[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-499766-105":3,"detail-sidebar-cat-0-en-105":80,"doc-detail-499766-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":73,"head_meta":75,"extra_data":77,"updated_unix":79},105,"en","news2-chart-escalation-guidance-and-monitoring-instructions","NEWS2 Chart - Escalation Guidance and Monitoring Instructions","","Clinical escalation and monitoring instructions for NEWS (National Early Warning Score) when a patient’s NEWS reaches specified thresholds or when sepsis is suspected. Defines urgency levels from routine monitoring at low scores through minimum one-hour and continuous monitoring at emergency thresholds, including who to inform and which assessments to perform. Provides guidance to always escalate if concerns exist, records oxygen delivery codes, and uses SpO2 scoring scales with air versus prescribed oxygen target ranges.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/news2-chart-escalation-guidance-and-monitoring-instructions/499766/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/news2-chart-escalation-guidance-and-monitoring-instructions/499766.png","ImageObject",300,407,{"name":42,"@type":43},"MrHarris58","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-05","2026-10-03",true,{"@type":52,"interactionType":53,"userInteractionCount":33},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"When should staff think about sepsis and escalate care?","Question",{"text":62,"@type":63},"When a patient has a NEWS of 5 or more and there is a known infection, signs and symptoms of infection, or risk of infection, staff should ask “Could this be sepsis?” and escalate immediately.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"What monitoring frequency applies at NEWS total 0?",{"text":67,"@type":63},"For NEWS total 0, routine monitoring continues with a minimum of 12-hourly. In admission areas, minimum monitoring is 4-hourly.",{"name":69,"@type":60,"acceptedAnswer":70},"What actions are required when NEWS total reaches 7 or more?",{"text":71,"@type":63},"When NEWS total is 7 or more, continuous monitoring of vital signs is required, with immediate assessment by registered nurse and senior trainee or above, discussion with the supervising consultant, and consideration of Critical Care review and anticipatory care planning.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},499766,1792220463,{"code":4,"msg":81,"data":82},"success",[83,87,91,95,100,105,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":92,"show_sort_weight":93,"slug":94},"Exam",70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":107,"slug":108},7,40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":81,"data":131},{"doc_id":78,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":106,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":96,"preview_page_count":4},687212988360,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","| NEWS of 5 or more? |  |\n| --- | --- |\n| | Think Sepsis!\u003Cbr>In a patient with a NEWS of\u003Cbr>5 or more and a known infection, signs and symptoms of infection, or at risk of infection, think‘Could this be sepsis?’ and escalate care immediately. |\n\n\n| \u003Cbr>Special Instructions:\u003Cbr>Only to be completed under the direction of a senior member of the medical team\u003Cbr>A total NEWS of  or individual parameter of  is acceptable for this patient because  |\n| --- |\n| Please escalate if  |\n| Print  Sign  Designation  Date  Time  (only valid if signed and dated) |\n\n*Regardless of NEWS always Escalate if concerned about a patient’s condition. Escalate immediately if clinical observations cannot be obtained  \n\n| NEWS TOTAL | Monitoring Frequency | Clinical Response\u003Cbr>Document concerns/decisions in patients clinical notes |\n| --- | --- | --- |\n| 0 | Minimum 12 hourly/\u003Cbr>4 hourly in admission areas | • continue routine NEWS monitoring |\n| Total 1-4 | Minimum 4-6 hourly | • inform registered nurse\u003Cbr>• registered nurse assessment\u003Cbr>• review frequency of observations\u003Cbr>• if ongoing concern, escalate to medical team\u003Cbr>• consider fluid balance chart |\n| 3 in single\u003Cbr>parameter | Minimum 1 hourly | • registered nurse assessment\u003Cbr>• medical assessment\u003Cbr>• management plan to be discussed with senior trainee or above\u003Cbr>• consider fluid balance chart |\n| Total 5-6\u003Cbr>Urgent response threshold | Minimum 1 hourly | • registered nurse assessment\u003Cbr>• urgent medical assessment\u003Cbr>• management plan to be discussed with senior trainee or above\u003Cbr>• consider senior trainee review if NEWS does not improve following initial medical assessment\u003Cbr>• consider level of monitoring required\u003Cbr>• consider anticipatory care planning (ACP)\u003Cbr>• start fluid balance chart |\n| Total 7 or more\u003Cbr>Emergency response threshold | Continuous monitoring of vital signs | • registered nurse to assess immediately\u003Cbr>• immediate assessment by senior trainee or above\u003Cbr>• discuss with supervising consultant\u003Cbr>• if appropriate contact Critical Care for review\u003Cbr>• consider anticipatory care planning (ACP)\u003Cbr>• start fluid balance chart |\n\n\n| Codes for recording oxygen delivery on the NEWS2 observations chart |  |  |  |\n| --- | --- | --- | --- |\n| A | breathing air | RM | reservoir mask |\n| N | nasal cannula (document in litres) | TM | tracheostomy mask |\n| SM | simple mask | CP | CPAP mask |\n| V | venturi mask and percentage (e.g device = V,% = 40) | H | humidified oxygen and percentage (e.g device = H, L/min or % = 40) |\n| NIV | patient on NIV system | OTH | |\n\n\n| Date / Time |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Circulation |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Sensation |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Movement |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\nNEWS2 CHART January 2019 V1.1 LOT1651.indd 1  \n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| NEWS Key\u003Cbr>0  1   2   3 \u003Cbr>|  | Date: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date |\n|  |  | Time: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Time |\n| A+B\u003Cbr>Respirations Breaths/min |  | >25 |  |  |  |  |  |  |  |  |  |  |  |  | 3 |  |  |  |  |  |  |  |  |  |  |  |  | >25 |\n|  |  | 21-24 |  |  |  |  |  |  |  |  |  |  |  |  | 2 |  |  |  |  |  |  |  |  |  |  |  |  | 21-24 |\n|  |  | 18-20 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 18-20 |\n|  |  | 15-17 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 15-17 |\n|  |  | 12-14 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 12-14 |\n|  |  | 9-11 |  |  |  |  |","cbCaib07SOfs2XoA","https://ap.wps.com/l/cbCaib07SOfs2XoA","pdf",435219,"English","# NEWS escalation thresholds\n## Monitoring frequency and clinical response\n# Sepsis prompt and special instructions\n## Senior-team completion and acceptability of parameters\n# Oxygen delivery recording codes\n## A, N, SM, RM, TM, CP, V, H, NIV\n# SpO2 scoring scales and oxygen prescription\n## Scale 1 vs Scale 2 target ranges","[{\"question\":\"When should staff think about sepsis and escalate care?\",\"answer\":\"When a patient has a NEWS of 5 or more and there is a known infection, signs and symptoms of infection, or risk of infection, staff should ask “Could this be sepsis?” and escalate immediately.\"},{\"question\":\"What monitoring frequency applies at NEWS total 0?\",\"answer\":\"For NEWS total 0, routine monitoring continues with a minimum of 12-hourly. In admission areas, minimum monitoring is 4-hourly.\"},{\"question\":\"What actions are required when NEWS total reaches 7 or more?\",\"answer\":\"When NEWS total is 7 or more, continuous monitoring of vital signs is required, with immediate assessment by registered nurse and senior trainee or above, discussion with the supervising consultant, and consideration of Critical Care review and anticipatory care planning.\"}]","NEWS2 Chart - Escalation Guidance and Monitoring Instructions | PDF",1791003318]