Korean Journal of Clinical Geriatrics

Table. 5. Table 5

Clinical response to the national early warning score trigger thresholds

NEWS score	Frequency of monitoring	Clinical response
0	Minimum 12 hourly	✓ Continue routine NEWS monitoring
1-4	Minimum 4-6 hourly	✓ Inform registered nurse, who must assess the patient
✓ Registered nurse decides whether increased frequency of monitoring and/or escalation of care is required
3 in single parameter	Minimum 1 hourly	✓ Registered nurse to inform medical team caring for the patient, who will review and decide whether escalation of care is necessary
Total 5 or more	Minimum 1 hourly	✓ Registered nurse to immediately inform the medical team caring for the patient
✓ Registered nurse to request urgent assessment by a clinician or team with core competencies in the care of acutely ill patients
✓ Provide clinical care in an environment with monitoring facilities
Total 7 or more	Continuous monitoring	✓ Registered nurse to immediately inform the medical team caring for the patient – this should be at least at specialist registrar level
✓ Emergency assessment by a team with critical care competencies, including practitioner(s) with advanced airway management skills
✓ Consider transfer of care to ICU
✓ Clinical care in an environment with monitoring facilities

Note: Data from Royal College of Physicians [36].