How to fill in and interpret an observation chart.

How to fill in and interpret an observation chart.
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DOI:
10.1136/sbmj.i6718
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发表时间:
2017-01-27
期刊:
BMJ (Clinical research ed.)
影响因子:
--
通讯作者:
Westacott, Rachel
Westacott, Rachel
中科院分区:
其他
文献类型:
--
作者:
Soltan, Marina;Westacott, Rachel

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临床小组使用观察表记录病人的生理参数:呼吸频率、血氧饱和度、血压、体温、脉搏率和意识水平。早期预警评分是从这些参数中得出的,用于提醒团队成员注意患者病情的恶化,并指示最适当的护理升级。在患者床边的观察表上可以找到早期预警评分工具,该图表必须是最新的和完整的,以便及时升级恶化或急性患者。国家健康和护理卓越研究所建议,英国所有急性医院的成年患者每12小时记录一次生理观察,除非高层作出增加或减少这一频率的决定。1
Observation charts are used by clinical teams to record a patient’s physiological parameters: respiratory rate, oxygen saturation levels, blood pressure, temperature, pulse rate, and level of consciousness. Early warning scores are derived from these parameters and are used to alert members of the team to deterioration in a patient’s condition and indicate the most appropriate escalation of care.Early warning scoring tools are found on the observation chart at the patient’s bedside, and this chart must be up to date and complete to facilitate timely escalation of a deteriorating or acutely ill patient. The National Institute for Health and Care Excellence recommends that all adult patients in acute hospital settings in the United Kingdom should have their physiological observations recorded every 12 hours, unless a decision has been made at a senior level to increase or decrease this frequency. 1