EWS | Frequency of monitoring | Clinical response according to escalation protocol |
---|---|---|
0–1 | Minimum 12 hourly | • Continue monitoring minimum 12 hourly |
2 | Minimum 6 hourly | • Assessment of airway, breathing and circulation and appropriate intervention |
3–5 | Minimum 4 hourly | • Assessment of airway, breathing and circulation and appropriate intervention • Nurse in charge informs on-call physician, who assesses patient and plans appropriate treatment and/ or diagnostics |
6 | Minimum 4 hourly | • Assessments of airway, breathing and circulation and intervenes appropriately • Urgent assessment by on-call physician, including plan for appropriate treatment and diagnostics |
7–8 | Minimum 1 hourly | • Assessment of airway, breathing and circulation and appropriate intervention • Emergency assessment (within 30 min) by on-call physician, including plan for appropriate treatment and diagnostics • Consider call to medical emergency team (MET) |
≥ 9 | Minimum ½ hourly | • Assessment of airway, breathing and circulation and appropriate intervention • Emergency assessment (within 15 min) by on-call physician, including plan for appropriate treatment and diagnostics • Patient must be evaluated with senior physician or MET |