Blood Pressure
Respiration and Pain Scales
Adult BMI / Tobacco / Depression
BRIEF / Review of Systems / Hand-Off Report
Flag System
100

What is considered elevated blood pressure?

Above 140/90

100

What age does numeric pain scale start?

18y

100

Adult BMI starts at what age?

22y
100

How often is BRIEF and Review of systems completed?

Every visit

100

Red Flag

Triage is happening

200

How do you know you are using the correct BP cuff size?

The index arrow is within the index range?

200

How do you count respirations?

Count reparations for 15 sec and x by 4

200

Tobacco screening starts at what age?

18y

200

Where is the BRIEF Health Literacy documented?

Screening Tab

200

Yellow Flag

Ready for provider

300

How is the patient seated when taking blood pressure?

- Seated in chair

- Back against the chair

- Feet flat on the floor?

300

How do you count respiration for a patient that is have breathing difficulties?

Count measurement for 1 full minute

300

Depression screening starts at what age?

12y

300

What is the first step when completing the Review of Systems?

Hit "All Normal"

300

Green Flag

Provider in the room

400

What should you do if the SECOND measurement is not elevated?

Delete the first one and replace it with the second one

400

What are the 3 pain scales?

- Numeric

- Wong-Baker FACES

- FLACC

400

If the patient is a smoker, what order group do you add in orders and results?

Tobacco user

400

What all should you include in the Review of Systems?

Anything the patient verbally tells you or circles on the back of in the intake form

400

Blue Flag

Labs needed

500

What should you do if the second measure is elevated?

- Keep both measurement

- Inform provider

- 2 week ticker for HTN f/u

500

The FLACC pain scale is used for which patients?

- Under 3y

- Non-verbal

500

When scoring a PHQ-9 - how do you know if it is negative or positive?

- Negative is 0-4

- Positive is 5+

500

What all is included in a hand-off report to the provider?

- What the patient is coming in for

- Any concerns

- Abnormal vitals

- Any quality you address

500

Orange Flag

Do not dismiss patient

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