Comments/immediate No. Y N NA Question actions taken Additional consideration of passed urine (if 7k concerned) Total EWS Score? 7l Signed? 7m Dated? 7n Entry times in 24 hour format? 7o Have the following been completed for every recording: Respiration rate (entered in numbers)? 8a Oxygen Sats (entered as %)? 8b Patient on Oxygen (tick) 8c Temperature (joined by dots)? 8d Blood Pressure (entered with X and vertical 8e broken line)? Heart Rate (joined by dots)? 8f Heart rate (r or i) 8g Level of consciousness (ticked)? 8h Additional consideration of pain (if concerned) 8i Additional consideration of BM (if concerned) 8j Additional consideration of passed urine (if 8k concerned) Total EWS Score? 8l Signed? 8m Dated? 8n Entry times in 24 hour format? 8o If all 6 physiological observations were not 9 recorded, was a EWS calculated? Have all EWS parameters been calculated correctly for each individual score that was 10 recorded? Have all EWS total scores been calculated 11 correctly? Have adjustments to triggers that are recorded in special notes section on the front page been 12 followed? If EWS refused was this documented in the following: EWS chart? 13a Physical Health Casenote on PARIS? 13b If EWS refused, were further attempts made by 14 staff to obtain a EWS?
No. Question Y N NA Comments/immediate actions taken 7k Additional consideration of passed urine (if concerned) 7l Total EWS Score? 7m Signed? 7n Dated? 7o Entry times in 24 hour format? Have the following been completed for every recording: 8a Respiration rate (entered in numbers)? 8b Oxygen Sats (entered as %)? 8c Patient on Oxygen (tick) 8d Temperature (joined by dots)? 8e Blood Pressure (entered with X and vertical broken line)? 8f Heart Rate (joined by dots)? 8g Heart rate (r or i) 8h Level of consciousness (ticked)? 8i Additional consideration of pain (if concerned) 8j Additional consideration of BM (if concerned) 8k Additional consideration of passed urine (if concerned) 8l Total EWS Score? 8m Signed? 8n Dated? 8o Entry times in 24 hour format? 9 If all 6 physiological observations were not recorded, was a EWS calculated? 10 Have all EWS parameters been calculated correctly for each individual score that was recorded? 11 Have all EWS total scores been calculated correctly? 12 Have adjustments to triggers that are recorded in special notes section on the front page been followed? If EWS refused was this documented in the following: 13a EWS chart? 13b Physical Health Casenote on PARIS? 14 If EWS refused, were further attempts made by staff to obtain a EWS?
supporting-information-for-nice-shared-learning-award.docx