Scribd
Upload
902 views2 pages

Checklist

This emergency department safety checklist outlines the procedures and assessments that should be completed for each patient within their first 12 hours in the emergency department. It includes checking vital signs, administering pain medication, reviewing ECGs for chest pain patients, initiating investigations like blood tests or imaging, monitoring for sepsis, and ensuring specialty beds are requested if needed. The checklist also addresses pressure area care, safeguarding concerns, reviewing medications and refreshments, and requires senior doctor reviews at regular intervals.

Uploaded by

happy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
902 views2 pages

Checklist

This emergency department safety checklist outlines the procedures and assessments that should be completed for each patient within their first 12 hours in the emergency department. It includes checking vital signs, administering pain medication, reviewing ECGs for chest pain patients, initiating investigations like blood tests or imaging, monitoring for sepsis, and ensuring specialty beds are requested if needed. The checklist also addresses pressure area care, safeguarding concerns, reviewing medications and refreshments, and requires senior doctor reviews at regular intervals.

Uploaded by

happy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Emergency Department Safety Checklist Patient Label here...

Date___________________ Time Booked in_____________

Action Time Initials Comments


Assessment/Triage
Vital signs measured + NEWS recorded
Chest Pain:
ECG recorded (within 10 minutes)
ECG reviewed by Dr (within 30 minutes - time on ECG)
:

Undressed and gown


1st hour completion time

Wristband
Pain score assessed
Analgesia administered (if appropriate)
Infection control screening
Sepsis suspected (Temp < 36° or > 38°C, HR > 90 or RR > 20)
Investigations Initiated (as appropriate):
IV access + care plan
Blood tests
Imaging (Stroke, # NOF within 1 hour)
Specific Pathway Triggered (see box 1)
PFC informs CST - specialty bed required
Pathway commenced (e.g. Stroke, DKA, NOF, GI bleed, Sepsis)

Vital signs measured + NEWS recorded


Pain score assessed
:

Analgesia administered (if necessary)


2nd hour completion time

Next of kin aware


Patient has dementia (This is me commenced)
Refreshments offered (if not NBM)
Pressure Area Care:
Assessment undertaken
Care plan commenced (as appropriate)
Patient good to go:
Patient ready for transfer
Specialty bed confirmed
3rd hour completion

Vital signs measured + NEWS recorded


Pain score assessed
time :

Analgesia administered (if necessary)


Refreshments offered (if not NBM)
Review by senior doctor
Regular medication administered (if appropriate)
completion time

Vital signs measured + NEWS Recorded


Pain score assessed
4th hour

Analgesia administered (if necessary)


:

Refreshments offered (if not NBM)


Regular medication administered (if appropriate)
Referrals & Pathway/Speciality

Adult safeguarding referral


Box 1 - Specialty Bed Trigger:
Child cause for concern referral
Triggers if required

Mental health matrix completed Stroke/TIA □ Stroke Unit (B504)


Mental Health referral Upper GI Bleed □ Ward 11 (B404) or MAU (A300)
Domestic or sexual violence Yes / No DKA □ MAU (A300) or ITU/HDU
IDSVA referral NIV □ Respiratory (A522) or MAU (A300)
Paddington Alcohol Test Yes / No Chest Drain □ MAU (A300), Respiratory (A522) or BHI/700
Referral to Alcohol Clinical Nurse Specialist # NOF □ T&O (A609)
Referral to Drug Clinical Nurse Specialist Tracheostomy □ Ward 700, A522 or ITU/HDU/CICU)
Authors: Jason Lugg & Hayley Thomas (November 2014)
ED Safety Checklist Continuation Sheet Patient Label here...

Date___________________ Time Booked in_____________

Action Time Initials Comments


completion time

Vital signs measured + NEWS recorded


Pain score assessed & analgesia administered as appropriate
5th hour

Refreshments offered (if not NBM)


:

Medication administered as appropriate - regular meds, abx


6th hour completion

Vital signs measured + NEWS recorded


Pain score assessed & analgesia administered as appropriate
:

Refreshments offered (if not NBM)


time

Review by senior doctor


Medication administered as appropriate - regular meds, abx
completion time

Vital signs measured + NEWS recorded


Pain score assessed & analgesia administered as appropriate
7th hour

Refreshments offered (if not NBM)


:

Medication administered as appropriate - regular meds, abx


completion time

Vital signs measured + NEWS recorded


Pain score assessed
8th hour

Analgesia administered (if necessary)


:

Refreshments offered (if not NBM)


Medication administered as appropriate - regular meds, abx
9th hour completion

Vital signs measured + NEWS recorded


Pain score assessed & analgesia administered as appropriate
:

Review by senior doctor


Refreshments offered (if not NBM)
by

Medication administered as appropriate - regular meds, abx


completion by :

Vital signs measured + NEWS recorded


10th hour

Pain score assessed & analgesia administered as appropriate


Refreshments offered (if not NBM)
Medication administered as appropriate - regular meds, abx

Vital signs measured + NEWS recorded


completion by
11th hour

Pain score assessed & analgesia administered as appropriate


Refreshments offered (if not NBM)
:

Medication administered as appropriate - regular meds, abx

Vital signs measured + NEWS recorded


:

Pain score assessed & analgesia administered as appropriate


12th hour
completion by

Review by senior doctor


Refreshments offered (if not NBM)
Medication administered as appropriate - regular meds, abx

Authors: Jason Lugg & Hayley Thomas (December 2014)

You might also like