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Deteriorating Patient Management Flow Chart Initial Assessment - A B C D E Problems with Airway Breathing Circulation Deterioration - Neurological E - Pyrexia/Hypothermia EWS 3 Notify Nurse in Charge & Team / On-Call SHO Initial Management Consider: Oxygen Airway Adjuncts IV access Blood Sugar Level EWS 4-6 EWS 7 Call For Help Patient Improving Do you have a diagnosis? Yes Definitive Management Plan Definitive Care 6SHFLDO ,QYHVWLJDWLRQV ,QIRUP 7HDP2Q&DOO &RQVXOWDQW 3ODQ WR WUDQVIHU WR KLJKHU OHYHO of care $FWLYDWH (PHUJHQF\ 5HVSRQVH System if required Yes No No 7HDP 2Q&DOO 5HJLVWUDU Team / On-Call SHO 1. If response is not carried out as above, CNM/Nurse in charge must contact the Registrar or Consultant. 2. If you are concerned about a patient, escalate care regardless of score. Important National Early Warning Score Version 3 December 2011
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