Assessing the deteriorating pt Flashcards

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1
Q

What is the response for a pt who is low score grading with obs?

A

Increased frequency of obs

NIC alerted

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2
Q

What is the response to a pt who is medium score grading on their obs?

A

Urgent call to primary team for pt and personnel with core competencies for acute illness

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3
Q

What is the response to a pt who is high scoring with obs?

A

Emergency to call to team with critical care competencies and diagnostic skills and advanced airway management and resuscitation skills
Immediate response

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4
Q

What is the response to a pt scoring 1 on NEWs chart?

A

Minimum 12hrly obs

Continue routine monitoring

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5
Q

What is the response to a pt who is scoring 1-4 on the MEWs chart?

A

4-6 hourly obs
Inform registered nurse
Decide if increased frequency of monitoring and or escalation of care is needed

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6
Q

What is the response to a pt who is scoring 5+ or 3 in one parameter on the NEWs chart?

A

Hourly obs
Urgently contact medical team caring for pt
Urgent assessment by a clinician with care competencies to assess acutely ill pts
Clinical care in an environment with monitoring facilities

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7
Q

What is the response to a pt scoring 7+ on the NEWs chart?

A

Continuos monitoring
Urgently contact medical team caring for pt (SpR level)
Emergency assessment by a clinical team with critical care competencies
Consider transfer to HDU or ITU

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8
Q

What is important to remember about a deteriorating pt?

A

It can occur at any point in their care, especially: emergency admission, after surgery and during recovery

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