Comments/immediate No. Y N NA Question actions taken If EWS refused, were respirations recorded as a 15 minimum? If a high blood pressure was recorded, was this 16 reported to a member of the medical team? Were EWS scores that triggered a response discussed at either MDT meetings or report 17 outs? Section 3: Frequency of monitoring Has the EWS been recorded daily until reviewed 18 by the MDT? Has EWS been recorded daily in MHSOP? 19 Has the MDT and/or Physical Healthcare Practitioner agreed the frequency of monitoring 20 to form part of an individual intervention plan? If patient is in an eating disorder service, has service specific monitoring policies and 21 guidelines been followed? Has individual triggers (front of chart) been determined as part of MDT review led by either a 22 member of the medical team and/or Physical Healthcare Practitioner? If patient has high baseline scores and score remains consistently high, was a review of the triggers conducted and documented on the 23 special notes section of the chart and in the Physical Health Casenote on PARIS? Section 4: Interpretation and response Was a low EWS score recorded between 1 - 3 24a and did the following occur? Minimum 4 hourly observations were initiated? 24b Nurse in charge was informed? 24c If score remained high after 4 hours, medical 24d staff were informed? If signs of hypoxia (body deprived of oxygen), 25 was oxygen applied? Was a medium EWS score recorded between 4 - 5 or a deterioration of 2 or more, did the 26a following occur? Place urgent call to medical staff? 26b Observations at least hourly? 26c Apply oxygen if signs of hypoxia? 26d Constant supervision of the patient? 26e
No. Question Y N NA Comments/immediate actions taken 15 If EWS refused, were respirations recorded as a minimum? 16 If a high blood pressure was recorded, was this reported to a member of the medical team? 17 Were EWS scores that triggered a response discussed at either MDT meetings or report outs? Section 3: Frequency of monitoring 18 Has the EWS been recorded daily until reviewed by the MDT? 19 Has EWS been recorded daily in MHSOP? 20 Has the MDT and/or Physical Healthcare Practitioner agreed the frequency of monitoring to form part of an individual intervention plan? 21 If patient is in an eating disorder service, has service specific monitoring policies and guidelines been followed? 22 Has individual triggers (front of chart) been determined as part of MDT review led by either a member of the medical team and/or Physical Healthcare Practitioner? 23 If patient has high baseline scores and score remains consistently high, was a review of the triggers conducted and documented on the special notes section of the chart and in the Physical Health Casenote on PARIS? Section 4: Interpretation and response 24a Was a low EWS score recorded between 1 - 3 and did the following occur? 24b Minimum 4 hourly observations were initiated? 24c Nurse in charge was informed? 24d If score remained high after 4 hours, medical staff were informed? 25 If signs of hypoxia (body deprived of oxygen), was oxygen applied? 26a Was a medium EWS score recorded between 4 - 5 or a deterioration of 2 or more, did the following occur? 26b Place urgent call to medical staff? 26c Observations at least hourly? 26d Apply oxygen if signs of hypoxia? 26e Constant supervision of the patient?