National Early Warning Score 1, How to fill out.

[@clarerobison7716]

Thank you, my elderly Dad is on his own at home with COVID19. A nurse visited yesterday to deliver OT equipment and fortunately rang me with his obs. This great video has helped me fill in a chart, unfortunately his score is pretty high. A very kind and frank out of hours GP told me people over age 75 are not being admitted to hospital. The nurse said she would not usually have left a patient with his scores. I’m doing all I can to support by phone, passing on your wisdom, John, and trying to ensure he is not abandoned. You are the most wonderful nurse, educator and role model.

[@PeonyRosey]

Thank you so much Dr John for taking time to explain this. Much appreciated.

[@msieurdaveyray5393]

Thanks mate for your clear & understandable presentation👍

[@claudiocgmacedo]

Hi, thank you for the great explanation. Do you use yet this score?

[@glammylicious2264]

do you have a chart for non normal baseline

[@ratiematanhikebwititi8534]

Thank you Doctor your videos are so helpful

[@mercyemade7294]

Amazing illustration thank you very much wow

[@jacquelinemcbride9200]

Why did the monitoring frequency is 4hrly when the news score is 0?

[@MiniMisa]

Do we not need to put the year in the date?

[@Alchem1stt]

ideally yes

[@sucxiagomez7563]

Thank you for such informative videos Dr John campbell. Pls do a triaging course video pls. It'll be very helpful for us ER nurses. Thank You! God bless.

[@Campbellteaching]

kzbin.info/www/bejne/g52soXiwrrKkY7s Done already

[@marc3964]

Very informative sir.

[@nasrullahkhan9915]

Excellent ❤

[@snazkeys52]

What will you write if the patient is on oxygen, in place of RA what should we write

[@Alchem1stt]

what % of O2 they are on

[@chaeferl]

You’d write now many litres of O2 a patient is, for instance: 2l and which device is being used (nasal specs) or if your above a certain amount of litres then you’d usually be using a Venturi mask.

[@tamiewallerson278]

Why didn't you score a two,seen that RA fell within the two parameter?

[@Campbellteaching]

what is RA?

[@felistusduduzilenkomo9331]

Room Air

[@Alchem1stt]

That section is for Oxygen %, if there is room air then you do not score you just state it, if they are on oxygen then they are automatically given +2

[@papiyadutta1978]

Thank you so much sir for your nice explanation. I am M.Sc nursing student and for my research study I wish to know the validity and reliability of the tool?

[@victoriaporter6586]

Thank you for update! Just was looking for it]

[@1slamExplained]

Thank you Dr Campbell, I really appreciate your explanation. It was really easy to follow along, I work for the NHS and it was nice to see someone take their time to explain NEWS. I guess if anything it gives the untrained mind the ability to try to tackle an issue they may not normally pick up on.

[@Campbellteaching]

Its not perfect, but works reasonably well for a lot of the time.

[@1slamExplained]

@@Campbellteaching Thanks, yeah I appreciated your explanation. Regards

[@Australianmalayalitalks]

Clearly explained.. Thank you

[@alkashokeen1013]

What is difference between new and old score

[@Alchem1stt]

new system = news2, old system = news1

[@maryoloniyo170]

Hello Dr John, Thank you for your video, very educative, but some chart doesn't have blood sugar and pain score.. Am a student nurse in year 1, Am having my OSCE exam soon, So does it mean such chart are incomplete?? Many thanks.

[@Alchem1stt]

They were taken out for the NEWS2 score i believe

[@adigill1488]

What should we write for countinous observation?

[@kathleengayelijan283]

C for continuous

[@pandastylearmy5938]

3:04 "room aaair"

[@geojor]

great, thank you ...

[@brianharrison3676]

I have never liked this system. Whilst it is a useful tool for escalating.....Hi dr the patient in room 5 is scoring 7, the doctor is informed easily something is up with this patient, but at the same time and more often that not, clinical judgement is rarely applied anymore. I have seen this system used well, that is WHEN a patient has become clinically unwell. Because all anyone sees now is NEWS 0 or NEWS 1 and do the vital signs in accordance with what it says on the chart. Whilst this system was implented to highlight a patients current clinical state, it does not replace and should not replace clinical judgement and......it has

[@Campbellteaching]

If I feel uncomfortable about a patient, I certainly feel uncomfortable. In fact my current consultants accept this feeling of mine as an indication for senior review, regardless of NEWS. Trouble is, I have beed doing clinical work for several decades, but I do remember a time when I did not have these powers of perception.

[@brianharrison3676]

@@Campbellteaching This is true from HCA to Doctor there was a time when powers of perception just where not there. The problem now is that we have a whole generation of nurses treating patients based on a scoring system. They have been trained to act when a patient is scoring but not before they score. So too many times I have seen a patient left for hours with no early intervention all because they where scoring zero. I remember specifically one patient who was being monitered hourly. Hourly vital signs. This patient continuously scored zero from 8am until at 5pm he scored 5. Then and only then did the nurse act. This patient was showing clinical signs of deterioration from 11am. But no one acted because......he was scoring zero. So it is a useful tool when you become unwell but, majority of the time I have not seen is as a useful too prior to scoring. I worked at one hospital where this slogan was used and was advertised on the intranet. ' NEWS!! Taking the guess work out of nursing'. I could not catch by breath.

[@brianharrison3676]

@@Campbellteaching Doctor Campbell how can I contact you to discuss a possible option to combat this issue? Thank you. Brian

[@Campbellteaching]

@@brianharrison3676 are you serious about spending a few hundred hours to investigate this?

[@brianharrison3676]

@@Campbellteaching Yes. No doubts in my mind.

[@thelight5145]

❤️❤️