First aid patient assessment form 2025

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  1. Click ‘Get Form’ to open the first aid patient assessment form in the editor.
  2. Begin by entering the date and time of the illness or injury at the top of the form. Ensure you specify AM or PM accurately.
  3. Fill in the employee's name, date of birth, and contact details, including their doctor and employer information.
  4. Utilize the Glasgow Coma Scale section to assess eye opening, verbal response, and motor response. Mark the appropriate scores based on your evaluation.
  5. Document vital signs such as respirations and pulse at designated times. This is crucial for monitoring the patient's condition.
  6. Indicate any allergies and medications that may affect treatment. Use checkboxes for interventions and definitive treatments performed during assessment.
  7. Complete recommendations for follow-up care and transport methods if necessary. Ensure all sections are filled out thoroughly before submission.

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A Patient Assessment Form is a document used to determine the current state, possible diagnosis and the kind of treatment the patient needs. The patient or an authorized representative can fill out the patient assessment form, or the healthcare provider can complete the form after speaking with the patient.
The first portion of caring for a patient, is to assess three (3) things: Airway, Breathing and Circulation. This initial assessment lets us know the basics and can then help us to determine our next course of action.
Five Steps of Emergency Care Introduction: Step 1: Stay Calm and Assess the Situation. Step 2: Call for Professional Help. Step 3: Prioritize Basic Life Support. Step 4: Comfort and Reassure. Step 5: Follow Up and Seek Professional Guidance. Conclusion:
What Are the Three Ps of First Aid? Preserve life. Prevent deterioration. Promote recovery.
Assess using the 3 Ss. Is it Safe? What can you See? What is the Situation or what has happened?
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How to Perform a First Aid Assessment Ask the person to describe the problem. You may need to ask about their symptoms to help determine what might be going on. Look for medical identification jewelry. Visually assess the person from head to toe. Try to identify the mechanism of injury.
Primary survey: Check for Danger. Check for a Response. Open Airway. Check Breathing. Check Circulation. Treat the steps as needed.

first aid assessment worksheet