![]() A non physiological parameter which is scored is oxygen therapy. Observations recorded on the Paediatric Early Warning Score (PEWS) include respiratory rate, heart rate, blood pressure, oxygen saturation, temperature, level of consciousness and capillary refill time. There are five age appropriate charts (0-11mths 12-23mths 2-4yrs 5-11yrs > 12years). Maternity and Children’s Quality Improvement Collaborative (MCQIC) agreed on the standardisation of an early warning scoring system to be used across Scotland. Previously there had been 14 different early warning scoring charts, all scoring differently. The National Paediatric Early Warning Score (PEWS) was introduced to improve communication of the deteriorating child from one health board to another. ![]() ![]() Observations require your clinical judgement and include assessing levels of consciousness, capillary refill time and acting on staff and/or carers concerns.įor purpose of this document the term ‘observations’ includes both vital signs and observations and ‘child’ and or ‘children’ refers to any infant, child or young person undergoing care within NHSGGC. Vital signs include heart rate, respiratory rate, blood pressure, oxygen saturation and temperature. Vital signs and observations are essential to assess the child’s clinical status using Paediatric Early Warning Score (PEWS) system enables the early recognition of sick patients and management of any deterioration.
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