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NEWS Observation Chart Name: Hospital Number: Date of birth: Age: Sex: Ward: Admission Date: NEWS Score on Admission: This form should be used for recording observations, NEWS score and associated actions/communication in relation to a deteriorating patient. Please also refer to the NEWS policy in relation to urine output as a marker for deterioration. Fluid balance should be continued on current charts used within your clinical environment. In the event of a 2222 call medical emergency/cardiac or respiratory arrest please also complete the Medical Emergency Form in addition to any documentation here. NEWS Chart Version 8 FINAL July 2013 Urine/ 4hour period Date/Time >250ml s/hr NEWS Score >50mls/ hr Action/Escalation 2550mls/ hr <25mls/ hr Nil Signed/Print Deteriorating Patient Escalation Algorithm Low Risk UO >50mls/hr Medium Risk High Risk UO 25-50mls/hr UO <25mls/hr OR >250mls/hr NEWS SCORE 1-4 NEWS SCORE 5 OR 3 in 1 parameter NEWS Score >7 Inform nurse in charge Inform nurse in charge Inform nurse in charge Repeat observations in 1 hour Commence hourly observations Commence continuous monitoring Increase frequency of observations using clinical assessment skills Start fluid balance chart Immediate review by Critical Care Outreach Team and SpR Continue minimum of 4 hourly observations Contact Critical Care Outreach Team Start fluid balance chart If no medical response in 15 minutes contact SpR Contact SHO If no SpR response in 15 minutes contact Consultant Document your actions Patient Status Improving Continue local management Repeat observations as necessary Document your actions If no SpR response in 15 minutes contact Consultant In the event of severe Airway/Breathing or Circulatory compromise immediately call medical emergency team 2222 Document your actions Patient Status NOT Improving IMMEDIATELY CALL MEDICAL EMERGENCY TEAM 2222 Alterations of triggers only to be completed by Registrar or Consultant or Critical Care Outreach and rationale to be documented in medical notes. ANY alteration must be reviewed regularly- i.e. at least twelve hourly Date: Time: Current score: New trigger score: Grade of person: Signature: There may be occasions when long-term alterations of NEWS triggers are acceptable. This is when a patient has significant co-morbidities/underlying disease process or receiving specific drug therapy, and in these circumstances it would not be necessary to review twelve hourly as long as it is clearly documented below: Date: Time: Current score: New trigger score: Grade of person: Signature: