Assessing the deteriorating pt Flashcards
What is the response for a pt who is low score grading with obs?
Increased frequency of obs
NIC alerted
What is the response to a pt who is medium score grading on their obs?
Urgent call to primary team for pt and personnel with core competencies for acute illness
What is the response to a pt who is high scoring with obs?
Emergency to call to team with critical care competencies and diagnostic skills and advanced airway management and resuscitation skills
Immediate response
What is the response to a pt scoring 1 on NEWs chart?
Minimum 12hrly obs
Continue routine monitoring
What is the response to a pt who is scoring 1-4 on the MEWs chart?
4-6 hourly obs
Inform registered nurse
Decide if increased frequency of monitoring and or escalation of care is needed
What is the response to a pt who is scoring 5+ or 3 in one parameter on the NEWs chart?
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
What is the response to a pt scoring 7+ on the NEWs chart?
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
What is important to remember about a deteriorating pt?
It can occur at any point in their care, especially: emergency admission, after surgery and during recovery