Critical Illness Risk Assessment Tool National Early Warning Score version 2 NEWS 2 in Adult Patients CA2000 v11
To provide guidance on the recording of physiological observations and the use of a critical illness risk assessment tool. Furthermore this guideline advises on the action to take when a patient is at risk of acute physiological deterioration.
The NEWS2 Call-out-cascade has clear objectives:
- Identifying an appropriate level and frequency of monitoring
- Prompt nursing assessment and action to implement simple measures to improve patient’s condition or decision to call Dr.
- Rapid medical review of deteriorating patients
Early senior medical involvement if the patient is;
- identified early as at high risk for deterioration
- remains unwell or deteriorates despite initial treatment
- needing consideration for referral to other specialist areas
- Early consideration and identification of Sepsis as the cause for triggering score
- Identifying urine output and risk of acute kidney injury in the acutely unwell/deteriorating patient.
- Identification of ceiling of treatment clarification of resuscitation status for deteriorating patients with clearly documented management plans.
To encourage liaison with Critical Care Outreach Nursing Team for advice and support in managing the deteriorating ward patient
Clinical GuidelinesThis guideline has been approved by the Trust's Clinical Guidelines Assessment Panel as an aid to the diagnosis and management of relevant patients and clinical circumstances. Not every patient or situation fits neatly into a standard guideline scenario and the guideline must be interpreted and applied in practice in the light of prevailing clinical circumstances, the diagnostic and treatment options available and the professional judgement, knowledge and expertise of relevant clinicians. It is advised that the rationale for any departure from relevant guidance should be documented in the patient's case notes.
The Trust's guidelines are made publicly available as part of the collective endeavour to continuously improve the quality of healthcare through sharing medical experience and knowledge. The Trust accepts no responsibility for any misunderstanding or misapplication of this document.