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Unconscious Patient

Site: EHC | Egyptian Health Council
Course: Nursing Procedure Guidelines for the Reception and Emergency Department
Book: Unconscious Patient
Printed by: Guest user
Date: Tuesday, 5 May 2026, 11:38 PM

Description

"last update: 27 March 2025"                                                                                   تحميل الدليل  

Table of contents

- Prepared by

Emergency guide

Under supervision

- Prof. Dr. Mohamed Latif, CEO of the Egyptian Health Council

 Dr. Kawthar Mahmoud, Head of the Egyptian Nursing Syndicate - Member of the Senate

Supervised by

Dr. sherif wadie, advisor to the minster of health for emergency and urgent care

Prepared by 

Title  

Name

NO.

Dean Of Faculty Nursing, Professor of Medical and Surgical Nursing, Tanta University

Dr Afaf Abdel Aziz Abdel Aziz Basal

1

Professor Of Critical Care Nursing

Prof.Dr/Zeinab Hussain Ali

2

Professor And Head of the Department of Medical Surgical Nursing. Faculty-. Benha University

Prof.Dr Amal Said Taha Refaie

3

Supervisor Of the Education Sector at Port Said University

Prof.Dr Amal Ahmed Khalil Morsy

4

Professor Of Medical Surgical Nursing- Faculty of Nursing- Cairo University

Dr. Hanan Ahmed Al Sebaee

5

Head of central administration on secondment at MOHP

Dr Neveen ab drab al0nabi Mohamed

6

Director Of Primary Health Care Nursing Department at MOHP.

Maysa Hosny Ahmed Tammam

7

Supervisor Of Technical Education- EHA 

Nancy Alaa Eldeen Abd-Elbaset Ali

8

Supervisor Of Nursing Services Development- EHA

Sherien Mohamed Saad

9

Assistant Professor of Maternity and Neonatal Health Nursing - Faculty of Nursing- Ain Shams University

Assist.Perof. Dr./Heba Mahmoud Mohammed

10

General manager of general administration of health institutes affairs

Dr Mai Galal Ibrahim Al-Assal

11

Participants  

Director Of Curative Nursing Department MOHP

Dr. Azza Galal Ahmed Khalil

12

Member of the Nursing administration, EHA, Luxor Branch

Mr. Ahmed Mohamed Ahmed Al Noubi

 

13

Nursing Specialist at the General Administration of Nursing - Ministry of Health

MS. Angham Hamdy Abdel Khaleq

 

14

Nursing Specialist at the General Administration of Nursing - Ministry of Health

Mr. Ahmed Muhammad Hussein Mubariz

15

Nursing Specialist at the General Administration of Nursing - Ministry of Health

Mr. Abdel-Azim Al-Saeed Abdel-Azim Al-Hanafi

16

Nursing Specialist at the General Administration of Nursing - Ministry of Health

Mr. Shawkat Yusre Hussein

 

17

nursing specialist at the General Administration of Nursing

Mr. Karim Ahmed Sadik

18

- Policy for Managing an Unconscious Patient

 

Policy no.

Managing Patients with Angina

Policy name

 

No. of pages

 

Review Date:

 

Issue Date and Number:

 

section

Policy:

It is a condition in which the patient loses awareness and perception of the events happening around them, resulting from disturbances in the sensory nervous system. These disturbances are often accompanied by a decrease (reduction) in the functioning of certain brain cells.

Steps:

  1. Evaluate the level of consciousness and report it.
  2. Ensure airway and breathing safety (e.g., positioning the airway, adjusting the patient's position, administering oxygen as per the doctor’s instructions).
  3. Monitor breathing and report changes.
    • Monitor vital signs.
  4. Observe the skin (color, pressure points, dryness, etc.).
  5. Reposition the patient regularly and implement turning protocols to maintain circulation and skin integrity.
  6. Provide continuous full care to the patient, especially for areas like the mouth, eyes, nose, and skin folds.
  7. Ensure appropriate nutrition for the patient based on their condition via IV or nasogastric tube (Ryle’s tube) and record the amounts on the fluid balance chart.
  8. Insert a urinary catheter and provide appropriate care.
  9. Ensure the patient's safety and security (e.g., raise bed rails, avoid placing sharp objects on the patient's bed).
  10. Document and report as per the doctor's orders and follow patient restraint safety protocols.
  11. Document observations for a comatose patient on the following points:
  • Describe the level of activity or consciousness:
    • Fully conscious (Alert)
    • Confused (Disoriented)
    • Restless
    • Drowsy
    • Lethargic
    • Comatose
  1. Record data in the fluid balance chart, including the intake of treatments and fluids, as well as output from urine, stool, etc.