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2	Baseline Vital Signs
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5	Vital Signs Breathing: Rate, quality Pulse: Rate, character, rhythm Skin: Color, temperature, condition Pupils: Reactivity, equality Blood pressure
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9	To assess level of consciousness: A - Alert and awake; aware of time, place, date and person V - Responds to verbal stimuli P - Responds to painful stimuli, does not respond to verbal stimuli U - Unconscious, does not respond to any stimuli
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12	Breathing Assessment Rate Averages 12-20 breaths per minute in adults Quality Normal respirations? Shallow respirations? Labored respirations? Noisy respirations?
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14	Abnormal Respiratory Sounds Grunting Stridor Snoring Wheezing Gurgling Crowing
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19	Assessing the Pulse Rate Averages 60-80 beats per minute in adults Quality Strength (strong or weak) Rhythm Regular or irregular
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25	Assessment of the Skin Color (nail beds, oral mucosa, conjunctiva) Pink? Pale? Cyanotic? Flushed? Jaundiced? Temperature Warm? Hot? Cool or cold?
26	Assessment of the Skin continued Condition Dry? Wet or moist? Abnormally dry? Clammy (cool & moist)? Capillary refill (considered an inaccurate indicator of perfusion in patients over the age of 6 years)
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34	To assess the pupils: First evaluate in ambient light for constriction or dilation. Next, pass a light source across each pupil and note the response. Each pupil should constrict in the same manner.
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44	SAMPLE History
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