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NR 304 Health Assessment II Head to Toe Assessment Final Script $13.49   Add to cart

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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 nurse at Chamberlain University, and I have physician’s orders to perform a head to toe assessme...

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  • March 29, 2022
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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 nurse 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 clothing is appropriate to situation as well.
 (No visible devices or equipment being used.)


Vital Signs

Me: I will now be taking your vital signs.

 check temperature
o before checking the temp, ask if patient had anything hot or cold to drink,
or smoked in the last 30 mins
 check the pulse oximetry
 take the blood pressure
o ask if patient knows their usual blood pressure measurement
 check respirations
o count for 30 seconds and multiple by 2


Skin & Nails

Me: I’m gonna go ahead and start with your skin.
Skin color is appropriate to ethnicity.
There are no signs of lesions, incisions, wounds, rashes, and no tattoos visible.
I’m gonna go ahead and check for your temperature.

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