patients in acute hospital settings, including patients in the emergency department for whom a clinical decision to admit has been made, should have:
  • physiological observations recorded at the time of their admission or initial assessment
  • a clear written monitoring plan that specifies which physiological observations should be recorded and how often. The plan should take account of the:

    patient’s diagnosis

    presence of comorbidities

    agreed treatment plan.

Physiological observations should be recorded and acted upon by staff who have been trained to undertake these procedures and understand their clinical relevance. a minimum, the following physiological observations should be recorded at the initial assessment and as part of routine monitoring:
  • heart rate
  • respiratory rate
  • systolic blood pressure
  • level of consciousness
  • oxygen saturation
  • temperature.

From: 1, Summary

Cover of Acutely Ill Patients in Hospital
Acutely Ill Patients in Hospital: Recognition of and Response to Acute Illness in Adults in Hospital [Internet].
NICE Clinical Guidelines, No. 50.
Centre for Clinical Practice at NICE (UK).
Copyright © 2007, National Institute for Health and Clinical Excellence.

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