Pews Charts 0 3 Months

Event Record for PEWS score ≥6

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Hospital Logo

Paediatric Observation Chart

0-3 Months

Date

Time

PEWS

Nurse In itia s & NMBI

A er ert

Addressograph

Ward Ward

Consultant

Consultant

Escalation Guide PEWS does not replace an emergency call Score

Minimum Observations

2

4 hourly 2 - 4 hourly

3*

1 hourly

1

Minimum Alert

Assessment of Respiratory Eﬀort

Minimum Response Any trigger should prompt increase in observation frequency as clinically appropriate

Nurse in Charge

d rway Behaviour nd feeding

30 minutes

6

Continuous

Nurse in Charge + Charge + Doctor on call + Senior Doctor + Consultant

Urgent SENIOR medical review

Urgent medical review



Continuous

URGENT PEWS CALL

Immediate local response team

* Pink score in any parameter merits review

esprato ate Accessory usce use xygen

PEWS does not replace clinical concern

ISBAR

Identify

Situation

Communication Communicat ion Tool

Background

A ssessment ssessment

Recommendation

ther

evere

• d str do dor t est • Some/int Some/intermit ermittent tent rrita rritabili bility ty • Difficu Difficultl ltly alk alking ing/c /c ing • Dif Diffic ficult ultlyfeedi lyfeeding n g or e ti ting ng

• • • • •

•

•

• R es espir to te n ink zo zone • Inc Incre reas ased ed r ar arke kedl dly y re redu duce ced d respir to te he ch c hild ti tires

Nurse in Charge review

Nurse in Charge + Doctor on call

4-5

oderate

• tr tr d or or exert o n c y n g • Normal Normal • Tal alks ks in sente sentences nces

dy nc ncre reas ased ed

n

es e sp r to ue zone

te

S tr tr id or or t es t Increased Increa sed rrita rritabili bility t y and/o and/orr etha ethargy rgy L oo oo s e x a us us te te d Un ab Un ab le t o t al alk r r y U na nable to t o fe feed t

• Mildint Mildinter erco cost stal al nd suprasternal recession

• Moderateintercost Moderateintercostal al and suprastern supra sterna a recesson • Nasa Nasall flaring ng

• Marked Marked nterc ntercostal ostal, supras suprasterna ternall and sternal recession

• No requrement

• Mildhypoxem Mildhypoxemia ia corrected corrected by oxyge oxygen n • In Increasing equirement

• H Hy ypoxemia ot be be corrected by oxygen • Gasping,gruntin Gasping,grunting g • xtreme pa pa o , nos s • Apno Apnoea ea

Medical Escalation Suspension Date / Time

Next Medical Review

Suspension Conditions

Doctor Signature/Print name /MCRN

Start Date: Start Time: End Date: End Time: Start Date: Start Time: End Date: End Time: Start Date: Start Time: End Date: End Time:

Paediatric Sepsis 6 Recognition

TAKE 3

2 or more of the following • Core temperature <36°C or >38.5°C • Inappropriate tachypnoea • Inappropriate tachycardia • Reduced peripheral perfusion • Altered mental status • Consider co-morbidities

<60 Mins.

Suspected or proven sepsis

• IV or IO access and take blood samples • Urine output measurement • Early SENIOR input

Within 60 minutes

GIVE 3 <60 Mins.

• High flow oxygen • IV/IO fluids & consider early inotropic support • Broad spectrum IV/IO antimicrobials

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Pews Charts 0 3 Months

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