NEWS Flashcards
what are the six simple physiological parameters from the basis of the scoring system of NEWS
- respiration rate
- oxygen saturation
- systolic blood pressure
- pulse rate
- level of consciousness or new confusion
- temperature
what age group can it be used for
aged 16 and above
not if pregnant or spina cord injuries
what are the benefits of news
-single standardised early warning system
-good for continuous monitoring all patients- track and trigger
-standardised means of identifying and responding to patients with unanticipated acute deterioration
-standardised score to determine illness severity
-facilitate timely triage to appropriate setting
-common language
what is track and trigger
track- provide continuous record of a patient’s physiological status throughout patient journey
trigger- provide standardised platform for initial assessment of acute illness severity
what to do when establishing NEWS
measure
record
calculate- check if any single parameter has a score of 3
identify- urgency of response, clinical competencies of responder, frequency of clinical monitoring required, most appropriate clincila setting for ongoing care
how many scoring scales are there for SpO2
2
should you add a weighting score of 2 if patient is requiring supplemental oxygen
yes
what is known as a red score
a value of 3
important to write the values of these on the chart
what score gives a high clinical risk
7+ (continuous monitoring of vital signs)
5-6 medium (minimum 1 hour)
3 in any individual parameter low-medium (minimum 1 hour)
0-4 low (1-4 min 4-6 hours)
0 (min 12 hours)
when should you think of sepsis
score of 5 or more
also if evidence of infection and a score of 3 in one parameter
when should you think of sepsis
score of 5 or more
also if evidence of infection and a score of 3 in one parameter