NEWS 2 and vital signs

Question 1

who should NEWS2 not be used in

Answer 1

children below 16

pregnant women

Question 2

what should be added to NEWS2 score of patient on supplemental oxygen

Answer 2

+2

Question 3

what does an escalation of response refer to

Answer 3

urgency of response

clinical competencies of team required to review condition

Question 4

what does NEWS2 score guide

Answer 4

clinical response and if escalation of care is needed

Question 5

what should be done when a clinician believes a NEWS2 score underestimates/overestimates a patients condition

Answer 5

escalated to more senior decision maker

Question 6

what is the clinical risk and response for a news 2 score 0-4

Answer 6

low

ward based

Question 7

what is the clinical risk and response for a news 2 score of 3 in any parametre

Answer 7

low - medium

urgent ward based response

Question 8

what is the clinical risk and response for a news 2 score 5-6

Answer 8

medium

urgent response

Question 9

what is the clinical risk and response for a news 2 score 7+

Answer 9

high

urgent emergency response

Question 10

step 1

Answer 10

document patient details at top of NEWS2 chart using black pen and in CAPITALS
attach pre printed sticker

date in DD/MM/YYYY
time in 24 hr clock

clean stethoscope

Question 11

step 2

Answer 11

resp rate

count rise and fall of chest over 30 seconds

couple with pulse rate

Question 12

what is the most sensitive indicator of physiological status

Answer 12

resp rate

Question 13

step 3

Answer 13

oxygen saturation

probe placed on fingertip
finger should be at rest
2 minutes

Question 14

what does pulse oximetry measure

Answer 14

% oxygen saturated Hb in arterial blood

Question 15

normal range of oxygen saturation

Answer 15

94-98%

Question 16

what oxygen saturation may trigger concern in NEWS2

Answer 16

less than 96%

Question 17

which patients may exhibit falsely high oxygen saturation scores?

Answer 17

black/brown skinned patients

Question 18

pulse oximetry may be inaccurate in patients with..

Answer 18

anaemia, carbon monoxide exposure, arryhthmias

Question 19

normal systolic

Answer 19

90-140 mmhg

Question 20

normal diastolic

Answer 20

60-90 mmhg

Question 21

step 4

Answer 21

blood pressure

Question 22

normal pulse

Answer 22

60-100 bpm

Question 23

step 5

Answer 23

level consciousness
ACVPU

alert
confusion
voice -responds by sounds/movement /eye opening
pain - responds by sounds/movement /eye opening
unresponsive

Question 24

painful stimulus after no response to voice

Answer 24

interdigital pressure

nail bed pressure

Question 25

normal temp

Answer 25

36.1 - 37.5

Question 26

what does a tympanic thermometre measure

Answer 26

temp of tympanic membrane

probe in ear canal , gives core temp as membrane shares blood supply with the hypothalamus

Question 27

what does a digital thermometre measure

Answer 27

measures temp in mouth, axilla or rectum

Question 28

where is the digital thermometre placed for oral temp

Answer 28

under tongue , with lips closed

device beeps when reading recorded

Question 29

which temp tends to have lower readings and is affected most by environmental conditions

Answer 29

axillary

Question 30

how are resp scores recorded

Answer 30

dot

Question 31

how are spo2 scores recorded

Answer 31

dot

Question 32

how is air or oxygen recorded

Answer 32

letter eg A for Air

Question 33

how is blood pressure recorded

Answer 33

2 numbers wrote in their interval boxes with double headed arrow between

Question 34

how is conciousness recorded

Answer 34

letter eg A for alert

Question 35

how is temp recorded

Answer 35

dot and number

Question 36

how is pulse recorded

Answer 36

dot and number

Question 37

what blood pressure reading is acknowledged in NEWS 2

Answer 37

systolic