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"Stop and Watch" Early Warning Tool - 2 part - Sample


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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 convenient 2-part, pocket-sized “booked” version makes it easy to carry and document possible observed changes in a resident’s condition. This tool prompts staff, including CNAs, dietary, rehab and environmental services, to be alert for potential change in condition indicators. It provides a simple, clear way to document and communicate changes in condition to nursing staff.


STOP AND WATCH is an acronym which arranged vertically provides a list of condition changes that staff can observe for and document by circling the letter and communicating the possible change to nursing staff.


This version is a 2-part form in a book format. Other available versions include: 

  • For use by all care staff – CNAs, dietary, rehabilitation and environmental
  • Each book contains 50 two-part forms – an original and carbonless copy, both of which are perforated to be removed from the book
  • Minimum order quantity of one pack of 100 – each pack contains 2 books of 50 two-part forms
  • Book provides a writing plate to prevent writing through to other forms
Size 3-1/2" x 6-1/8"