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A ny – Airway – Patent & maintained.
B ody – Breathing – Ascultate to ensure good breath sounds.
C an – Circulation – Check capillary refill
V irtually – Vital Signs – Temperature, pulse, respiratory rate, BP O2 sats, MEWS and frequency.
C ome – Complications – Haemorrhage, shock, chest infection, DVT, PE, wound infection and UTI
P repared – Pain Management – Opiates 1st, pain scoring system and monitoring.
F or – Fluid Balance – IVs, blood transfusion, care of infusion site (i.e. phlebitis).
N ursing – Nutrition – Introduction of fluids & soft diet, accurate monitoring (fluid balance chart).
W ith – Wound Management – Dressings, drains, stitches/clips, aseptic technique.
PAC ks of – Pressure Area Care (PAC) – Waterlow scoring, tilts, tissue viability, mattress/cushions, clean skin & bedding.
C olouring – Catheter Care – Ensure catheter is patent, using PPE, prevention of cross-infection, maintain modesty & dignity.
P encils & – Psychosocial Support – Communication, patient/family information, reassurance, relieve anxiety, set up services (DN, social work/home care).
P ens – Pharmacology – Analgesia, anti-emetics, prophylactic antibiotics, discharge medication.
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