ALERT Scale timing of assessment: Difference between revisions

Revision as of 15:35, 2021 April 22

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

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 Accept DtTm).
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 there 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.

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.

@@ Line 5: / Line 5: @@
 * 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: Patients transferred from ICU to ward use the values on arrival to medicine unit.
+*For STB Medicine (since there this is available on EPR): Patients transferred from ICU to ward use the values on arrival to medicine unit.
-{{DiscussTask |
-* Why would this be an exceptional instruction for STB? What is different about the situation there that would lead to different instructions?  [[User:Ttenbergen|Ttenbergen]] 11:12, 2021 April 1 (CDT)
-**A set of vital signs are completed as part of medicine unit admissions from ICU and these values are available to collectors from EPR. [[User:Ppiche|Pamela Piche]] 11:51, 2021 April 14 (CDT)
-*** That doesn't mean it should stay that way since we used to collect ''all'' of this only upon arrival. So let's discuss at Task what this should be. The difference is probably really minor, but if we have exceptions it should be clear why. [[User:Ttenbergen|Ttenbergen]] 13:57, 2021 April 1 (CDT)
-}}
 * For direct transfers to Medicine via the ER use the '''first value''' taken and recorded on the '''triage record'''.