Patients presenting to urgent care with severe illness or injury should be recognized immediately and appropriate intervention should be initiated.
The purpose of this policy is to establish guidelines for the recognition of patients presenting with serious illness or injury that may need immediate medical attention. This policy is to be used in conjunction with the Abnormal Vital Signs Policy.
Applicable to all staff members at urgent care centers.
It is the responsibility of the site supervisor as well as the Medical Director to ensure the implementation of this policy at all urgent care sites. The staff responsible for patient intake as well as anyone charged with triaging the patients should be able to recognize the red flags and initiate appropriate steps as outlines below. The provider caring for the patient, in conjunction with the provider’s clinical support staff, is responsible for addressing these concerns immediately so that there is no delay in care for such patients.
[NOTE: the parameters below are guidelines. We encourage medical leadership to review and customize to your own setting, as appropriate)
102 degrees F or greater
Greater than 22 per minute or difficulty breathing/distress
Less than 50 per minute or greater than 110 per minute
Less than 94% on room air
Systolic less than 90mmHg or greater than 180mmHg, Diastolic less than 60mmHg or greater than 120mmHg, with symptoms of headache, dizziness, lightheadedness, chest pain, shortness of breath, slurred speech, loss of balance, weakness on one side of the body.
Pregnancy: Systolic Blood Pressure less than 90mmHg or > 140mmHg and/or Diastolic Blood Pressure less than 60mmHg or > 90mmHg.
*Reminder: Normal blood pressure for adults is Systolic < 120mmHg and Diastolic <80mmHg.