Serious incidents

Question 1

What is a serious incident?

Answer 1

Unexpected or avoidable death of patients, staff, visitors or public
serious harm to patients

Question 2

What is NEWS score 0?

Answer 2

patient is stable, minimum of BD observations

Question 3

What is NEWS score 1-4 (low)?

Answer 3

Increase observations to 4 hourly or more

Monitor urine output and record observations chart

Question 4

What is NEWS score 5 or more? (medium ) or score 3 in one of the physiological parameters

Answer 4

Registered nurse must assess the patient, increase observations to 2 hrly for 6 hours minimum
Check blood glucose, contact FY2 and reg for review
alert NIC
strict fluid balance
screen for severe sepsis

Question 5

What is NEW score 7 or more?

Answer 5

inform nurse, must immediately asses and request immediate reg review
Increase obsto 1 hrly for 6 hours minimum
reg to discuss with consultant
contract critical care outreach team

Question 6

SBARR?

Answer 6

S-situation
B- Background
A-assessment
R- recommendations
R- review/response