Criteria | Point Value |
---|---|
Respiratory Rate (breaths per minute) | |
≤8 | 3 |
9-11 | 1 |
12-20 | 0 |
21-24 | 2 |
≥25 | 3 |
Oxygen Saturation (%) | |
≤91 | 3 |
92-93 | 2 |
94-95 | 1 |
≥96 | 0 |
Any Supplemental Oxygen | |
Yes | 1 |
No | 0 |
Temperature in °C (°F) | |
≤35.0 (95) | 3 |
35.1-36.0 (95.1-96.8) | 1 |
36.1-38.0 (96.9-100.4) | 0 |
38.1-39.0 (100.5-102.2) | 1 |
≥39.1 (≥102.3) | 2 |
Systolic BP | |
≤90 | 3 |
91-100 | 2 |
101-110 | 1 |
111-219 | 0 |
≥220 | 3 |
Heart Rate (beats per minute) | |
≤40 | 3 |
41-50 | 1 |
51-90 | 0 |
91-110 | 1 |
111-130 | 2 |
≥131 | 3 |
AVPU | |
A | 0 |
V, P, or U | 3 |
A low score (NEWS 1–4) should prompt assessment by a competent registered nurse who should decide if a change to frequency of clinical monitoring or an escalation of clinical care is required.
A medium score (NEWS of 5–6) should prompt an urgent review by a clinician skilled with competencies in the assessment of acute illness – usually a ward-based doctor or acute team nurse, who should consider whether escalation of care to a team with critical-care skills is required (ie critical care outreach team).
A high score (NEWS ≥7) should prompt emergency assessment by a clinical team/critical care outreach team with critical-care competencies and usually transfer of the patient to a higher dependency care area.