Vital Signs Standards

Which of the following is NOT one of the requirements for sepsis documentation? [For patients with a Lactate ≥ 4, and/or hypotension SBP ≤ 100]

• Blood pressure documented within one hour after fluid bolus

• 30mL/ kg fluid bolus

• Antibiotics given within 3 hours of arrival

• 1 Liter of normal saline/ LR

Upon discharge, a reminder will pop up when the patient's vital signs are abnormal. True or False.

Who ultimately is responsible for documenting discharge vital signs appropriately? (or documenting that the provider is aware of abnormal vital signs?)

What is the MAP (mean arterial pressure) indicating about the patient? Select all the apply.

• Can aid in end points/ goals of resuscitation for sepsis

• A MAP less than 85-90 mm Hg is optimal for patients with a spinal cord injury.

• Can dictate care in regards to the cerebral perfusion pressure (CPP).

  MAP- ICP = CPP.

Which of the following minimum vital sign guidelines are correct?

• ESI 1: Vital signs every 5-15 min, with a minimum of every hour the first 4 hours.

• ESI 2: Vital signs at least every hour.

• ESI 3: Vital signs at least every 3 hours.

• Even though it may not "be required" per the patient's ESI, we should re-evaluate vital signs after implementing an intervention.

  For example, vital signs for a febrile patient after tylenol.