ARRS Resources

Access training materials and resources for ARRS roles

Systolic
/
Diastolic
mmHg
1
Age
2
Results
3
Symptoms
4
Red Flags

Select the patient's age category

Enter relevant dipstick findings

Leukocytes
Nitrites
Blood

Quick Reference Guide

Sample Collection

  • Use clean-catch midstream sample
  • Fresh sterile catheter sample acceptable
  • Never use urine from leg bags

Key Markers

  • Leukocytes: White blood cells in urine
  • Nitrites: Bacterial presence indicator
  • Blood: Red blood cells (haematuria)

UTI Likely When

  • Nitrite positive (any combination)
  • Leukocytes AND nitrites positive
  • Leukocytes AND blood positive

Currently treated by their GP for mental health?

Bucks Mind Services

Buckinghamshire Mind have a wide range of services to refer patients into, including:

Select the FHFT hospital site for referral

What does the GP need from Paediatrics?

Read the following to the patient. Allow up to four attempts to repeat it back correctly.

John Brown, 42 West Street, Kensington

"What is today's date?" (exact date required)

"Mark in all the numbers to indicate the hours of a clock."

"Mark in hands to show 10 minutes past eleven o'clock (11:10)."

"Can you tell me something that happened in the news recently?" Within the last week. General answers (e.g. "war", "a lot of rain") need specific details to score.

"What was the name and address I asked you to remember?" — tick each component that was recalled correctly.

1. Patient Details

2. Clinical Summary

Summarise relevant diagnoses, conditions, and how these may progress.

3. Other Planning Documents

Record any existing advance care planning documents.

4. What Matters to the Person

Use the scale to record the person's priorities for their care in an emergency.

Focus on life-sustaining treatment
Focus on symptom control
Balanced — life-sustaining with comfort 50 / 100

5. Clinical Recommendations

Record treatments that would or would not be wanted or clinically appropriate.

6. CPR Recommendation

A CPR recommendation must be made and signed by a clinician. Discuss with the patient (or their representative if they lack capacity) unless doing so would cause harm.

7. Mental Capacity

Does the person have capacity to participate in making these recommendations? (Mental Capacity Act 2005)

8. Clinician Completing Form

If you are not the senior responsible clinician, record their details for review and endorsement.

9. Emergency Contacts

People to contact in the event of major deterioration or imminent death.

Review & Export

Sections marked incomplete should be addressed before exporting.

    Recommendation Templates