Vital Signs - Adult
- Temperature (96.8-100.4 Degrees F) (36-38 Degrees C)
- Rectal
- Tympanic
- Oral
- Axillary
- Temporal
- Respiration (12-20)
- Oxygen Saturation (94%-100%)
- Pulse (60-100)
- Blood Pressure (<120/80)
- Pain
Neurovascular Assessment 6 P's
- Pain
- Paresthesia
- Pulse
- Pallor
- Pressure
- Paralysis
Glasgow Coma Scale
- LOC Assessment
- Score of 3 to 15
- 8 or Less = Coma
- Eye Opening
- Verbal Response
- Motor Response
Level of Consciousness: Descriptive guide for Glasgow Coma Scale
- Conscious
- Confused
- Delirious
- Somnolent
- Obtunded
- Stuporous
- Comatose
Pain Assessment
- Acute Pain
- Chronic Pain
- Onset
- Provoking or Palliative
- Quality
- Radiation
- Severity
- Timing
- Subjective Findings
- Objective Findings
- Reassessment of Pain
Rancho Los Amigos Levels of Cognitive Functioning Scale
- Level I - No Response
- Level II - Generalized Response
- Level III - Localized Response
- Level IV - Confused/Agitated
- Level V - Confused, Inappropriate Non-Agitated
- Level VI - Confused, Appropriate
- Level VII - Automatic, Appropriate
- Level VIII - Purposeful, Appropriate with Stand-by Assistance
- Level IX - Purposeful, Appropriate with Stand-by Assistance on Request
- Level X - Modified Purposeful, Appropriate
- No General Localizes Aggresively Inappropriate Apples Automatically on Purpose