Platelet Count (lab test) abnormal

Also Consider:  Bruise, Rectal bleeding, Vomiting blood 

1. Take Vital Signs

• Temperature:

• Blood Pressure:

• Heart Rate: 

• Respiratory Rate:

• Oxygen Saturation:

2. Evaluate Symptoms and Signs

• Fainting, dizziness or lightheadedness when standing up

• GI: Bleeding gums, rectal bleeding

• GU: Heavy menstrual bleeding, blood in urine

• Skin: any new skin condition, i.e., bleeding, bruising, petechia, rash

3. Take Action using SBAR Report:

• Presence of other, significant symptoms or signs of illness 

  • Refer to appropriate Situation-Specific Evaluation for the identified symptoms and signs.

• Immediately notify the medical staff & resident representative

  • Platelet Count less than 20, OR

  •  Platelet Count less than 50 with associated bleeding

• Notify medical staff on the next business day 

  • Platelet count < 50 or > 1000

• Notify medical staff at the next regular rounds 

  • Other abnormal values

4. Implement Management Plan

• Place on 24-hour report

• Obtain lab results (if ordered), and notify medical as needed of significantly abnormal values in lab tests (refer to appropriate Situation)

• Update care plan regarding bleeding risk

• Review status and plan of care with resident representative

2025-04-27