Lecture 4 - Deterioration

Question 1

What is the NEWS2 scale used ofr?

Answer 1

A system used to measure different vital signs and give a score based on their variance from normal

Question 2

What does a higher NEWS score mean?

Answer 2

Higher scores mean a greater deviation from normal and therefore greater need for concern (within the context of each patient as some patients have higher NEWS scores as their normal)

Question 3

How many categories are there in NEWS2 and what does the score range from for each?

Answer 3

7 categories
0-3

Question 4

What two types of scoring on the NEWS2 scale requires seeing by a professional?

Answer 4

Section scoring a 3
NEWS2 total score > 7

Question 5

What are the elements of the NEWS2 scale?

Answer 5

Systolic blood pressure
Pulse rate
Oxygen saturations
Respiratory rate
Temperature
Consciousness
Room air or oxygen

Question 6

How does NEWS2 differ from NEWS?

Answer 6

There are two different options for oxygen saturation depending on whether the patient is scale 1 or scale 2

Question 7

What are some signs of deterioration related to airway in an A-E assessment?

Answer 7

Can’t speak
Stridor
Wheezing while breathing
Absent breath sounds
Evidence of blockage (i.e. choking
Colour of patient

Question 8

What are some signs of deterioration that come under Circulation in an A-E assessment?

Answer 8

Heart rate - bradychardia and tachycardia
Abnormal blood pressure (drop or rise)
Capillary refill > 2 seconds
Colour
Urine output
Temperature

Question 8

What are some signs of deterioration that would come under breathing in an A-E assessment?

Answer 8

Chest movements
Respiratory rate falls or rises
Colour
Auscultation
CXR
ABG
Sputum
Coughing
SpO2
Breathing pattern

Question 8

What are some signs of deterioration that come under Disability in an A-E assessment

Answer 8

CVPU
Blood glucose levels too low
Pain
Pupils
Medication

Question 9

What are some signs of deterioration that come under Exposure in an A-E assessment

Answer 9

Skin colour and temperature
Bleeding wounds
Drugs
Devices
Oedema

Question 9

What does SBAR stand for and refer to when escalating your findings to another practitioner?

Answer 9

Situation - what is the current deterioration, give reasons, figures etc
Background - give any relevant background of the patient’s conditions, past medical history etc
Assessment - your assessment and clinical impression based on the situation
Recommendation - your recommendation for