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  • Remote examination
    • 1. Select drop down options
    • 2. Edit text boxes as appropirate and click view clinical note button

    • Observations

    • Temperature = ≤ 38 °C | 38.1 - 39 °C | >39 °C or <35 °C
      Temperature = < 35 °C | ≤ 38 °C | 38.1 - 39 °C | > 39 °C
    • HR = 51 - 90 | 41 - 50 or 91 - 110 | 111 - 130 | ≤ 41 or > 130
      HR = ≤ 41 | 41 - 50 | 51 - 90 | 91 - 110 | 111 - 130 | > 130
    • RR = 12 - 20 | 9 - 11 or 21 - 24 | ≤ 8 or ≥ 25
      RR = ≤ 8 | 9 - 11 | 12 - 20 | 21 - 24 | ≥ 25
    • SBP = >110 | 101 - 110 | 91 - 100 | ≤ 90 or ≥ 220
      SBP = ≤ 90 | 91 - 100 | 101 - 110 | > 110 | ≥ 220
    • Sats at rest = ≥ 96% | 95% | 94% | ≤ 93%
      Sats at rest = ≤ 93% | 94% | 95% | ≥ 96%
    • Sats fall after exertion = 0 - 1% | 2% | ≥ 3%

      Click the checkbox and use this link for a NEWS-2 calculator, document the score and risk status in the text box that appears below.

      NOTE: NEWS-2 has not been validated in primary care - the recommendation below refers to secondary care patients

       

      CONSIDER SEPSIS IF SCORE ≥ 5  (+ use clinical judgement) 

      The Royal College of Physicians (RCP) recommend that sepsis should be considered in any patient with a NEWS of 5 or more. However, NEWS should be used alongside clinical judgement, as a high score for some individuals, i.e. those at the end of their life may need to be actioned differently.

      [SOURCE]

    • Cardio-respiratory