| ESI Level |
Complete Set of
Vital Signs at
ESI Level Triage (Yes/No) |
Evaluation Plan |
| 1 |
No |
Patient requires definitive care. Vital signs are either part
of the secondary survey or are done simultaneously when
a multimember team responds to the patient with a life-threatening
condition. |
| 2 |
No |
Patient requires definitive care. Vital signs are either part
of the secondary survey or are done simultaneously when
a multimember team responds to the patient with a high-risk
condition. |
| 3 |
Yes |
Nurse determines patient's heart rate, respiratory rate,
oxygen saturation (if pertinent), and temperature (children
< age 3) to decide if up-triage is necessary. |
| 4 |
No |
Patient has a single system problem requiring one of the
defined resources. Vital signs are not necessary for triage-level assignment but are part of the treatment area
evaluation. |
| 5 |
No |
Patient has a single system problem requiring none
of the defined resources. Vital signs are not necessary
for triage-level assignment but are part of the treatment
area evaluation. |
2,3,4,5
Returning to
waiting room |
Yes |
Vital sign assessment is prudent to ensure patient
safety. |
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