NEWS 2

Question 1

How do you document a NEWS 2 chart?

Answer 1

Dots in relevant boxes.
Only use figures when required.
Legibly write the name and DOB of the patient, and the date and time.

Question 2

What are A + B on a NEWS 2 chart?

Answer 2

Resp rate.
SpO2 (including chronic hypoxia patients).
If they are on oxygen.

Question 3

What is C on a NEWS 2 chart?

Answer 3

Blood pressure.
Pulse.

Question 4

What are D + E on a NEWS 2 chart?

Answer 4

Changes in neuroresponse.
Temperature.

Question 5

What else is documented on a NEWS 2 chart?

Answer 5

Blood glucose.
Pain score.
Fluid balance.
Escalation of care.

Question 6

How do you respond to NEWS 2 scores?

Answer 6

0 - ward-based response.
3 in anything - urgent ward-based response.
5-6 - key threshold for urgent response.
7+ - urgent or emergency response.

Question 7

How is a sepsis screening tool used?

Answer 7

Patient with a NEWS score >5 or of clinical concern or suspected neutropaenia.

Question 8

What is a CNS observation chart?

Answer 8

Used in acute care areas.
Considers coma, limb movement and seizures.

Question 9

What is a SPICT?

Answer 9

A guide to identifying people at risk of deteriorating health and dying.

Question 10

What is an escalation plan?

Answer 10

1. Inform the nurse in charge / FY1.
2. Inform the advanced nurse practitioner / FY2.
3. Inform a doctor.
4. Inform a consultant or senior doctor.