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Nursing

Record vital signs and NEWS2

Available to

Nurses.

When you record the six observations, Ventrecs calculates the NEWS2 early-warning score, shows the risk band and the recommended response, and alerts the clinician when the patient needs review.

Record observations

  1. Open Nursing → Vital Signs and select New.
  2. Choose the Patient and the Encounter. Check Recorded At.
  3. Enter Respiration Rate, SpO2, Systolic and Diastolic blood pressure, Pulse and Temperature.
  4. Choose Consciousness: Alert, New confusion, Responds to voice, Responds to pain or Unresponsive.
  5. Tick Supplemental Oxygen if the patient is on oxygen. For a patient with a prescribed hypercapnic target, choose Spo2 Scale 2 (88–92%).
  6. Optionally enter Pain Score (0 to 10) and Blood Glucose.
  7. Save. The NEWS2, Risk and Recommended Response appear.
A recorded set of observations with a high NEWS2 score. The banner states the recommended response.
A recorded set of observations with a high NEWS2 score. The banner states the recommended response.

NEWS2 risk bands

RiskWhen it appliesRecommended response shown
IncompleteOne of the six parameters is missing.Record all six NEWS2 parameters.
LowTotal 0 to 4 with no single parameter at 3.Routine monitoring (0), or observations at least every 4 to 6 hours (1 to 4).
Low-mediumAny single parameter scoring 3.Review by a competent clinician; observations at least hourly.
MediumTotal 5 or 6.Urgent review by a clinician competent in acute illness; hourly observations.
HighTotal 7 or more.Emergency response: continuous monitoring, immediate senior assessment, consider critical care.
Vital signs list: rows needing action are red, and the Escalation column shows whether a clinician has acknowledged them.
Vital signs list: rows needing action are red, and the Escalation column shows whether a clinician has acknowledged them.

Vital signs are clinical records and cannot be deleted. To correct a mistake, record a new set.

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