Education and care-planning support only — does not replace clinical judgment or local protocols.

🩺 CP-INFECT — Infection Check

Infection and sepsis warning. · Group H Infection and community health · Links to: H1–H6, S11

Original tool, not yet validated. Pilot and review with clinicians before clinical decisions. Supports, but does not replace, clinical judgment, validated scales and local policy.

Patient

Date/Time

Nurse

Item	0	1	2
Temperature	0 · 36.1–38.0 °C	1 · 38.1–39 °C or 35.1–36	2 · ≥39.1 or ≤35 °C
Heart rate	0 · ≤90	1 · 91–130	2 · ≥131
Breathing rate	0 · ≤20	1 · 21–24	2 · ≥25
Mental state	0 · Normal	1 · Slightly changed	2 · New confusion
Infection source	0 · None seen	1 · Possible	2 · Clear (wound, urine, chest)

⚠ Red flags — escalate at once regardless of score

Low BP with fever

Total: 0 — select a score for each item

Score	Level	Action
0–2	Low	Routine, hand hygiene
3–5	Medium	Sepsis screen, inform doctor
≥6	High	Treat as sepsis: escalate now, cultures, antibiotics within 1 h as ordered

Nursing notes / action taken

⬇ Blank form (PDF)