CEDIS - Specific Assessment Recommendation in Subjective Notes

For some CEDIS complaints (see list below), the Subj tab will display a Recommended Assessment dialog box when you click into the Subjective Notes field

Notes:

If you change the CEDIS complaint instead of clicking the Add to Subjective Notes button, you will be presented with an ALERT. You have the option to Discard Notes or Insert Notes.

If you click on I’m Done Triage instead of clicking the Add to Subjective Notes button, you will be presented with a different ALERT. You have the option to Modify Triage, Discard Notes and Continue or Save Notes and Continue.

CEDIS-Specific Complaints - List of Recommended Assessment Questions

CEDIS-specific complaint	Recommended Assessment
Substance Misuse / Intoxication	Substance, amount, estimated time elapsed
Overdose Ingestion	Substance, amount, estimated time elapsed
Substance Withdrawal	Substance, amount, estimated time elapsed
Depression / Suicidal / Deliberate Self Harm	Appearance, Speech, Thought Content (hallucination/delusion), Flight Risk Changes to Medication/use of drugs/alcohol Suicide/Homicide plan/behavior
Anxiety / Situational Crisis	Appearance, Speech, Thought Content (hallucination/delusion), Flight Risk Changes to Medication/use of drugs/alcohol
Hallucinations / Delusions	Appearance, Speech, Thought Content (hallucination/delusion), Flight Risk Changes to Medication/use of drugs/alcohol
Insomnia	Appearance, Speech pattern Changes to Medication/use of drugs/alcohol
Violent / Homicidal Behaviour	Appearance, Speech, Thought Content (hallucination/delusion), Flight Risk Changes to Medication/use of drugs/alcohol
Social Problem	Appearance, Speech, Thought Content (hallucination/delusion), Flight Risk Changes to Medication/use of drugs/alcohol
Bizarre Behaviour	Appearance, Speech, Thought Content (hallucination/delusion), Flight Risk Changes to Medication/use of drugs/alcohol
Concern for Patient's Welfare	Appearance, Speech, Thought Content (hallucination/delusion), Flight Risk Changes to Medication/use of drugs/alcohol
Paediatric Disruptive Behaviour	Appearance, Speech, Thought Content (hallucination/delusion), Flight Risk Changes to Medication/use of drugs/alcohol
Head Injury	Loss of Consciousness
Extremity Weakness / Symptoms of CVA	Date/Time Last seen normal
Epistaxis	Blood Thinners taken, bleeding disorders?
Neck Swelling / Pain	Airway patency?
Edema, Generalized	Recent surgery, recent travel?
Leg Swelling / Edema	Peripheral pulses present? Recent surgery, recent travel?
Unilateral Reddened Hot Limb	Peripheral Pulses present? Recent surgery, recent travel?
Constipation	Last Bowel Movement
Diarrhea	Last Bowel Movement, frequency of bowel movements
Pregnancy Issues < 20 wks	Gravida/Para, Weeks Pregnant or Due Date, Hx of Pregnancy Issues
Pregnancy Issues > 20 wks	Gravida/Para, Weeks Pregnant or Due Date, Hx of Pregnancy Issues Cramping, Contractions (frequency), Vag discharge (colour, consistency, amount, date/time began) Pain (location), Headache, Visual symptoms, Irritability/feels jittery (pre-seizure symptom), N&V, Bleeding issues/disorders, Bruising, Petechiae Diabetes, Renal Disease, Chronic HTN, Other
Back Pain	Urinary Issues (Incontinence) Colour, Sensation, Movement of lower limbs
Lower Extremity Pain	Peripheral pulses present?
Lower Extremity Injury	Peripheral pulses present?
Joint(s) Swelling	Peripheral pulses present?
Cast Check	Peripheral pulses present?
Multisystem Trauma - Penetrating	Tetanus Status
Multisystem Trauma - Blunt	Tetanus Status
Isolated Chest Trauma - Penetrating	Tetanus Status
Isolated Chest Trauma - Blunt	Tetanus Status
Isolated Abdominal Trauma - Penetrating	Tetanus Status
Isolated Abdominal Trauma - Blunt	Tetanus Status
Laceration / Puncture	Tetanus Status