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Show full transcript for National Early Warning Score - NEWS2 video

The National Early Warning Score, often abbreviated to “NEWS”, for identifying conditions such as Sepsis.  NEWS was launched in 2012 and NEWS2 has since replaced it, following further research and development.

NEWS has been designed to help identify a seriously ill patient and it is standardised across the NHS, by using routine and physiological measurements to identify the cause of the clinical deterioration. NEWS allows different people to communicate in a common language about a patient.

NEWS offers a two-step process, firstly the identification of the sick or deteriorating patient and secondly the timely and correct clinical response.

The NEWS is based on a simple aggregate system in which a score is allocated to physiological measurements already recorded in routine practice when patients arrive at or are being monitored in hospital.

These are the six simple physiological parameters which form the basis of the scoring system:-

- Respiration rate
- Oxygen saturation level
- Systolic blood pressure
- Pulse rate
- Level of consciousness or new confusion
- Temperature.

NEWS2 was developed to expand on the old system, to further refine and improves the NEWS without changing its core principles. NEWS2 is a colour coded chart which provides visual and numeric prompts to aid identification of abnormal clinical parameters.

NEWS can and should be used alongside validated scoring systems such as the Glasgow Coma Scale, or disease-specific systems as dictated by patient need.

NEWS is used to determine the urgency of clinical response and the clinical competency of the responder, according to acute-illness severity for patients in hospitals, or in the prehospital assessment.

You will find a link in the download section which quotes the Royal college of surgeons, summarising the changes with the introduction of the NEWS2 chart:

- Firstly, the recording of physiological parameters has been reordered to align with the UK Resuscitation Council ABCDE sequence.

- The ranges for the boundaries of each parameter score are now shown on the chart

- The chart has a dedicated section for use in patients with hypercapnic respiratory failure, usually due to COPD, who have clinically recommended oxygen saturation of 88–92%.

- The section of the chart for recording the rate of and method or device for supplemental oxygen delivery has been improved.

- The addition of ‘new confusion’ to the AVPU score, which includes disorientation, delirium or any new alteration to mentation, which becomes ACVPU where C represents confusion.

- The chart has a new colour scheme, reflecting the fact that the original red–amber–green colours were not ideal for staff with this shade of colour blindness.

Training in NEWS2 is a course in itself so this video is designed to simply give a basic understanding of it. We have put various downloads in the student resources section of this course and you should consult your workplace policies and procedures regarding any assessment methods and exactly how they apply in your workplace.