Alphabet Soup
ABC:
Airway
Breathing
Circulation

LOC:
Level
Of
Consciousness
 Person
 Place
 Time
 Event

OPQRST:
Onset (what were you doing when this happened?)
Provocation (does anything make it better or worse?)
Quality (what does it feel like?)
Radiation (does the pain go anywhere else?)
Severity (on a scale from 1 to 10 how bad is the pain?)
Time (what time did this start happening?)

4R’s
Right person
Right Medication
Right dose
Right Route
+expiration date
SAMPLE:
Signs and Symptoms
Allergies to medications/foods
Medications
Past medical History
Last oral intake
Events leading up to incident

Vitals:
Pulse
Blood Pressure
Lung Sounds
Respirations
Pupils
Capillary Refill
Skin

DCAPBTLS:
Deformities
Contusions
Abrasions
Punctures/Penetrations
Burns
Tenderness
Lacerations
Swelling