Adult Deterioration Detection System (Adds) Chart

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Date
DRAFT - NoT
Time
UR Number: _________________________________________
DRAFT - NoT
Write 35
Write 35
Family name: ________________________________________
Observation
Target
30–34
30–34
25–29
25–29
Given names: ________________________________________
parameter
FoR Use
Respiratory Rate
blood
20–24
20–24
FoR Use
(breaths / min)
labels
15–19
15–19
Date of birth: _______/_______/_______
Sex:
M
F
pressure
10–14
10–14
5–9
5–9
If respiratory rate 35 or
table
(Affix patient identification label here)
Write 4
Write 4
4, write value in box
98–100
98–100
95–97
95–97
o
saturation
Actions Required
93–94
93–94
2
Observations
(%)
90–92
90–92
87–89
87–89
Total ADDs score 1–3
Usual/target systolic BP:
Signature:
graphing area
85–86
85–86
If O
saturation 84, write
2
Increase frequency of
mmHg
Write 84
Write 84
value in box
observations [specify frequency]
13
13
10–12
10–12
Inform senior nurse and/or Team
o
Flow Rate
2
7–9
7–9
Leader
Circle the column showing the patient’s usual systolic BP
(L / min)
4–6
4–6
3
3
190s 180s 170s 160s 150s 140s 130s 120s 110s 100s 90s 80s
Write 200
Write 200
0
0
1
1
2
2
2
3
3
4
5
5
Total ADDs score 4 – 5
190s
190s
0
0
0
1
1
1
2
2
3
3
4
4
Actions
Senior nurse and/or junior medical
180s
180s
0
0
0
0
0
1
1
2
2
3
3
4
officer review within 30 minutes
170s
170s
1
0
0
0
0
1
1
2
2
3
3
3
required
160s
160s
1
1
0
0
0
0
0
1
1
2
2
2
150s
150s
1
1
1
0
0
0
0
0
1
1
2
2
area
Blood
Total ADDs score 6 – 7
140s
140s
2
1
1
1
0
0
0
0
0
1
1
1
Pressure
130s
130s
2
2
1
1
0
0
0
0
0
0
0
1
Senior medical officer review
120s
120s
2
2
2
1
1
0
0
0
0
0
0
0
(mmHg)
(registrar or above) within 30
110s
110s
3
2
2
2
1
1
0
0
0
0
0
0
minutes
100s
100s
3
3
3
2
2
2
1
1
0
0
0
0
90s
90s
4
3
3
3
2
2
2
2
1
1
0
0
Request review, and note on the
80s
80s
1
0
back of this form
70s
70s
60s
60s
Emergency call
If systolic BP 200, write
50s
50s
Total ADDs score 8
Observation parameter scales
value in box
40s
40s
Place Emergency call
Write 140
Write 140
Adult Deterioration Detection
130s
130s
Begin initial life support
120s
120s
system (ADDs)
interventions (support airway,
Heart Rate
110s
110s
breathing, circulation)
100s
100s
(beats / min)
If any observation is in a shaded area,
Advanced life support provider to
90s
90s
80s
80s
add up the Total ADDS Score and take the
attend patient immediately
70s
70s
action required for that score.
60s
60s
50s
50s
emergency call if:
40s
40s
If heart rate 140 or
Score 0
Write 30s
Write 30s
30, write value in box
Any observation is in a purple area
Write 39.1
Write 39.1
Score 1
Airway threat
38.5–39.0
38.5–39.0
Score 2
Respiratory or cardiac arrest
38.0–38.4
38.0–38.4
Additional
Temperature
37.5–37.9
37.5–37.9
Score 3
New drop in O
saturation < 90%
(°C)
response
2
37.0–37.4
37.0–37.4
Sudden fall in level of consciousness
Score 4
36.5–36.9
36.5–36.9
4
4
4
4
criteria area
36.0–36.4
36.0–36.4
Seizure
Score 5
5
5
5
5
35.5–35.9
35.5–35.9
If temperature 39.1 or
You are seriously worried about the
35.4, write value in box
Write 35.4
Write 35.4
emergency call
patient but they do not fit the above
Alert
Alert
Consciousness
criteria
To Voice
To Voice
If clinically necessary, wake
To Pain
To Pain
patient to assess and score
Unresp.
Unresp.
Respiratory Rate
Scoring
O
Saturation
2
ADDS score
O
Flow Rate
guide area
2
ADDs
ADDs
Systolic BP
calculation area
scores
scores
Heart Rate
Temperature
Consciousness
ToTAL ADDs
Interventions row
Intervention
E.g. ‘a’
E.g. ‘a’

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