Run ED Waiting Room Safety Reassessment Round — Free

Round Identification

Round start time recorded

Round completed within hourly interval critical (required)

Confirm the reassessment round was completed within the expected hourly cadence.

Yes No N/A

Inspector name or role recorded

Waiting room census documented

Number of patients present in the waiting room at the time of the round.

Patient Reassessment

Each waiting patient visually reassessed critical (required)

Confirm every patient in the waiting room was observed during the round.

Yes No N/A

New or worsening symptoms identified critical (required)

Document whether any patient reported or displayed worsening pain, dyspnea, chest pain, syncope, bleeding, altered mental status, or other concerning change.

Yes No N/A

Level of distress observed

Overall observed distress level for the most concerning patient encountered during the round.

Ambulatory status unchanged or safe

Confirm patients who were ambulatory remained safe to ambulate and did not demonstrate new instability.

Yes No N/A

Mental status change noted critical (required)

Identify any new confusion, lethargy, agitation, or decreased responsiveness.

Yes No N/A

Vital Signs and Clinical Triggers

Vital signs obtained for patients requiring reassessment critical (required)

Confirm updated vital signs were obtained for patients due for reassessment or with concerning symptoms.

Yes No N/A

Heart rate

Respiratory rate

SpO2

Blood pressure

Record blood pressure in systolic/diastolic format, for example 128/76.

Temperature

Escalation and Safety Actions

Provider or triage nurse notified for abnormal findings critical (required)

Confirm escalation occurred for any abnormal vital signs, worsening symptoms, or observed deterioration.

Yes No N/A

Patient moved to treatment area or higher-acuity location critical (required)

Document whether the patient was transferred out of the waiting room when clinically indicated.

Yes No N/A

Additional interventions initiated

Select any interventions initiated during the round.

Escalation details documented

Record who was notified, when they were notified, and the response or disposition.

Waiting Room Environment and Safety

Waiting room is observable by staff critical (required)

Confirm patients remain within line of sight or active monitoring coverage appropriate to the setting.

Yes No N/A

Seating, floor, and walkways free of immediate hazards

Check for spills, trip hazards, blocked pathways, or unsafe seating conditions.

Yes No N/A

Privacy, dignity, and infection control concerns noted

Document any issues affecting patient privacy, masking, isolation needs, or infection control precautions.

Yes No N/A

Immediate environmental issue escalated

Confirm any environmental hazard was reported to the appropriate team for correction.

Yes No N/A

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Run: ED Waiting Room Safety Reassessment Round

Round Identification

Patient Reassessment

Vital Signs and Clinical Triggers

Escalation and Safety Actions

Waiting Room Environment and Safety

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