Vital Signs

Vigil allows staff to document vital signs alongside observations, with automatic detection of abnormal values.

Recording Vitals

1. Open patient details
2. Tap Vitals tab
3. Enter available measurements
4. Tap Save

All fields are optional—record what you measure.

Vital Sign Fields

Field	Unit	Range Displayed
Heart Rate	bpm	50-120 (normal)
Systolic BP	mmHg	80-180 (normal)
Diastolic BP	mmHg	50-110 (normal)
Respiratory Rate	/min	8-30 (normal)
SpO2	%	90-100 (normal)
Temperature	°F	95-103 (normal)
Pain Scale	0-10	—

Abnormal Value Detection

When you enter a value outside normal ranges, Vigil:

1. Highlights the field in red
2. Displays the normal range
3. Asks for confirmation before saving
4. Creates a vital critical alert after saving

This ensures staff consciously acknowledge abnormal values and that appropriate follow-up is triggered.

Critical Thresholds

Values outside these ranges trigger critical alerts:

Vital	Low	High
Heart Rate	< 50	> 120
Systolic BP	< 80	> 180
Diastolic BP	< 50	> 110
Respiratory Rate	< 8	> 30
SpO2	< 90%	—
Temperature	< 95°F	> 103°F

Pain Assessment

The pain scale (0-10) follows standard clinical practice:

Score	Description
0	No pain
1-3	Mild pain
4-6	Moderate pain
7-10	Severe pain

Pain scores do not trigger automatic alerts but are visible in patient records and handoff reports.

Vitals History

View a patient's vital sign trends:

1. Open patient details
2. Tap Vitals tab
3. Scroll to see recent readings
4. Abnormal values are highlighted

EMR Sync

When EMR integration is enabled, vitals automatically sync to the EMR:

• Vitals appear in EMR flowsheets
• Sync happens within minutes of documentation
• Failed syncs retry automatically
• Sync status visible in Integration settings

Notes with Vitals

Add context to vital readings:

• Patient positioning during measurement
• Equipment used
• Patient complaints or observations
• Factors affecting readings (activity, anxiety, etc.)