NEWS 2 and vital signs Flashcards
who should NEWS2 not be used in
children below 16
pregnant women
what should be added to NEWS2 score of patient on supplemental oxygen
+2
what does an escalation of response refer to
urgency of response
clinical competencies of team required to review condition
what does NEWS2 score guide
clinical response and if escalation of care is needed
what should be done when a clinician believes a NEWS2 score underestimates/overestimates a patients condition
escalated to more senior decision maker
what is the clinical risk and response for a news 2 score 0-4
low
ward based
what is the clinical risk and response for a news 2 score of 3 in any parametre
low - medium
urgent ward based response
what is the clinical risk and response for a news 2 score 5-6
medium
urgent response
what is the clinical risk and response for a news 2 score 7+
high
urgent emergency response
step 1
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
step 2
resp rate
count rise and fall of chest over 30 seconds
couple with pulse rate
what is the most sensitive indicator of physiological status
resp rate
step 3
oxygen saturation
probe placed on fingertip
finger should be at rest
2 minutes
what does pulse oximetry measure
% oxygen saturated Hb in arterial blood
normal range of oxygen saturation
94-98%
what oxygen saturation may trigger concern in NEWS2
less than 96%
which patients may exhibit falsely high oxygen saturation scores?
black/brown skinned patients
pulse oximetry may be inaccurate in patients with..
anaemia, carbon monoxide exposure, arryhthmias
normal systolic
90-140 mmhg
normal diastolic
60-90 mmhg
step 4
blood pressure
normal pulse
60-100 bpm
step 5
level consciousness
ACVPU
alert
confusion
voice -responds by sounds/movement /eye opening
pain - responds by sounds/movement /eye opening
unresponsive
painful stimulus after no response to voice
interdigital pressure
nail bed pressure
normal temp
36.1 - 37.5
what does a tympanic thermometre measure
temp of tympanic membrane
probe in ear canal , gives core temp as membrane shares blood supply with the hypothalamus
what does a digital thermometre measure
measures temp in mouth, axilla or rectum
where is the digital thermometre placed for oral temp
under tongue , with lips closed
device beeps when reading recorded
which temp tends to have lower readings and is affected most by environmental conditions
axillary
how are resp scores recorded
dot
how are spo2 scores recorded
dot
how is air or oxygen recorded
letter eg A for Air
how is blood pressure recorded
2 numbers wrote in their interval boxes with double headed arrow between
how is conciousness recorded
letter eg A for alert
how is temp recorded
dot and number
how is pulse recorded
dot and number
what blood pressure reading is acknowledged in NEWS 2
systolic
