National Early Warning Score 2, Highs and lows

Why might NEWS criteria go up or down.

[@patriciacollier128]

Hi Dr. John Campbell I made reference to this on a video you do daily now, after watching these as a Csw I find it very good. I love NEWS2,, thanks for all you do and take care of you, we will get through this. Trish, Stockport.

[@DavidJones-ie1qp]

God bless you! Thank you for taking the time to make these very informative videos. You're saving lives by doing these videos-you really are... So glad I found you! You've made me think about vitals in a different way, and that can only be good for my progression and the care of my patients. I'm a nursing student in my first year, and I want to be the best I can be for my level. Much thanks Doctor...

[@Campbellteaching]

Thanks for the feedback David, its always good not to overlook the simple things.

[@marieanne1989]

Thank you so much for posting .. You cant imagine how helpful your videos are, for 1st year student in nursing like me.. And I will be coming back throughout mine 2nd and 3rd year I guess.. Would you be doing lesson about A&P and possibly Waterlow, MUST, FALLS ,holistic care ,patient centre care. thank you

[@Campbellteaching]

There are plenty uploaded on A and P, some assessment documents would also be a good idea, I will do some soon hopefully.

[@sassyjasy]

Very helpful I'm appearing my NMC CBT soon . This video is very helpful

[@peter.akindele]

Great videos. So helpful

[@DM-rh7ul]

Very helpful, thanks

[@gayf8975]

I’m so glad you mention that 210 systolic is high. Many nurses think this is normal as it does not score on the NEWS!

[@Campbellteaching]

what you say is sad but true

[@geojor]

thank you ...

[@suadbader3727]

would you please clear the modification way in case the abnormal reading of specific vital sign is normal to our patient, for example a patient with normal heart rate 90 beat per min

[@Cpfchannel]

Thank you for making me understand the news score better

[@martinemanuel7919]

What about news 2

[@martinemanuel7919]

Acidosis alkylosis

[@shylucena2067]

Thank you for the enlightenment! :)

[@Yataaaaashhh]

Thank you very much

[@akhilasalim1520]

Thank you Doctor

[@salamahsudarman7925]

Hi I just want to know if we have to indicate the values or just signify with a dot? Because the last video you put in the values with a dot while in this video you specified the value on the boxes with numericals

[@Campbellteaching]

There have been methods at different times, the current practice is to put in the numbers. However, for the BP we also add top and bottom markers.

[@salamahsudarman7925]

Dr. John Campbell thank you

[@kassrripples3659]

Is high glucose (sugar) rather than high salt intake one of the triggers for hypertension ... if salt is taken out can someone with hypertension have problems with electrolytes if there is a high sugar /starch intake? What if salt intake is low and glucose/fructose is really low... should hypertension generally go away? You also mentioned ketones in relation to type one diabetic absent of insulin what about ketones in the case of hypertension with no type one diabetes?

[@rogers_bacon]

Thank you so much Dr this is so helpful

[@mk6cher451]

Really helpful, thank you

[@paulinemcleggan7585]

Really well explained. Thank you so much

[@agusmedis9299]

Good night Doctor Jhon my name is Agus From Indonesia I really like this material and very Helpful. I want ask you what reference does the Doctor wear ?? Thanks You And God Blesing You .

[@drabdirahimabdilahidualeh9027]

Thank you very much Doctor for posting this useful information , i Just want to teach my collegues how to better use news parameters . Thank you

[@mersitimisela1167]

Sorry sir, but i'm not understand about the blood pressure. Why 210 mmHg not a hipertension and have 0 score? Can u explain for me sir? Thank u. GB

[@lelaassang5599]

If more people have that value I lower the score on the chart,

[@lelaassang5599]

I made that vital signs chart myself

[@lelaassang5599]

That is my vital signs chart in the video that I made myself

[@tradesdaliburd3814]

"eyy" (air)

[@martinemanuel7919]

Diurnal fluations circadian rhythm

[@brianharrison3676]

Please just everyone remember please please whether you are already a nurse or a student nurse or a nursing assistant or a doctor etc. Please please do not just treat a patient based on a score. Since this system was introduced it has worked well to escalate to a doctor.....but what I see more is the score being used and no other clinical judgement. I have seen NEWS0 written for hours upon hours on a chart, same written in patient notes, and have gone through the previous vital signs to find that the patient has actually been showing signs of decline hours earlier. Sometimes days! And multiple times. It is a score to escalate nothing more nothing less and whilst it is a useful tool.... Your patient could be scoring 0 for 48 hours and actually not be stable. You need to look at the trends....this is what saves lives......this is what prevents a crash call. Early intervention BEFORE a patient scores 5 or above! Just always remember USE YOUR CLINICAL JUDGEMENT. A NEWS of Zero does not indicate 'stable' vital signs. It is not the same thing. It does not indicate a stable patient.

[@Campbellteaching]

Excellent point of course, however the RCP who developed this score seemed to think that good clinical judgement is a little thin on the ground. Defiantly a few research publications there is you fancy the challenge.

[@brianharrison3676]

@@Campbellteaching I agree that over twenty one years I have seen some bad clinical judgement. However whilst a very useful tool, clinical judgement now has been fully removed from a lot of post news score implementation staff. They have been trained to use a score and intervene late. I am up for the challenge for sure. If it improves patient outcome. Always.

[@mariejeanneumutesi6933]

DR John is the AngeL sent from God!I can't pass my exam without his help.May God protect and bless him🙏

[@lelaassang5599]

I made that vital signs myself in the video

[@preciousenwerem7037]

please write while you are talking thank you x