ED Patient Safety Checklist in Word v1.2 I6waMNE

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Insert local trust logo here

ED patient safety checklist

Date Time booked in

Action Time Initials Comments


Patient in queue  or department 
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

Investigations Initiated (as appropriate):


IV access + care plan
Blood tests
Imaging (stroke, # NOF within 1 hour)
Specific Pathway Triggered (s e e box 1)
Specialty bed required
Pathway commenced (e.g. stroke, DKA, NOF, GI bleed, sepsis)

Patient in queue  or department 


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
Analgesia administered (if necessary)
time

Refreshments offered (if not NBM)


Review by senior doctor
Regular medication administered (if appropriate)

Vital signs measured + NEWS Recorded


completion time

Pain score assessed


4th hour

Analgesia administered (if necessary)


Refreshments offered (if not NBM)
Regular medication administered (if appropriate)

Adult safeguarding referral


Referrals & pathway/Specialty

Child cause for concern referral


Triggers if required

Mental health matrix completed


Mental health referral Space for local adaption eg specialist
Domestic or sexual violence Yes / No
referrals or checking skin integrity
Independent domestic and sexual violence referral
Paddington Alcohol Test Yes / No
Referral to Alcohol Clinical Nurse Specialist
Referral to Drug Clinical Nurse Specialist
Insert local trust logo here
ED patient safety checklist (contd)

Date Time booked in

Action Time Initials Comments


Vital signs measured + NEWS recorded
completion time

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

Vital signs measured + NEWS recorded


completion time

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
by

Refreshments offered (if not NBM)


Medication administered as appropriate – regular meds, abx

Vital signs measured + NEWS recorded


completion by
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


completion by

Pain score assessed & analgesia administered as appropriate


12th hour

Review by senior doctor


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

You might also like