Korean Journal of Clinical Geriatrics

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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].

Korean J Clin Geri 2021;22:67-74 https://doi.org/10.15656/kjcg.2021.22.2.67
© 2021 Korean J Clin Geri