INEWS Score

Question 1

INEWS score 0-1

Answer 1

Minimum observation frequency: 6 hourly first 24 hours, then 12 hourly minimum.
Escalation: Nurse at the bed side or Nurse in-charge
Response: Nurse in-charge to review, if INEWS score is 1

Question 2

INEWS score 2

Answer 2

Minimum observation frequency: 6 hourly
Escalation: NiC
Response: NiC to review

Question 3

INEWS score 3

Answer 3

MFO: 4 hourly
Escalation: NiC and team / On- call SHO
Response: SHO or ANP to review within 1 hr.

Question 4

INEWS score 4-6. ( Think sepsis)

Answer 4

MFO: hourly
Escalation: Nic and team/ on call SHO
Response: SHO or ANP service to review within 1/2 hr. Screen for sepsis. If no response to Tx within 2 hr. Contact register and or ANP services. Consider continuous patient monitoring and consider transfer to higher level of care.

Question 5

INEWS score> or = 7

Answer 5

MoF : 1/2 hrs.

Escalation: Nic and team/ on call register/ on call consultant

Response: Register/ consultant/ ANO service to review immediately.
Continues pt monitoring+ Activate emergency response system as appropriate to hospital model. Consider transfer to higher level of care.

Question 6

INEWS score of 3 in any single parameter or score of 2 for HR < or = to 40.

Answer 6

MoF: 1/2 hourly or as indicated by patient condition.
Escalation: Nic and team/ On call SHO.
Response: Immediat review and activate emergency response system if no improvement.