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Head Trauma, Acute — Initial MD/CRNP/RN Rapid Assessment — Clinical Pathway: Emergency

Acute Head Trauma Clinical Pathway — Emergency Department

Initial MD/CRNP/RN Rapid Assessment

RN Bedside Procedure

  • Assess GCS, mental status, VS, pain score
  • Assess need for cervical spine immobilization
  • Notify the MD if concerned about the patient’s appearance
  • Place patient on CR monitor
  • Make patient NPO
  • Assess need for:
    • Analgesia
    • Anti-emetics
    • IV fluids
  • Document VS, GCS and neuro checks in Epic every hour

 

 

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