1
True or False A score of 0 requires an increase in monitoring of vital signs
False
A score of 1-4 with no change in condition requires this.
A progress note
A score of 3 in a single parameter requires the attention of this person.
The most responsible Physician
A score of 7 or more requires this frequency of vital signs.
Q15 minutes
A score of 7 or more suggests a call/page to this hospital service.
Rapid Response
When writing a note about a NEWS2 score, what foci header do you use?
Change in Condition/Critical event
True. You must write a progress note and/or change the frequency of vital signs.
True or false; your patient has a NEWS2 score of 3 and you are genuinely concerned about your patient, it is alright to call the MD about this patient.
True it is just a tool, the nurses have the clinical judgement and the assessment skills
We use this standardized communication method when coming on to shift and going off shift that we can use to tell our buddies about a concerning NEWS2 score
bedside shift report at TOA
When the score is high what clinical condition are we to think?
Think Sepsis
True or False the NEWS2 clinical response is considered optional depending on the score
False a progress note must be made if no change in frequency or MD call
This is when a progress note is to be made.
Any change in condition or no need for increase in VS frequency
A BP of 220 would generate a score of this
score of 3
Your patient needs to be yelled at to wake up. This is new, this is the score that would generate on the tool
score of 3
An RPN has a patient with a new score of 6. She would let know this person on the nursing team know what the current status of the patient is.
RN buddy and CF/CN
Name the types of patient’s where NEWS2 is not applicable
Palliative, Pediatrics, ICU patients
Name 2 places in the electronic chart where the NEWS2 score is pulled to.
Clinical panels (sepsis and patient overview) & Snap Shot
We use this standardized communication method to talk with the MD when we have a concern with our patient.
CHAT tool
communication, history, assessment, treatment
The NEWS2 score and these other assessments should be included in your call to the MD.
Physical assessment, Beh/cognition changes, input and output, new labs, changes since last notification to MD, pain assessment.
The VS are as follows BP of 80/60, HR or 102, temp 38, O2 of 95 and RR of 18 name this possible clinical deterioration.
Think Sepsis
This is the place where you can find a quick guide for the clinical response and scoring tool.
Meditech 'P'
The scale 2 was created for patients with this difference
O2 saturations between 88-92 or on home oxygen
Name all the clinical responses for a new NEWS2 score of 5.
call the MRP, check VS Q1hr, write a progress note, and if you are an RPN talk to the RN.
True or false: Your patient scored a 5 this morning, the patient scored a 5 last evening and yesterday morning. The MD is already aware. No clinical response is necessary, nothing needs to be documented.
False a progress note is still needed to note that you are aware of the score and aware of the current treatment for your patient.
Name that place where the correct procedures for NEWS2 is located
In the Nursing policy and procedures manual located in the 'S' drive or on the desktop of your VDI screen.