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9 Quick Reference Guide Generic June2017

1) This document provides guidance on completing paediatric observation charts and escalating care based on the Paediatric Early Warning System (PEWS) score. 2) It outlines how to calculate the PEWS score and monitor vital signs, instructing medical staff to use clinical judgement and identify trends of deterioration. 3) It emphasizes involving parents in the child's care, acknowledging parental concern, and treating the child rather than just the PEWS score.

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Bbenq Prasetyo
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45 views1 page

9 Quick Reference Guide Generic June2017

1) This document provides guidance on completing paediatric observation charts and escalating care based on the Paediatric Early Warning System (PEWS) score. 2) It outlines how to calculate the PEWS score and monitor vital signs, instructing medical staff to use clinical judgement and identify trends of deterioration. 3) It emphasizes involving parents in the child's care, acknowledging parental concern, and treating the child rather than just the PEWS score.

Uploaded by

Bbenq Prasetyo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Quick Reference Guide: National Paediatric Observation Charts

Use clinical judgement at all times


URGENT PEWS RESPONSE at PEWS ≥7 or acute concern

How to complete the paediatric observation charts:


 Record as per example column on the chart
 Dots must be joined by straight lines 
 Complete the Total PEWS score every time
 6 Core criteria must be assessed: Concern, RR, RE, O2 Therapy, HR, AVPU
 Additional criteria as required: SpO2, CRT (central), BP, skin colour, temperature

Monitor physiological trends:


 Identify and monitor trends for deterioration and non-improvement
 Clinical acumen and judgement remain essential for the detection of deterioration in a child with mild or no
abnormal haemodynamic vital signs

Special Situations: If experienced nursing staff postpone medical escalation for a PEWS score that is attributed
to a simple transient reason (pain, upset, slight fever). This decision must be documented and the timeframe
for reassessment clearly indicated.

Escalation Guide
 Clinical judgement guides escalation, in conjunction with PEWS scoring
 Suggests minimum alert and responses to Total PEWS scores ≥1
 Clinical concern should prompt action
 Cumulative tool
 Document all communication, management plan and/or deviation from guide

Involve the family


 Include the parent/carer in determining what is normal for their child and what may have changed
 Acknowledge parent concern – they know their child best
 Engage with the parent/carer to agree a management plan and escalation criteria
Assess parent/carer concern with each observation set:
Does your child seem different to their normal self? S Stop & listen
Is it something you can see or feel? U check your Understanding
Ask… Is it something that your child is doing/not doing? Do…
N Narrate your plan
Has it changed from earlier?

Treat the child, not the score

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