Can anyone out there help us with this search - we are investigating to see if there is any best practice literature that address Vital Signs parameters (on order set forms for patients in hospitals) where you would notify the MD if: Notify MD if Temperature > 38.6'C Systolic Blood Pressure > 160 or < 100 Heart rate > 100 beats per minute Respirations > 30 or < 10 per minute The group of medical staff people that we are searching for - want to know if there is any evidence to support these parameters - and I am having trouble finding information. Happy New Year Thanks Kathy Cable, MLS Information Services Reference Librarian East Carolina University William E. Laupus Health Sciences Library Brody Medical School Sciences Building Greenville, NC 27834 Telephone:: 252-744-3222 Fax: 252-744-3512 [log in to unmask] carpe diem The Future Will Be Better Tomorrow