ValleyProtocolBook

The Valley Hospital MICU Department Standards of Care

Trauma Assessment : 1. Assess LOC 2. Full set of ALS vitals (BP, pulse, respirations) 3. Initial and ED arrival GCS level 4. Assess pulse location/quality 5. Assess skin color, temperature and moisture

6. Assess for uncontrolled active bleeding, quantity of blood loss and signs of shock 7. Ascertain mechanism of trauma (i.e.: fall of >8feet, head-on MVA, speeds of vehicles etc…) 8. For every body part injured, document some physical exam findings that pertain to that area (i.e.: abd. Pain=abd. Soft, non-tender, neck pain=unremarkable, neurological exam WNL, etc…) 9. Ascertain past medical history, medications, and allergies

Burns :

1. Assess LOC 2. Full set of ALS vitals (BP, pulse, respirations) 3. Assess skin color, temperature and moisture 4. Assess type of burn to include partial or full thickness, electrical, chemical, inhalation 5. For every body part burned, ascertain the percentage area of burn 6. Ascertain if trauma involved in addition to burns 7. Ascertain past medical history, medications, and allergies