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. 2021 Jul 21;26(10):1240–1247. doi: 10.1111/tmi.13646

TABLE 1.

Recommendations of care, (a) initial score table (b) subsequent score table

(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