Initial assessment of the patient upon arrival indicates normal physiological measurements (heart rate, blood pressure, respiratory rate, temperature, and oxygen saturation) but a high level of reported pain.
Used to document the initial findings of a patient's condition upon arrival in the emergency department, specifically noting both physiological stability and significant pain.
"Patient presented to the ED after a fall. Triage assessment reveals stable vital signs with pain score of 8/10 in the right hip."
Emergency department triage
Common questions about using medical phrases in clinical documentation