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NEWS2 has received formal endorsement from NHS England and NHS Improvement to become the early warning system for identifying acutely ill patients including those with sepsis in hospitals in England. It has been updated in December 2017
|12 hrly Continue routine NEWS monitoring
|3 in a single parameter
|Unusual but should prompt an urgent review by a clinician with competencies in the assessment of acute illness (usually a ward-based doctor) to determine the cause and decide on the frequency of subsequent monitoring and whether an escalation of care is required.
|should prompt assessment by a competent registered nurse or equivalent, who should decide whether a change to frequency of clinical monitoring or an escalation of clinical care is required.
|Score 5–6 (Medium)
|is a key trigger threshold and should prompt an urgent review by a clinician with competencies in the assessment of acute illness – usually, a ward-based doctor or acute team nurse, who should urgently decide whether escalation of care to a team with critical care skills is required (i.e. critical care outreach team).
|Score = 7 (High)
|Continual monitoring of vital signs. This is a key trigger threshold and 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