Differential diagnoses were documented Management plan documented INTERVENTIONS An appropriate clinical response and communication to recognised escalation triggers or deterioriation is documented MONITORING Appropriate types of monitoring of clinical condition were undertaken and documented (e.g. respiratory rate, oxygen saturation, heart rate, BP, Temp, conscious state) Frequency of monitoring occurred at reasonable time intervals (as appropriate to patient condition or as specified in Service/Unit protocol)? Documentation was made of escalation communication/use of emergency code (if applicable)
Differential diagnoses were documented Management plan documented INTERVENTIONS An appropriate clinical response and communication to recognised escalation triggers or deterioriation is documented MONITORING Appropriate types of monitoring of clinical condition were undertaken and documented (e.g. respiratory rate, oxygen saturation, heart rate, BP, Temp, conscious state) Frequency of monitoring occurred at reasonable time intervals (as appropriate to patient condition or as specified in Service/Unit protocol)? Documentation was made of escalation communication/use of emergency code (if applicable)
vmia-generic-internal-clinical-audit-tool-iact-d17-46220.docx