Initial Clinical management of acutely ill patient

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Use the checklist to observe an individual or team's initial management of the acutely ill patient. Afterwards, write a comment and share your observations with those you observed. Avoid just reading through each item on the checklist andr try to synthesise your observations.

Clinical Management

• Promptly assesses the acutely ill patient performing a systematic ABCDE (< 3 min) and gathers patient history

  Yes

  Partly

  No

  N/A

• Establishes monitoring, if available

  Yes

  Partly

  No

  N/A

• Identifies and responds to acutely abnormal physiology interpreting observations correctly

  Yes

  Partly

  No

  N/A

• Observes respiratory pattern and rate and measures oxygen saturation

  Yes

  Partly

  No

  N/A

• Assesses pulse rate, rhythm and volume

  Yes

  Partly

  No

  N/A

• Measures blood pressure

  Yes

  Partly

  No

  N/A

• Uses medical equipment safely and appropriately -e.g. masks, oxygen, monitors.

  Yes

  Partly

  No

  N/A

• Considers differential diagnosis and shares this with colleagues

  Yes

  Partly

  No

  N/A

• Reassesses effect of treatment with team members

  Yes

  Partly

  No

  N/A

• Calls for senior help appropriately and communicates gravity of situation

  Yes

  Partly

  No

  N/A

General Comments/Notes

• Take a photo

  Media