SBAR

Question 1

NEWS Score 0

Answer 1

Monitor minimum 12 hourly

Continue routine NEWS monitoring

Question 2

NEWS Score 1-4

Answer 2

Monitor minimum 4-6 hourly

Inform registered nurse, who must assess patient

Registered nurse decides whether increased frequency of monitoring and/or escalation of care is needed

Question 3

NEWS Score 3 in single parameter

Answer 3

Monitor minimum 1 hourly

Registered nurse to inform medical team caring for patient, who will review and decide whether escalation is needed

Question 4

NEWS Score total 5 or more

Answer 4

Monitor minimum 1 hourly

Registered nurse to immediately inform medical team caring for patient

Registered nurse to request urgent assessment by a clinician or team with care competencies in care of acutely ill patients

Provide clinical care in environment with monitoring facilities

Question 5

NEWS Score total 7 or more

Answer 5

Continuous monitoring of vitals

Registered nurse to immediately inform medical team - should be at least at specialist registrar level

Emergency assessment by team with critical care competencies, including practitioners with advanced airway management skills

Consider transfer of care to a level 2 or 3 clinical care facility i.e. higher-dependency unit or ICU

Clinical care in an environment with monitoring facilities