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National Early Warning Score (NEWS) 2
[select name="variable_1" value="Alert=0|Confusion=30|responds to Voice=30|responds to Pain=30|Unresponsive=30"] <-- Level of Consciousness
[select name="variable_2" value="≤35.0 degrees C (95.0 degrees F)=300|35.1–36.0 degrees C (95.1-96.8 degrees F)=100|36.1–38.0 degree C (96.9-100.4 degrees F)=0|38.1–39.0 degrees C (100.5-102.2 degrees F)=100|≥39.1 degrees C (≥102.2 degrees F)=200"] <-- Temperature
[select name="variable_3" value="≤40 beats per minute=3000|41-50 beats per minute=1000|51-90 beats per minutes=0|91-110 beats per minute=1000|111-130 beats per minute=2000|≥131 beats per minute=3000"] <-- Heart Rate
[select name="variable_4" value="≤90 mmHg=30000|91–100 mmHg=20000|101–110 mmHg=10000|111–219 mmHg=0|≥220 mmHg=30000"] <-- Systolic Blood Pressure
[select name="variable_5" value="≤8 breaths per minute=300000|9-11 breaths per minute=100000|12-20 breaths per minute=0|21-24 breaths per minute=200000|≥25 breaths per minute=300000"] <-- Respiratory Rate
[select name="variable_6" value="≤91%=3000000|92-93%=2000000|94-95%=1000000|≥96%=0"] <-- Oxygen Saturation
[select name="variable_7" value="Not Needed (Room Air)=0|Supplemental Oxygen Required=20000000"] <-- Supplemental Oxygen
Score --> [calc memo="number" value="score_0=(variable_1)/10+(variable_2)/100+(variable_3)/1000+(variable_4)/10000+(variable_5)/100000+(variable_6)/1000000+(variable_7)/10000000"]
Number of Parameters with Extreme Variation --> [calc memo="extreme values" value="score_1=Math.floor((variable_1)/30)+Math.floor((variable_2)/300)+Math.floor((variable_3)/3000)+Math.floor((variable_4)/30000)+Math.floor((variable_5)/300000)+Math.floor((variable_6)/3000000)"]
Risk Interpretation --> [calc memo="clinical risk" value="score_2=(score_1)*100+(score_0);score_2>206?'High':score_2>200?'Medium':score_2>106?'High':score_2>104?'Medium':score_2>102?'Low-Medium':score_2>6?'High':score_2>4?'Medium':'Low'"]
Suggested Action --> [calc memo="intervention" value="score_3=(score_1)*100+(score_0);score_3>206?'Emergency assessment':score_3>200?'Urgent clinician review':score_3>106?'Emergency assessment':score_3>104?'Urgent clinician review':score_3>102?'Urgent clinician review':score_3>6?'Emergency assessment':score_3>4?'Urgent clinician review':'Assessment by nurse'"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference:
[link url="//www.england.nhs.uk/ourwork/clinical-policy/sepsis/nationalearlywarningscore/" memo="#1"] Royal College of Physicians. National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. Updated report of a working party. London: RCP, 2017.
[/conditional]
National Early Warning Score (NEWS) 2
<-- Level of Consciousness
<-- Temperature
<-- Heart Rate
<-- Systolic Blood Pressure
<-- Respiratory Rate
<-- Oxygen Saturation
<-- Supplemental Oxygen
Score --> numberscore_0=(variable_1)/10+(variable_2)/100+(variable_3)/1000+(variable_4)/10000+(variable_5)/100000+(variable_6)/1000000+(variable_7)/10000000
Number of Parameters with Extreme Variation --> extreme valuesscore_1=Math.floor((variable_1)/30)+Math.floor((variable_2)/300)+Math.floor((variable_3)/3000)+Math.floor((variable_4)/30000)+Math.floor((variable_5)/300000)+Math.floor((variable_6)/3000000)
Risk Interpretation --> clinical riskscore_2=(score_1)*100+(score_0);score_2>206?'High':score_2>200?'Medium':score_2>106?'High':score_2>104?'Medium':score_2>102?'Low-Medium':score_2>6?'High':score_2>4?'Medium':'Low'
Suggested Action --> interventionscore_3=(score_1)*100+(score_0);score_3>206?'Emergency assessment':score_3>200?'Urgent clinician review':score_3>106?'Emergency assessment':score_3>104?'Urgent clinician review':score_3>102?'Urgent clinician review':score_3>6?'Emergency assessment':score_3>4?'Urgent clinician review':'Assessment by nurse'
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