OSCE

Question 1

What is the protocol for a FEWS score of 0-2?

Answer 1

Minimum of daily observation

Continue routine FEWS monitoring with every set of observations

Question 2

What is the protocol for a FEWS score of 3?

Answer 2

Minimum hourly observation

Inform Nurse in Charge
Consider if escalation of care is required

Question 3

What is the protocol for a FEWS score of 4 (or 3 for more than 1 hour)?

Answer 3

Minimum hourly observation

Inform Nurse in Charge + Foundation Doctor

Clinical Review Required within 1h

Question 4

What is the protocol for a FEWS score of 5/6 (or 4 for more than 1 hour)?

Answer 4

Minimum hourly observation

Inform Nurse in Charge
Inform Team or On-Call Specialist Trainee

Clinical Review Required within 1hr

Question 5

What is the protocol for a FEWS score of more than 7 (or 6 for more than 1 hour)?

Answer 5

Minimum hourly observation

Consider continuous monitoring of vital signs

Inform Nurse in Charge + On Call Consultant

Must attend within 30mins

Question 6

What is the protocol for a FEWS score of over 7 with no improvement after 1 hour and no decision to limit escalation?

Answer 6

Minimum hourly observation

Inform On Call Consultant

Consider transfer of clinical care to HDU/ITU