National Early Warning Score 2 (NEWS2)

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National Early Warning Score 2
Clinical Decision Tool

Assesses acute illness severity and risk of clinical deterioration.

Respiratory rate in breaths per minute.
NEWS2 Oxygen Scale NEWS2 includes two oxygen-saturation scoring scales. Scale 1 is used routinely. Scale 2 is reserved for patients with a prescribed target saturation range of 88–92%. Used by NEWS2 Acute Deterioration Assessment Clinical note Scale 2 should only be selected under the direction of a qualified clinician for confirmed hypercapnic respiratory failure. Reference Royal College of Physicians NEWS2 Learn more →
Use Scale 2 only when formally prescribed for confirmed hypercapnic respiratory failure.
Oxygen Saturation Peripheral oxygen saturation measured by pulse oximetry. Accepted units % Used by NEWS2 Respiratory Assessment Acute Deterioration Assessment Clinical note Record the saturation alongside whether the patient is breathing room air or receiving supplemental oxygen. Reference Royal College of Physicians NEWS2 Learn more →
Enter the measured oxygen saturation.
Supplemental Oxygen NEWS2 adds 2 points when supplemental oxygen is required to maintain the target oxygen saturation. Used by NEWS2 Clinical note Select oxygen when any supplemental oxygen is being delivered at the time observations are recorded. Reference Royal College of Physicians NEWS2 Learn more →
Select whether supplemental oxygen is being administered.
Systolic blood pressure in mmHg.
Enter the measured pulse rate.
Consciousness and New Confusion NEWS2 uses ACVPU: Alert, new Confusion, Voice, Pain or Unresponsive. Used by NEWS2 Acute Neurological Assessment Clinical note Only new confusion scores; chronic confusion without an acute change should not automatically receive the confusion score. Reference Royal College of Physicians NEWS2 Learn more →
Select the patient’s current level of consciousness.
Measured body temperature in degrees Celsius.
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