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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
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
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