SlideShare a Scribd company logo
1 of 22
Recognition of Criticality &
NEWS
Presented By,
Mr. Ramaprasad S M.Sc (N),SCEM
Associate Professor
Dept. Medical Surgical Nursing
Trainer in Skills Lab/FRT/GFATM/ENLS/BCLS/TCLS
/Guide/Co Guide for KSOU/Reviewer
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 1
Objectives of the session
At the End of the session the participants will be able to
1. Understand the role of the vital signs in critically ill
patients
2. Use NEWS to identify the unstable patients
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 2
Introduction
Recognition of critical illness and life threatening
conditions is the first step in managing an emergency.
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 3
How can we recognize the critical
illness?
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 4
With experience the nurse can recognize the critical illness by
understanding sick or not sick or
Stable or Unstable by reviewing the vitals and appearance
How can we recognize the critical
illness?
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 5
This session will focus on,
Recognition of critical illness and NEWS
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 6
NEWS
NATIONAL EARLY WARNING SCORE
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 7
What is NEWS?
NEWS is a Scoring Grid to track the clinical condition of
the patients to trigger a clinical response using
physiological parameter
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 8
Purpose of NEWS
1. To qualify Triage
2. To initiate timely treatment
3. To refer a patient for definitive care
4. Acts as a means of communication between health
care professionals
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 9
Clinical vital signs
Gives the most important
clues in determining the
criticality
(TPR & BP)
Adjunct Vital signs
Can help in determining the
criticality
(Mental Status/Pulse
quality/Skin colour/CRT/CBG)
Differences
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 10
Components of NEWS
Heart Rate
Respiratory
Rate
Oxygen
Saturation
On Oxygen
Temperature
S
y
s
t
o
l
i
c
B
P
L
O
C
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 11
NEWS Scale
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 12
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 13
Interpretation of
NEWS Score
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 14
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 15
Case Scenario
Smt. Kumudha aged 70 years old a known case of COPD for 10
years is bought to the hospital emergency department with
shortness of breath, Fever, and cough. On arrival her vitals are
T:99 C, HR:120 b/m, RR:30 b/m, BP:150/90mmhg, O2:80% with
3L of oxygen.
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 16
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 17
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 18
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 19
Find The Score and Discuss
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 20
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 21
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 22

More Related Content

More from Ram Prasad

Cerebro vascular accident
Cerebro vascular accidentCerebro vascular accident
Cerebro vascular accident
Ram Prasad
 
Neurological examination
Neurological examinationNeurological examination
Neurological examination
Ram Prasad
 

More from Ram Prasad (13)

ram forum 3.pptx Disease X the upcoming pandemic
ram forum 3.pptx Disease X the upcoming pandemicram forum 3.pptx Disease X the upcoming pandemic
ram forum 3.pptx Disease X the upcoming pandemic
 
TGN.pptx trigeminal neuralgia achronic neurological disorder of sensory and m...
TGN.pptx trigeminal neuralgia achronic neurological disorder of sensory and m...TGN.pptx trigeminal neuralgia achronic neurological disorder of sensory and m...
TGN.pptx trigeminal neuralgia achronic neurological disorder of sensory and m...
 
cardiac cycle.pptx ESSENTIAL INFORMATIONS TO STUDY
cardiac cycle.pptx ESSENTIAL INFORMATIONS TO STUDYcardiac cycle.pptx ESSENTIAL INFORMATIONS TO STUDY
cardiac cycle.pptx ESSENTIAL INFORMATIONS TO STUDY
 
ECG.pptx ECG is the key diagnostic assessment to find the cardiac abnormali...
ECG.pptx  ECG is the key  diagnostic assessment to find the cardiac abnormali...ECG.pptx  ECG is the key  diagnostic assessment to find the cardiac abnormali...
ECG.pptx ECG is the key diagnostic assessment to find the cardiac abnormali...
 
oxygenation needs.pptx
oxygenation needs.pptxoxygenation needs.pptx
oxygenation needs.pptx
 
GBS.pptx
GBS.pptxGBS.pptx
GBS.pptx
 
Organization
OrganizationOrganization
Organization
 
Ot nursing
Ot nursingOt nursing
Ot nursing
 
Bio medical waste mgt
Bio medical waste mgtBio medical waste mgt
Bio medical waste mgt
 
Nursing as a profession
Nursing as a professionNursing as a profession
Nursing as a profession
 
Neuman teory
Neuman teoryNeuman teory
Neuman teory
 
Cerebro vascular accident
Cerebro vascular accidentCerebro vascular accident
Cerebro vascular accident
 
Neurological examination
Neurological examinationNeurological examination
Neurological examination
 

Recently uploaded

Recently uploaded (20)

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur  Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Guntur  Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Guntur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 

NATIONAL EARLY WARNING SCORE AND recognition of criticality of illness

  • 1. Recognition of Criticality & NEWS Presented By, Mr. Ramaprasad S M.Sc (N),SCEM Associate Professor Dept. Medical Surgical Nursing Trainer in Skills Lab/FRT/GFATM/ENLS/BCLS/TCLS /Guide/Co Guide for KSOU/Reviewer 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 1
  • 2. Objectives of the session At the End of the session the participants will be able to 1. Understand the role of the vital signs in critically ill patients 2. Use NEWS to identify the unstable patients 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 2
  • 3. Introduction Recognition of critical illness and life threatening conditions is the first step in managing an emergency. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 3
  • 4. How can we recognize the critical illness? 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 4
  • 5. With experience the nurse can recognize the critical illness by understanding sick or not sick or Stable or Unstable by reviewing the vitals and appearance How can we recognize the critical illness? 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 5
  • 6. This session will focus on, Recognition of critical illness and NEWS 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 6
  • 7. NEWS NATIONAL EARLY WARNING SCORE 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 7
  • 8. What is NEWS? NEWS is a Scoring Grid to track the clinical condition of the patients to trigger a clinical response using physiological parameter 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 8
  • 9. Purpose of NEWS 1. To qualify Triage 2. To initiate timely treatment 3. To refer a patient for definitive care 4. Acts as a means of communication between health care professionals 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 9
  • 10. Clinical vital signs Gives the most important clues in determining the criticality (TPR & BP) Adjunct Vital signs Can help in determining the criticality (Mental Status/Pulse quality/Skin colour/CRT/CBG) Differences 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 10
  • 11. Components of NEWS Heart Rate Respiratory Rate Oxygen Saturation On Oxygen Temperature S y s t o l i c B P L O C 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 11
  • 12. NEWS Scale 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 12
  • 13. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 13
  • 14. Interpretation of NEWS Score 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 14
  • 15. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 15
  • 16. Case Scenario Smt. Kumudha aged 70 years old a known case of COPD for 10 years is bought to the hospital emergency department with shortness of breath, Fever, and cough. On arrival her vitals are T:99 C, HR:120 b/m, RR:30 b/m, BP:150/90mmhg, O2:80% with 3L of oxygen. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 16
  • 17. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 17
  • 18. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 18
  • 19. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 19
  • 20. Find The Score and Discuss 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 20
  • 21. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 21
  • 22. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 22