Scoring response chart – escalation of care

Topic Progress:

Escalation flow charts are:

available at the point of care for every patient and will reflect local policy at each healthcare site.

Documentation of escalation

Nursing staff are to document when escalation has occurred on any observation response chart. All clinical staff involved in the patient's care are responsible for timely and accurate documentation of the patient's condition, treatment and response in the medical record.

KEY POINT

Colours matter

You are required to follow the instructions on these flow charts whenever a patient's observation falls within a coloured zone, unless a modification has been clearly documented and is current.

MULTIPLE CHOICE

Escalation flowchart

Use the table below to decide if you need to escalate Angus's total ADDS score of 3.