Objectives: Vital signs are often not documented in paediatric patients at triage. This study was conducted to find out whether the use of a small, laminated aide memoire and a short teaching session might improve this situation.
Methods: A preliminary audit of the measurement of vital signs in 106 children aged less than 6 years was carried out in a district general hospital emergency department (ED). A small card illustrating normal values for these was then distributed—this could be attached to staff identity cards. At the same time doctors and nursing staff were given a teaching session on the importance of these measures. The audit was then repeated in a further 106 children.
Results: There was significant improvement in recording of all vital signs with the exception of blood pressure and temperature.
Conclusion: A low-cost card together with a short period of training offers a useful strategy to improve the rate of documentation of vital signs in children presenting to the ED.
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Additional supplemental figs 1 and 2 are published online only at http://emj.bmj.com/content/vol26/issue10
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.
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