Baseline Vitals and Sample History

The Baseline Vitals and SAMPLE History are part of the essential information necessary to obtain and document in order to give a patient the best possible care in the field. View/Download: HTML - Word Doc - PDF Doc


Downloadable Instructor's Guides

Session Reference:

Topic: Baseline Vitals and Sample History

Level of Instruction: 2

Time Required: 3 Hours

Materials:

  • Overhead Projector
  • Appropriate transparencies
  • Blood Pressure cuff & stethoscope
  • Pen light
  • Clock or wrist watch with second hand
  • Writing paper
  • Writing pencil
  • Personal protective equipment: gloves

References:

  • Fire and Emergency Services Instructor, 6th Edition, International Fire Service Training Association
  • Brady Emergency Care, 9th Edition, Meets the U.S. D.O.T. 1994 Revised EMT-Basic National Standard Curriculum, Medical Editor: Edward T. Dickinson, M.D.
  • Methods of Instruction, Instructor II Instructor Guide, July 1999, Maryland Fire and Rescue Institute
  • The Maryland Medical Protocols for Emergency Medical Services Providers, Effective January 1, 2002, Maryland Institute for Emergency Medical Services Systems

Preparation

Motivation: The Baseline Vitals and SAMPLE History are part of the essential information necessary to obtain and document in order to give a patient the best possible care in the field. This information can alert the provider to call for additional resources if necessary and can give those accepting care of the patient at the next level of patient care a good idea of what may be going on inside the patient’s body.

Objective (SPO 1-1): Given a live victim; blood pressure cuff; stethoscope; pencil; paper; pen light; clock or wrist watch, the student will be able to demonstrate, from memory and without assistance, the proper procedures in obtaining a set of Baseline Vitals, to include: pulse, respirations, skin color, skin temperature and condition, pupil appearance, blood pressure and be able to document the same at a practical station, as governed by The Maryland Medical Protocols for Emergency Medical Services Providers, Effective January 1, 2002 and the Brady Emergency Care, 7th Edition, EMT-Basic National Standard Curriculum. The student will also be able to score a 70% or above on a written exam.

Objective (SPO 2-1): Given a live victim, pen and paper, the student will be able to demonstrate, from memory and without assistance, the proper procedure in obtaining a SAMPLE History, to include: signs and symptoms, allergies, medications, past pertinent history, last oral intake and events that lead to the problem, and be able to document the same at a practical station as governed by The Maryland Medical Protocols for Emergency Medical Services Providers, Effective January 1, 2002 and the Brady Emergency Care, 7th Edition, EMT-Basic National Standard Curriculum. The student will also be able to score a 70% or above on a written exam.

Overview: Review of properly obtaining and documenting Baseline Vitals and a SAMPLE History

  • Pulse
  • Respirations
  • Skin color
  • Skin temperature and condition
  • Pupil appearance
  • Blood pressure
  • Signs and symptoms
  • Allergies
  • Medications
  • Past pertinent history
  • Last oral intake
  • Events that lead to problem

Instructors Note: This drill is designed to meet the annual refresher training requirement for bloodborne pathogens as required by 29 CFR 1910.1030. The session should also provide an opportunity to review any policies and procedures related to bloodborne pathogens as well as the exposure control plan.


Baseline Vitals and Sample History

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