Information

  • Audit Title

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Have you carried out an initial National Early Warning Score (NEWS)?

  • Complete a full Patient Assessment: Airway, Breathing, Circulation, Disability, Exposure

  • NEWS Escalation Criteria
    Frequency of Monitoring: Minimum 4 hourly
    Clinical Response: RN must review patient, using ABCDE assessment and discuss with nurse in charge.
    The Parent Team should be informed during their routine ward visit to establish a treatment plan.

  • Notes of any recommendations or "over-the-phone instructions"

  • NEWS Escalation Criteria
    Frequency of Monitoring: Minimum of 1 hourly
    Clinical Response: RN must review patient, using ABCDE assessment and must discuss with nurse in charge.
    Nurse in charge to urgently inform the parent team, response time < 30 minutes

  • Escalate to an appropriate senior clinician using SBAR.

    SBAR.jpg
  • Notes of any recommendations or "over-the-phone instructions"

  • NEWS Escalation Criteria
    Frequency of Monitoring: Minimum of every 30 minutes
    Clinical Response: RN must review patient, using ABCDE assessment and must discuss with nurse in charge.
    Nurse in charge must immediately inform the parent team, response time < 15 minutes

  • Escalate to an appropriate senior clinician using SBAR.

    SBAR.jpg
  • Notes of any recommendations or "over-the-phone instructions"

  • Are any of the below observations present?

  • Are there 2 or more?

  • Act immediately if ANY ONE of the following are present:

  • Select date

  • keep-calm-and-do-the-sepsis-six.png
  • 15l Oxygen via non-rebreathe mask

  • Obtain venous access point (if none) and take BLOOD CULTURES

  • Take venous blood gas (VBG) Note the LACTATE and HAEMOGLOBIN values from Venous/Arterial Blood Gas sample

  • IV FLUIDS: Crystalloid 20-30mls/kg bolus

  • Measure URINE output HOURLY via catheter or bottle

  • Start ANTI-BIOTICS according to local guidelines

  • Antimicrobial Guidelines App.
    http://www.stgeorges.nhs.uk/mobile_apps/

  • Refer back to the Escalation Criteria according to the NEWS chart.

  • Add signature

  • Select date

  • How would you rate the usefulness of this checklist?

  • Any further information?

  • Please sign as complete

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