problems with airway breathing circulation deterioration ... · deteriorating patient management...

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Deteriorating Patient Management Flow Chart Initial Assessment - A B C D E Problems with Airway Breathing Circulation Deterioration - Neurological E - Pyrexia/Hypothermia EWS 3 Notify Nurse in Charge & Team / On-Call SHO Initial Management Consider: Oxygen Airway Adjuncts IV access Blood Sugar Level EWS 4-6 EWS 7 Call For Help Patient Improving Do you have a diagnosis? Yes Definitive Management Plan Definitive Care 6SHFLDO ,QYHVWLJDWLRQV ,QIRUP 7HDP2Q&DOO &RQVXOWDQW 3ODQ WR WUDQVIHU WR KLJKHU OHYHO of care $FWLYDWH (PHUJHQF\ 5HVSRQVH System if required Yes No No 7HDP 2Q&DOO 5HJLVWUDU Team / On-Call SHO 1. If response is not carried out as above, CNM/Nurse in charge must contact the Registrar or Consultant. 2. If you are concerned about a patient, escalate care regardless of score. Important National Early Warning Score Version 3 December 2011

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Deteriorating Patient Management Flow Chart

Initial Assessment - A B C D EProblems withAirwayBreathingCirculationDeterioration - NeurologicalE - Pyrexia/Hypothermia

EWS 3Notify Nurse in Charge & Team / On-Call SHO

Initial ManagementConsider: Oxygen Airway Adjuncts IV access Blood Sugar Level

EWS 4-6

EWS 7

Call For Help

Patient Improving

Do you havea diagnosis?

Yes

DefinitiveManagement Plan Definitive Care

of care

System if required

Yes No

No

Team / On-Call SHO

1. If response is not carried out as above, CNM/Nurse in charge must contact the Registrar or Consultant. 2. If you are concerned about a patient, escalate care regardless of score.

Important

National Early Warning Score

Version 3 December 2011