Recognition of Criticality &
NEWS
Presented By,
Mr. Ramaprasad S M.Sc (N),SCEM
Associate Professor
Dept. Medical Surgical Nursing
Trainer in Skills Lab/FRT/GFATM/ENLS/BCLS/TCLS
/Guide/Co Guide for KSOU/Reviewer
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 1
Objectives of the session
At the End of the session the participants will be able to
1. Understand the role of the vital signs in critically ill
patients
2. Use NEWS to identify the unstable patients
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 2
Introduction
Recognition of critical illness and life threatening
conditions is the first step in managing an emergency.
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 3
How can we recognize the critical
illness?
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 4
With experience the nurse can recognize the critical illness by
understanding sick or not sick or
Stable or Unstable by reviewing the vitals and appearance
How can we recognize the critical
illness?
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 5
This session will focus on,
Recognition of critical illness and NEWS
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 6
NEWS
NATIONAL EARLY WARNING SCORE
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 7
What is NEWS?
NEWS is a Scoring Grid to track the clinical condition of
the patients to trigger a clinical response using
physiological parameter
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 8
Purpose of NEWS
1. To qualify Triage
2. To initiate timely treatment
3. To refer a patient for definitive care
4. Acts as a means of communication between health
care professionals
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 9
Clinical vital signs
Gives the most important
clues in determining the
criticality
(TPR & BP)
Adjunct Vital signs
Can help in determining the
criticality
(Mental Status/Pulse
quality/Skin colour/CRT/CBG)
Differences
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 10
Components of NEWS
Heart Rate
Respiratory
Rate
Oxygen
Saturation
On Oxygen
Temperature
S
y
s
t
o
l
i
c
B
P
L
O
C
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 11
NEWS Scale
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 12
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 13
Interpretation of
NEWS Score
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 14
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 15
Case Scenario
Smt. Kumudha aged 70 years old a known case of COPD for 10
years is bought to the hospital emergency department with
shortness of breath, Fever, and cough. On arrival her vitals are
T:99 C, HR:120 b/m, RR:30 b/m, BP:150/90mmhg, O2:80% with
3L of oxygen.
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 16
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 17
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 18
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 19
Find The Score and Discuss
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 20
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 21
2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 22

NATIONAL EARLY WARNING SCORE AND recognition of criticality of illness

  • 1.
    Recognition of Criticality& NEWS Presented By, Mr. Ramaprasad S M.Sc (N),SCEM Associate Professor Dept. Medical Surgical Nursing Trainer in Skills Lab/FRT/GFATM/ENLS/BCLS/TCLS /Guide/Co Guide for KSOU/Reviewer 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 1
  • 2.
    Objectives of thesession At the End of the session the participants will be able to 1. Understand the role of the vital signs in critically ill patients 2. Use NEWS to identify the unstable patients 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 2
  • 3.
    Introduction Recognition of criticalillness and life threatening conditions is the first step in managing an emergency. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 3
  • 4.
    How can werecognize the critical illness? 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 4
  • 5.
    With experience thenurse can recognize the critical illness by understanding sick or not sick or Stable or Unstable by reviewing the vitals and appearance How can we recognize the critical illness? 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 5
  • 6.
    This session willfocus on, Recognition of critical illness and NEWS 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 6
  • 7.
    NEWS NATIONAL EARLY WARNINGSCORE 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 7
  • 8.
    What is NEWS? NEWSis a Scoring Grid to track the clinical condition of the patients to trigger a clinical response using physiological parameter 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 8
  • 9.
    Purpose of NEWS 1.To qualify Triage 2. To initiate timely treatment 3. To refer a patient for definitive care 4. Acts as a means of communication between health care professionals 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 9
  • 10.
    Clinical vital signs Givesthe most important clues in determining the criticality (TPR & BP) Adjunct Vital signs Can help in determining the criticality (Mental Status/Pulse quality/Skin colour/CRT/CBG) Differences 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 10
  • 11.
    Components of NEWS HeartRate Respiratory Rate Oxygen Saturation On Oxygen Temperature S y s t o l i c B P L O C 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 11
  • 12.
    NEWS Scale 2/22/2024 8:50AM Mr. Ramprasad S M.Sc (N), SCEM. 12
  • 13.
    2/22/2024 8:50 AMMr. Ramprasad S M.Sc (N), SCEM. 13
  • 14.
    Interpretation of NEWS Score 2/22/20248:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 14
  • 15.
    2/22/2024 8:50 AMMr. Ramprasad S M.Sc (N), SCEM. 15
  • 16.
    Case Scenario Smt. Kumudhaaged 70 years old a known case of COPD for 10 years is bought to the hospital emergency department with shortness of breath, Fever, and cough. On arrival her vitals are T:99 C, HR:120 b/m, RR:30 b/m, BP:150/90mmhg, O2:80% with 3L of oxygen. 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 16
  • 17.
    2/22/2024 8:50 AMMr. Ramprasad S M.Sc (N), SCEM. 17
  • 18.
    2/22/2024 8:50 AMMr. Ramprasad S M.Sc (N), SCEM. 18
  • 19.
    2/22/2024 8:50 AMMr. Ramprasad S M.Sc (N), SCEM. 19
  • 20.
    Find The Scoreand Discuss 2/22/2024 8:50 AM Mr. Ramprasad S M.Sc (N), SCEM. 20
  • 21.
    2/22/2024 8:50 AMMr. Ramprasad S M.Sc (N), SCEM. 21
  • 22.
    2/22/2024 8:50 AMMr. Ramprasad S M.Sc (N), SCEM. 22