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MED-PASS:  Designing Solutions for Senior Care

Acute Change in Condition Flip Chart


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See the entire line of INTERACT Tools for Skilled Nursing


INTERACT (Interventions to Reduce Acute Care Transfers) is a quality improvement program that focuses on the management of acute change in resident condition. The INTERACT program includes clinical and educational tools and strategies for use in every day practice in long-term care facilities. The goal is to improve care and reduce the frequency of potentially avoidable transfers to the acute hospital. Click Here for more information.


MED-PASS is a licensed provider of the INTERACT tools.


© 2011 Florida Atlantic University, all rights reserved. This document is available for clinical use, but may not be resold or incorporated in software without permission of Florida Atlantic University.


This 15 page guide, conveniently spiral bound and mounted to an easel, provides quickly accessible decision support tools to help nursing staff determine whether to report specific symptoms, signs and lab results to a primary care clinician (MD, NP and/or PA) immediately versus non-immediate.


Signs & Symptoms are listed alphabetically and identify which symptoms should be reported immediately or non-immediately.


Suggested Use:  Place next to the telephone at the nurse’s station for quick reference.


Various signs & symptoms also refer nurses to specific Care Paths (educational decision support tools that provide guidance on the recognition, evaluation, and management of the conditions that commonly cause hospital transfers, and provide guidance on when to notify the primary care clinician). For Care Path reference, see Change in Condition/Care Paths Pocket Guide (item # MP5644GD-4) or Care Paths Guide (item # MP5653-4).

  • Includes Change in Condition reporting parameters (immediate or non-immediate) for:
    • Vital Signs
    • Laboratory Tests/Diagnostic Procedures
    • Symptoms & Signs (A-Z)
  • Includes refreshed terminology. For Vital Signs and Labs the headings are Report Immediately and Non-Immediate. For Signs and Symptoms it's Immediate and Non-Immediate.
  • For use by all nursing home licensed nursing staff and primary care clinicians.  Spiral bound and mounted on an easel for easy reference.
Size 8-1/2" x 5-1/2"
Format Spiral bound, mounted on an easel
Unit Each
Number of Pages 15
Published Revised September 2018