Indicators for calling patient’s Dr: (Sepsis Screen = Temp>100.3 or < 96.

8, HR>80, RR >20, SBP <90)

Respiratory Change in Change in LOC Change in Staff Worry Chest Pain Fluid status Temp Labs
Status Change HR (mental status) BP
8 or >28 >130 <40 <90 >170 Not look right I>O >100.4 or WBC > 12,000
or Lethargic or New < 96.8 or < 4,000
SOB changed by Confused Changed by Nausea/ Wet lungs
20% from Unresponsive 20% from vomiting Recurring Critical Critical >25,000
O2 Sat: decreased baseline Agitated baseline Diaphoretic UOP: >106 <2,500
from baseline <50cc/ <91
Rhythm Undetectable What’s wrong? 4hours