TABLE 1.
(a) | ||||||
---|---|---|---|---|---|---|
Initial score | Recommendations | |||||
0–2 | Assess/rescore: 4 h | |||||
3–4 | Assess/rescore: 2–4 h | Charge nurse review: <8 h | Provider team review: 8 h | |||
5–6 | Assess/rescore: 1–2 h | Write nursing Progress Note | Charge nurse review: <4 h | Provider team review: <4 h | Continuous monitoring: consider | |
7–8 | Assess/rescore:15–60 min | Write nursing Progress Note | Charge nurse review: <2 h | Provider team review: <2 h | Continuous monitoring: consider | Consider escalation of care |
>8 | Assess/rescore: 15–30 min | Write nursing Progress Note | Charge nurse review: <15 min | Provider team review: <15 min | Continuous monitoring: continuous | Consider escalation of care |
(b) | |||||
---|---|---|---|---|---|
Subsequent score | Recommendations | ||||
0–2 | Assess/rescore: 4 h | ||||
3–4 | Assess/rescore: 2–4 h | Charge nurse review: 8 h | Provider team review: 8 h | ||
5–6 | Assess/rescore: 1–2 h | Charge nurse review: <8 h | Provider team review: <8 h | Continuous monitoring: consider | |
7–8 | Assess/rescore: 30–60 min | Charge nurse review: <4 h | Provider team review: <4 h | Continuous monitoring: consider | Consider escalation of care |
>8 | Assess/rescore: 15–60 min | Charge nurse review: <2 h | Provider team review: <2 h | Continuous monitoring: consider | Consider escalation of care |