| 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. |