 Sections 3 and 7.
3. Use the Patient Assessment skill checklist to verify steps for performing a scene size-up and initial assessment.
4. Take the posttest to give yourself feedback on this module.

Posttest:

1. Which of the following would not be considered a potential hazard at the scene of an accident or illness?
A. Leaking fuel
B. Time of day
C. Angry bystanders
D. Downed power lines

2. When is the best time to consider asking for additional help at an accident scene?
A. After you have triaged the patients
B. After all the patients have been counted
C. When you are sure you know what help is needed
D. When you assess the scene before leaving your vehicle

3. You are assessing a patient’s level of consciousness. The unconscious patient moans when the hand is pinched. This response indicates the patient is:
A. Alert.
B. Unresponsive.
C. Responsive to verbal stimuli.
D. Responsive to painful stimuli.

4. Which of the following is the proper sequence to initially assess a patient’s vital functions?
A. Airway, Circulation, Breathing
B. Airway, Breathing, Circulation
C. Circulation, Breathing, Airway
D. Breathing, Airway, Circulation

5. Just how often to conduct the ongoing assessment is determined by the:
A. location of the injury.
B. initial assessment.
C. patient’s condition.
D. number of interventions performed.

ANSWERS: (1) B (2) D (3) D (4) B (5) C