It is 17:40 on a busy weekday.

 An 83-year-old man is brought in by his daughter after becoming increasingly confused and agitated over the past 12 hours.

 He has a background of hypertension and osteoarthritis, lives independently, and takes amlodipine.

On arrival:

GCS: 14 (confused speech)

BP: 166/84 mmHg

HR: 104 bpm

RR: 22 /min

SpO₂: 95 % (air)

Temp: 37.9 °C

He is disoriented to time and place, inattentive, and intermittently pulling at his clothes.

 No focal neurology is detected.

 Chest auscultation reveals mild crackles at both bases.

 Urinalysis: positive for nitrites and leucocytes.

 Venous blood gas: lactate 1.8 mmol/L, Na 139 mmol/L, K 4.2 mmol/L, glucose 6.1 mmol/L.

 FBC and renal profile are normal.

A junior doctor asks whether screening for frailty, delirium severity, and alcohol use should be performed immediately at triage, as part of the department’s audit programme.

According to the RCEM Best Practice Guideline (2024): Screening in the ED, which of the following statements is not correct?