Notify the provider per the patient-specific parameters and agency policy, and document the closed loop — contact, content, response, and follow-through.
State the specific parameter that was met (the value or finding that triggered notification).
Record the date and time of contact, who was notified, exactly what was reported, the response or orders received, and the follow-through.
If a response is pending, document the scheduled follow-up time so the loop is not left open.
Common notification triggers for this system: any acute focal neurologic deficit or positive stroke screen (which is an emergency, not just a notification); a seizure; a new or worsening severe headache with neurologic signs; a rapid decline in the level of consciousness; or a change from the neurologic baseline.
Closed-loop example
“On identifying a new facial droop with arm weakness and slurred speech — a positive stroke screen — emergency response (911) was activated immediately, the last-known-well time was recorded as 09:20, the patient was kept safe with nothing by mouth, and the provider was notified. Serial neurologic checks were documented pending transport, with follow-up to coordinate care on return.”
