15
STEP 10: Monitoring of Individuals With a Change in
Condition But Who Do Not Meet Diagnostic
Criteria for UTI ("Active Monitoring")
➤ Active monitoring protocol includes frequent monitoring of vital
signs, paying attention to hydration status (e.g., recording fluid
intake, stimulating fluid intake), and repeated physical assessments
by nursing home staff. A physician should be notified if signs and
symptoms worsen or do not resolve, if new signs and symptoms arise,
or if fluid intake is less than a certain predefined amount.
Example of an Active Monitoring Order Set
❑
Obtain vital signs (BP, Pulse, Resp Rate, Temp, Pulse Ox) every ____ hours
for ____ days.
❑
Record fluid intake each shi for ____ days.
❑
Notify physician if fluid intake is less than ____ cc daily.
❑
Offer resident ____ ounces of water/juice every ____ hours.
❑
Notify physician, NP, or PA if condition worsens or if no improvement
in ____ hours
❑
Obtain the following blood work: _________________________________.
❑
Consult pharmacist to review medication regimen.
❑
Contact the physician, NP, or PA with an update on the resident's condition on
_________.
Nace D.A., et al. J Am Med Dir Assoc, 2014 Feb;15(2):133-9.
Monitoring
