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Referral Criteria for Workplace Hypertension Screening

Referral Criteria for Workplace Hypertension Screening - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Clinical Practice Guidelines, Cardiovascular, Related


UW Health Referral Criteria for Workplace Hypertension (HTN) Screening
These general referral criteria are intended to provide guidance to clinical staff (e.g., RN) screening for
hypertension (HTN) in workplace sites affiliated with UW Health clinics. They are general criteria that do
not take into account underlying patient conditions or co-morbidities (e.g., presence of diabetes or
kidney disease, etc.). In all cases, clinical staff conducting screening will use professional judgement and
refer patients to their primary care physician (PCP) if/when concerns regarding blood pressure or other
patient conditions warrant additional follow-up.
In particular, emergency medical services should be contacted for patients experiencing symptoms of
hypoperfusion (e.g., lightheadedness, dizziness, nausea, clammy skin, blurry vision, loss of
consciousness) or hypertension (e.g., hypertensive crisis, such as severe headaches, severe anxiety,
shortness of breath, nosebleeds).
Range Action
< 130/80 mmHg with symptoms of hypoperfusion Call 911
< 130/80 mmHg without symptoms of hypoperfusion No action
130-139 / 80-89 mmHg and no blood pressure-related
symptoms
Encourage lifestyle modification per UW Health
HTN guideline and continue care with PCP
140-159 / 90-109 mmHg and no blood pressure-
related symptoms Refer to PCP to be seen within next 6 weeks
160-179 / 110-119 mmHg with no blood pressure-
related symptoms Refer to PCP to be seen within the next week
180-209 / 110-119 mmHg with no blood pressure-
related symptoms Refer to PCP to be seen within the 3 days
≥ 210/120 mmHg without blood pressure-related
symptoms Call PCP
≥ 210/120 mmHg with blood pressure-related
symptoms Call 911
Additional References:
- Refer to UW Health Preventive Care Guideline for information on blood pressure screening.
- Refer to UW Health Hypertension Guideline for information about blood pressure monitoring and
treatment, including lifestyle modifications that can be recommended.
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 05/2016CCKM@uwhealth.org