Clinical domain | Referral Criteria |
---|---|
Bradycardia | Heart rate <50 |
Tachycardia | Heart rate > = 110 |
Abnormal ECG | ECG carried out for irregular pulse |
Hypertension | Aged less than 80 years average repeat sitting systolic |
 | > = 180 mmHg or sitting diastolic |
 | > = 100 mmHg. To refer for either, |
 | standing systolic must be > = 140 mmHg |
Untreated Angina | Positive on Rose chest pain questionnaire |
Severe leg oedema | Swelling of legs up to knees on getting up in the morning |
Severe shortness of breath | Short of breath on talking |
Weight loss | Recent unexplained weight loss of more than half a stone |
Depression | GDS score >7 and no treatment or more than 6 months on present treatment |
History of recent falls | > 4 falls in previous 6 months |
Infected MSU | MSU tested when patient reports urinary incontinence or has proteinuria or haematuria on dipstix |
Other urinary problems (men) | Difficulty in micturition Nocturia more than twice nightly |
Faecal incontinence | Soiling 3 or more times a week |
Faecal occult blood | Blood in motions and stool specimen is positive for blood |
Change in bowel habits | Constipation Diarrhoea |
Haematemesis | Recent history of vomiting blood |
Haemoptysis | Recent history of coughing up blood |
Dysphagia | Difficulties swallowing |
Glycosuria | Positive for glucose on dipstix |
Abnormal biochemistry | Outside normal ranges for haemoglobin, white cell count, platelets, TSH, glucose, sodium, potassium, urea, creatinine, albumin, calcium, bilirubin, alkaline phosphatase, aspartase-transaminase |
Potential drug interactions | Modified version of the Stockley checklist |
Any other serious condition warranting further investigation | Nurse judgement |