It is the standard operating procedure at UCSC health center to obtain routine vital signs, (blood pressure, temperature, pulse, and respiratory rate), plus LNMP, on all patients being evaluated for illness or injury. Routine weight should be updated every 6 months, unless the patient presents for GI or weight related problems, in which case weight should be measured at that visit.
Orthostatic vital signs and weights should be obtained in all patients presenting with dizziness or nausea, and vomiting or diarrhea, as well as Eating Disorder patients.
Peak flow monitoring is done for new patients with current asthma history as baseline, and for all patients with URI complaint and history of asthma, as well as all patients with cough longer than 2 weeks or complaint of shortness of breath or wheezing. Oxygen saturation should be added if patient is symptomatic or falls in the yellow or red range in peak flow testing.
It is generally up to the discretion of the treating clinician whether vital signs, or any particular vital sign, should be obtained. Nursing and medical assistant staff should query the treating clinician if unsure regarding what vital signs to do. As a general rule it is better to obtain vital signs unnecessarily than to fail to obtain vital signs when indicated.
Vital signs outside of the below parameters should be retaken right away (BP & pulse manually if original set on RoboNurse), documented in the Medical Record and immediately reported to a licensed person for determination of plan:
|Orthostatic (changes between lying to standing)||BPsys or dias drop of >10 points||Pulseincrease of >15|
|Temp||<96 F||>101.5 F|