ALERT Scale timing of assessment

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This article explains which time/entry of vital signs to use for the ALERT Scale.

Collection Instructions

  • When a patient is admitted from the emergency department, use the values that are closest but prior to the time medicine service accepts the patient to their service (ie Admit DtTm).
  • The values do not need to be a complete "set" of VS, they can be individual values, but should be closest to but prior to the time medicine accepts the patient to their service.
  • When patients move between wards or from an icu to a ward use the values that are closest but prior to discharge/transfer from the sending service.
  • For STB Medicine (since this is available on EPR): Patients transferred from ICU to ward use the values on arrival to medicine unit.
  • For direct transfers to Medicine via the ER use the first value taken and recorded on the triage record.
  • Direct transfers that bypass the ER take the value on arrival to your unit.

Timing of ALERT vs APACHE

Selection and timing of APACHE components and ALERT Scale timing of assessment use similar but different criteria. They can't be unified because one uses values based on being closest to acceptance, and the other based on being worst.

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