Policy for the Discharge and transfer of children and young people ...

PUPILSNEUROOBS:COMASCALEEyesOpenBestMotorResponseBestVerbalResponseRightLeftGlasgow ComaScale (4-15 yrs)Children’s ComaScale (< 4 yrs)Spontaneously 4 Spontaneously 4To Speech 3 To Speech 3To Pain 2 To Pain 2No Response 1 No Response 1Obeys verbal commands 6 Obeys verbal commands 6Localises pain 5 Localises pain 5Flexion to pain 4 Withdraws in response 4Abnormal flexion 3 Abnormal flexion 3Extension to pain 2 Abnormal extension 2No Response 1 No Response 1Orientated & converses 5 Smiles, orientated to sounds,follows objects, interactsDisorientated & converse 4 Crying InteractsConsolable InappropriateInappropriate words 3 Inconsistently Moaning 3ConsolableIncomprehensible sounds 2 Inconsolable Irritable 2No Response 1 No Response No Response 1SizeReactionSizeReactionSizeReactionSizeReaction54TIMEEyes closed byswellingUsually thebest armresponse= CEndotrachealtube ortracheostomy=T+ reacts- no reactionc eyes closedTIMEFLUIDSINTAKEOUTPUTTOTALUrineTOTALBALANCETRANSFER EVALUATION FORMAirway / C-SpineBreathingCirculationFamilyEnvironmentGlucoseDisabilityOther Comments………………………………………………………………………………………………………………………....……………………………………………………………………………………………………………………Policy for the Discharge and Transfer of Children and Young People from Child Health………………………Page 31 of 38Signed: ………………………………………………………………….. Date:……………………………………………….