Title Page

  • Document No.

  • Observation Focus

  • Clinical Area

  • Conducted on

  • Prepared by

  • Location
  • Personnel

INSTRUCTIONS FOR THE OBSERVER

  • 1. Ask your colleague to talk you through what they will do to take systematic observations of the patient

    2. Show the checklist and check any misconceptions (if time permits ask a 'what if question; e.g. if the patient is not responsive what will you do?)

    3. Observe your colleague doing a systematic assessment and nEWS.

    4. Once the assessment is complete, check the documentation and probe the interpretation of results ( Are you concerned? Why? Why not?)

    5. Send your observations in an email for your colleague's portfolio and for revalidation

CLINICAL OBSERVATIONS - nEWS

  • 1. Introduces themselves to the patient, explains the task appropriately and gains consent

  • 2. Ensures the patient's name and hospital number are correctly documented on the EWS chart

  • 3. Identifies the radial pulse and correctly and identifies the rate and rhythm (e.g. was it rapid?)

  • 4. Identifies correctly and records the respiratory rate and pattern (e.g. shallow breaths? use of accessory muscles?)

  • 5. Records accurate oxygen saturation and understands the significance of the heart rate display (e.g. compares with manual pulse check for accuracy)

  • 6. Records the flow rate of oxygen, the device in use and identifies if the patient is within the prescribed saturation parameters

  • 7. Records reads and documents the temperature correctly

  • 8. Performs an accurate assessment of AVPU asking open questions

  • 9. In measuring blood pressure, selects the correct size BP cuff, positions it correctly on the patient's arm, and uses automated medical device appropriately to obtain BP.

  • 10. Records EWS parameters correctly,, calculates score accurately and documents

  • 11. Interprets the EWS score, identifies appropriate escalation actions and documents.

  • 12. Chooses the appropriate frequency of observations based on EWS

  • 13. Comments and action plan (e.g. positives, areas for improvement)

  • 15. How would you rate the performance overall?

  • Observer Signature

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