Template

AVPU Scale Mental Status Assessment

by Huon Snelgrove, from the Community

10+

Explore the AVPU scale, a quick method for assessing a patient’s level of consciousness: Alert, response to Verbal stimuli, response to Pain, and Unresponsive. This guide outlines how to ask orientation questions, apply verbal and pain stimuli, document results, and escalate care when consciousness is below Alert. Ideal for nurses and clinicians conducting bedside assessments and training observations.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

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Use this medical observation template to support emergency and clinical care. Capture safety checks, vital signs, AVPU, oxygen saturation, pulse, blood pressure, temperature, blood glucose, pain scores, and notes. Document SAMPLE history, Glasgow Coma Scale, and a concise drugs formulary for common presentations such as anaphylaxis, asthma, chest pain, seizure, and hypoglycaemia. Record drugs administered, treatments provided, and clear handover details to ensure continuity of care.
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Use this confirmation of verbal instructions template to formally record verbal directions issued during construction or site work. Capture the work required and expected duration, note whether design is required, and document client and contractor representative names. Collect signatures, date and time, and attach media for clarity. This form helps avoid misunderstandings, supports change control, and creates a clear audit trail for approvals.
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Use this peer feedback checklist to guide systematic patient observations using the National Early Warning Score. Record pulse, respiratory rate and pattern, oxygen saturation and therapy, temperature, AVPU, and blood pressure. Calculate and document the EWS, interpret the score, set observation frequency, and escalate care when indicated. Ideal for training, revalidation, and quality improvement in clinical settings.
by Huon Snelgrove, from the Community
Downloads: 20+
Get

Injury Report Template

Use this Injury Report template to capture critical information after an incident, including patient demographics, medical history, AVPU consciousness level, pulse, breathing and skin observations, assessment notes, treatment provided, and follow-up referrals (ambulance, medical centre, own doctor). Designed for workplace first aid and safety recordkeeping.

by Darryl Bancale, from the Community

10+

Get

Template

Medical Observation Template

Use this medical observation template to support emergency and clinical care. Capture safety checks, vital signs, AVPU, oxygen saturation, pulse, blood pressure, temperature, blood glucose, pain scores, and notes. Document SAMPLE history, Glasgow Coma Scale, and a concise drugs formulary for common presentations such as anaphylaxis, asthma, chest pain, seizure, and hypoglycaemia. Record drugs administered, treatments provided, and clear handover details to ensure continuity of care.

by malcolm whyte, from the Community

Get

Template

Confirmation of Verbal Instructions

Use this confirmation of verbal instructions template to formally record verbal directions issued during construction or site work. Capture the work required and expected duration, note whether design is required, and document client and contractor representative names. Collect signatures, date and time, and attach media for clarity. This form helps avoid misunderstandings, supports change control, and creates a clear audit trail for approvals.

by Mahshid Beaykitary, from the Community

Get

Template

NEWS Observations Checklist

Use this peer feedback checklist to guide systematic patient observations using the National Early Warning Score. Record pulse, respiratory rate and pattern, oxygen saturation and therapy, temperature, AVPU, and blood pressure. Calculate and document the EWS, interpret the score, set observation frequency, and escalate care when indicated. Ideal for training, revalidation, and quality improvement in clinical settings.

by Huon Snelgrove, from the Community

20+

Get

AVPU Scale Mental Status Assessment

About author

You might also like

Injury Report Template

Medical Observation Template

Confirmation of Verbal Instructions

NEWS Observations Checklist

You might also like

Injury Report Template

Medical Observation Template

Confirmation of Verbal Instructions

NEWS Observations Checklist