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Is the Early Warning Score (EWS) Needed?

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Mapa Mental sobre Is the Early Warning Score (EWS) Needed?, criado por smartie1973 em 23-10-2013.
smartie1973
Mapa Mental por smartie1973, atualizado more than 1 year ago
smartie1973
Criado por smartie1973 mais de 10 anos atrás
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Resumo de Recurso

Is the Early Warning Score (EWS) Needed?
  1. Communication and Documentation
    1. Are the charts clear?
      1. Competency
        1. Training
          1. Confidence in talking to the doctor
            1. Reassure the patient
            2. Manual or electronic? (3)
              1. Competence
                1. Human error (8)
              2. Response to score
                1. Healthcare assistant reporting to the nurse
                  1. Leave the patient alone?
                    1. Nurse reports to the doctor?
                      1. Doctor reviews the patient?
                  2. How often?
                    1. Dependent of the score
                  3. Blood pressure
                    1. Choosing the right size cuff
                    2. Respiratory rate
                      1. Patients awareness
                        1. Depth and Rhythm
                          1. Tachypnoea/Bradypnoea/Apnoea
                            1. Using accessory muscles
                              1. Reposition
                              2. Pain
                                1. Analgesia
                                  1. Reassess
                              3. Secret check
                            2. Assessment
                              1. Temperature
                                1. Pulse
                                  1. Manual or electronic
                                    1. Amplitude (Volume)
                                      1. Weak and thready
                                        1. ypovolaemia, cardiogenic shock
                                          1. Intravenous fluids
                                        2. Bounding puise
                                          1. Sepsis, carbon dioxide retention
                                            1. Administer oxygen
                                              1. Intravenous fluids
                                                1. blood cultures
                                                  1. monitor output (12)
                                          2. Irregular
                                            1. Cardiac arrhythmia
                                          3. Affecting factors
                                            1. Age/Gender/Exercise/Fever/Medications/Hypovolaemia/Stress/Position/Pathology (1)
                                          4. Palliative patients
                                            1. Should the be scored?
                                            2. Alert, Verbal, Pain, Unresponsiveness (AVPU) (11)
                                              1. Output
                                                1. Oxygen saturation
                                                  1. Chronic Obstructive Pulmonary Disorder (COPD)
                                                    1. Carbon Monoxide poisoning (4)
                                                  2. training
                                                    1. Equipment
                                                      1. Knowledge
                                                        1. Are we being de-skilled?
                                                        2. Compliance
                                                        3. Ethical issues
                                                          1. Educate the patient
                                                            1. Patients understanding
                                                              1. Patient declines...What next?
                                                                1. Consent
                                                              2. Mental Capacity Act (MCA) (2005) REFERENCE
                                                                1. Accountability
                                                                2. Contraindications
                                                                  1. Pregnancy, under 16's
                                                                    1. Physiological response differs
                                                                    2. Chronic Obstructive Pulmonary Disorder
                                                                      1. Disturbed physiology
                                                                        1. Oxygen saturations 88-92%
                                                                      2. Glasgow Coma Scale (GCS) (11)
                                                                      3. Guidelines
                                                                        1. National Institute of Health and Care Excellence (NICE) (7)
                                                                          1. Evidence Based Practice
                                                                            1. Cost Effectiveness
                                                                              1. Trust policy
                                                                                1. Royal College of Physicians (3)
                                                                                  1. Score 1-4 monitor 4-6 hourly
                                                                                    1. Score 5-6 monitor hourly
                                                                                      1. Score 7+ monitor constantly
                                                                                    2. Patient centered care
                                                                                      1. Health promotion
                                                                                        1. Causes of hypertension (13)
                                                                                          1. Salt/exercise/smoking/alcohol/weight/stress (2, 13)
                                                                                        2. Saving lives (9)
                                                                                        3. Clinical judgment
                                                                                          1. How often?
                                                                                            1. Patient safety
                                                                                              1. Knowledge base
                                                                                              2. Red flags
                                                                                                1. Hypertension
                                                                                                  1. Whitecoat syndrome (3)
                                                                                                  2. Pyrexia
                                                                                                    1. Oxygen saturation
                                                                                                      1. Positioning
                                                                                                      2. Altered respiratory
                                                                                                        1. Patients awareness
                                                                                                        2. Tacycardia/Bradycardia
                                                                                                          1. Reassurance
                                                                                                          2. Alert, Verbal. Pain. Unresponsive
                                                                                                            1. Glasgow Coma Scale
                                                                                                            2. Pain (10)
                                                                                                            3. Is the early warning score a substitute for clinical judgement (6)
                                                                                                            4. Student Number: 10021107

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