EWS/Vital signs - normal range

Question 1

Temp

Answer 1

36.2 - 37.5

Question 2

Pulse

Answer 2

60-100 bpm

Question 3

Respirations

Answer 3

12-20 bpm

Question 4

Pulse oximetry

Answer 4

95 - 100 (below 95 is a warning, report to RN

Question 5

Blood pressure

Answer 5

Systolic 100- 140 Diastolic 60 -90

Question 6

Blood Glucose

Answer 6

4-8

Question 7

What does mmHG stand for?

Answer 7

millimol over mercury used in blood pressure

Question 8

What is presenting medical data?

Answer 8

Used with Isbar also give ews deatils with this - tells the Dr what is medically happening with the patient, eg woke up yesterday with a head ache and began to feel nauseous admitted to hospital and diagnosed with sub arachnoid hemorrhage

Question 9

asessments?

Answer 9

Subjective and objective data

Question 10

Nursing diagnosis

Answer 10

pain level, results of obs/ ews and score

Question 11

plan of care

Answer 11

how your going to treat eg monitor vital signs, check faeces conitinent give pads etc…

Question 12

maintaining respect and dignity

Answer 12

close curtains, talk quietly, reassure, provide a bible, inform family members

Question 13

Taha tinana - physical health?

Answer 13

help shower, refer to physio, speech therpist

Question 14

Taha Hinengaro - mental health?

Answer 14

excellent communication and support from nursing team, include family for support, church, include a therapist

Question 15

Taha Wairua - spiritual health

Answer 15

Church, whanau

Question 16

Taha Whanau - family Health

Answer 16

keep family informed, ask kau matua to visit, help family with accommdation