NR 304 Health Assessment II Head to Toe Assessment Final Script

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NR 304 – Health Assessment II Head to Toe Assessment Final Script Introduction & AIDET ***Knock Knock*** Me: May I come in? Patient: Yes. Me: Hi, my name is (insert name) and I am a student nu... rse at Chamberlain University, and I have physician’s orders to perform a head to toe assessment on you which will take about 15-20 minutes, is now a good time? Patient: Yes. Me: I am going to start off with providing you with some privacy by closing off these curtains and taking care of my hand hygiene.  close curtains  perform hand hygiene  put on gloves Me: Can I get your name and date of birth please? Patient: (Patient Name); June 27, 1999 Me: Okay, let me just check your wristband to verify.  check wristband Guadalupe Jaime, June 27, 1999 Okay Ms. Jaime, are you allergic to any:  food,  medications  shellfish  iodine/betadine,  latex, tapes or any other adhesives? Patient: No. Me: And are you in any pain today? Patient: No. Me: Okay, do you know where you are Ms. Jaime?Patient: Chamberlain University Me: Okay, do you know what year it is? Patient 2019 Me: And do you know who our current president is? Patient: Donald Trump Me: Patient is alert and oriented (x4) Speech is clear and clothing is appropriate to time and place. General Appearance Me: Okay, we’re gonna go ahead and move on to your general appearance.  look at the patient  Posture is erect.  Skin is appropriate to age.  Skin color is appropriate to ethnicity.  No signs of acute distress.  Nutrition is adequate.  Mood and behavior are appropriate to situation.  And clothin [Show More]

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