Free Download · Wesley Chapel FL

The Senior Symptom
Triage Checklist

A licensed RN-reviewed checklist. Know when to call 911, when to call a nurse, and what to monitor daily.

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Senior Symptom Triage Checklist
nursefront.care
Daily Check: Monitor These Every Day
Energy level, any unusual fatigue?
Appetite, eating and drinking normally?
Medications, all doses taken correctly?
Mobility, any balance or walking issues?
Mood, any unusual confusion?
Pain, any new or worsening pain?
Call a Nurse: These Need Clinical Assessment
Fever over 100.4F
Dizziness when standing
Any fall, even without injury
New swelling in ankles or legs
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What's inside the full checklist
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Emergency Signs

Call 911 immediately signs including the FAST stroke test

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Call a Nurse Signs

10 symptoms that need clinical assessment before the ER

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Medication Review

Monthly medication checklist and side effect watch list

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Senior Symptom Triage Checklist
nursefront.care · (254) 444-8433
Daily Check: Monitor These Every Day
Energy level, any unusual fatigue or weakness?
Appetite, eating and drinking normally?
Medications, all doses taken correctly today?
Mobility, any balance issues or difficulty walking?
Mood, any unusual confusion or behavioral changes?
Pain, any new or worsening pain anywhere?
Breathing, any shortness of breath or difficulty?
Skin, any new bruising, redness, or wounds?
Call a Nurse: These Need Clinical Assessment
Fever over 100.4F (38C)
Dizziness or lightheadedness when standing
Any fall, even without obvious injury
New or worsening swelling in ankles or legs
Confusion that is new or suddenly worse
Missed multiple doses of critical medications
Nausea or vomiting lasting more than 24 hours
Urinary symptoms, burning, frequency, or color changes
Moderate pain (5-7 out of 10) not relieved by usual measures
Wound that appears infected, redness, warmth, discharge
Medication Review: Check Monthly
Current medication list updated with all changes?
All OTC medications, vitamins, supplements listed?
Any new medications added since last review?
Any side effects noticed since last medication change?
Are all prescriptions filled and available?
Does patient understand purpose of each medication?
Any medications approaching end of refill?
Physician notified of all current medications at last visit?
Call 911 Immediately: Never Wait for These
Chest pain, pressure, or tightness
Face drooping, arm weakness, speech difficulty (Stroke FAST test)
Difficulty breathing or stopped breathing
Unresponsive or unconscious
Severe bleeding that will not stop
Sudden severe headache unlike any before
Fall with suspected broken bone
Allergic reaction with throat swelling
NurseFront: Your Family's Clinical Resource Between Visits This checklist is for general guidance only and does not replace professional medical advice. For clinical assessment call NurseFront at (254) 444-8433 or visit nursefront.care. For emergencies always call 911 first.

Licensed RN Triage · HIPAA Compliant · Wesley Chapel, FL 33544
(254) 444-8433 · nursefront.care · nursefronthealth@gmail.com
Serving Wesley Chapel · New Tampa · Land O Lakes · Tampa Bay · Pasco County · Florida

This checklist is for informational purposes only. Always call 911 for medical emergencies.