This document outlines a course plan for a Pediatric Early Warning Scoring System PhD nursing program. The 70-hour course is designed to help students develop an understanding of the basic concepts of pediatric early warning scores and enhance their critical thinking and ability to identify the clinical status of children. It covers the history of pediatric critical care, methods of pediatric assessment and abnormality interpretation, identifying early clinical deterioration, communication skills, demonstrating PEWS charting, benefits of PEWS, hospital policies regarding implementation, and analyzing research studies related to PEWS. The course is divided into 8 units involving both theory and practical sessions.

1. RAGIV GANDHI UNIVERSITY OF HEALTH SCIENCES
Course Plan
Subject: PEADIATRIC EARLY EARNING SCORING
Placement: PhD NURSING
Batch: 2021-22

2. SUBJECT: PEADIATRIC EARLY WARNING SCORING SYSTEM
ALLOTTED HOURS: 70 hours
COURSE DESTRIPTION
This course is designed to enable students to develop an understanding the basic concepts of Paediatric early warning score
system. It will also enhance students critical thinking and ability to identify clinical status of children.
GENERAL OBJECTIVE
On completion of the course, the students will be able to acquire knowledge on PEWS develop skill in method of scoring
system and early detection of deterioration of children. It will enable them to identify complications early to improve children
outcome.

3. SPECIFIC OBJECTIVES
On completion of this program students will be able to
1. Describe history of Paediatric critical care
2. Appreciate the methods of assessment and interpret the abnormal
3. Students will be able to identify early detection of clinical status of children
4. Use communication skills appropriately with health care personnel in their clinical practice
5. Demonstrate PEWS charting effectively in Paediatric patients
6. List the benefits of PEWS and use it in clinical practice
7. Describe the different hospital policies regarding PEWS implementation
8. Analyses the research studies and report related PEWS

4. COURSE PLAN
UNIT SPECIFIC OBJECTIVE TIME
(Hours)
CONTENT
Unit -1 Students will be able to
describe history of
Paediatric critical care
4
History of Paediatric Critical Case
(a) Critical Care Nursing
(b)Monitoring
(c) Documentation
(d)Policies of transfers from ward to PICU/NICU
Unit-2 Students will be able to
appreciate the methods of
assessment and interpret the
abnormal
6
Paediatric Assessment
(a) Methods
(b)Clinical Parameters
(c) Normal Values
(d)Abnormalities/Variations Significance
(e) Clinical deteriorations- Nurses Role
Unit- 3 Students will be able to
demonstrate the skills in
identify early detection of
clinical status of children
5 Nurses Role
(a) Early detection and management of clinical deterioration
of children
(b)Alerting Rapid Response Team function
(c) Algorithm of action and documentation

5. Unit- 4 Students will be able to
use communication skills
appropriately with health
care personnel in their
clinical practice
5 Communication to other health care members
(a) Oral communication
(b)Telephonic communication
(c) Charting
(d)Reporting
(e) Code blue alerts
Unit-5 Students will be able to
demonstrate PEWS charting
effectively in Paediatric
patients
5
6
Assessment Tools
(a) MEWS
(b)BPEWS
(c) PEWS Charts
Development of PEWS
(a) Purposes
(b) PEWS models & Validation
(c) Review of PEWS Scores
(d) Method of charting
(e) Effectiveness of PEWS in patient care

6. Unit -6
Students will be able to list
the benefits of PEWS and
use it in clinical practice
2
4
(Practicals)
4 (Theory)
Benefits of PEWS
(a) Patients
(b)Health care team
(c) Organization
Education and training of Nurses
(a) OSCE Teaching
Application of PEWS and clinical practice
(a) Emergency Wards
(b)Paediatric Wards
(c) PICU
Unit-7 Students will be able to
describe the different
hospital policies regarding
PEWS implementation
6+6
(Practicals)
Hospital Policies related to PICU transfers
(a) Rapid Response Team- alerts
(b) Action Algorithm
(c) PEWS Implementation
(d) Audit Report

7. Unit-8 Students will be able to
analyses the research studies
and report related PEWS
10 Research studies on PEWS implementations
(a) Effectiveness of PEWS in improving clinical outcome of
children
(b)Health care personnel opinion
(c) Sensitivity of PEWS to identify clinical status of children
(d) PEWS implementation in limited rural setting.