2.50
Hdl Handle:
http://hdl.handle.net/10755/182336
Category:
Abstract
Type:
Presentation
Title:
The Implementation of a Pediatric Early Warning Score
Author(s):
Simmons, Sharon
Author Details:
Sharon Simmons, RN, BSN, Wolfson Children's Hospital, Jacksonville, Florida, USA, email: sharon.simmons-nm@bmcjax.com
Abstract:
Patients are assessed and scored accordingly at the following intervals: Patients are assessed and scored accordingly at the following intervals: Score: 0-2, Green Assessed every 4hrs Score: 3, Blue Assessed every 3hrs Score: 4, Yellow Assessed every 2hrs Score: >5, Red Assessed every 1 hr The score is determined by the following criteria: Behavior Sleepy, happy, fussy/crying Cardiovascular(Heart) Skin color and heart rate Respiratory (Lungs) Breathing rate or effort. Does the patient need oxygen? A senior nurse will validate the assessment of the patient when the score is 4 or greater, inform the family of the change, and notify the physician. In addition, the physician must see the patient within 30 minutes if the score is 5 or greater. The Rapid Response Team is called to see the patient if the physician is unable to see the patient within 30 minutes. FINDINGS: Rapid Response team calls increased from 31 to 45 (45 % increase) within one year. Code Blue incidences (cardiopulmonary arrest) on the general care units decreased from 12 codes within 15 months to 1 code in 15 months. Based on the PEWS score, an additional 44 patients were evaluated and treated by physicians based on PEWS scores, resulting in positive patient outcomes. DISCUSSION: Within the year, all admitted patients to the general care units, will be assessed using the PEWS system with the primary goal to intervene in the pre-arrest state, making the incidence of code blues on the general care units a distant memory. References: Duncan, Heather, Hutchison, James, & Parshuram, Christopher (2006). The pediatric early warning system score: A serverity of illness score to predict urgent medical need in hospitalized children. Journal of Critical Care, 21, 271-279. ; Monaghan, Alan (2005). Detecting and managing deterioration in children. Paediatric Nursing, 17(1), 32-35.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Implementation of a Pediatric Early Warning Scoreen_GB
dc.contributor.authorSimmons, Sharonen_US
dc.author.detailsSharon Simmons, RN, BSN, Wolfson Children's Hospital, Jacksonville, Florida, USA, email: sharon.simmons-nm@bmcjax.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182336-
dc.description.abstractPatients are assessed and scored accordingly at the following intervals: Patients are assessed and scored accordingly at the following intervals: Score: 0-2, Green Assessed every 4hrs Score: 3, Blue Assessed every 3hrs Score: 4, Yellow Assessed every 2hrs Score: >5, Red Assessed every 1 hr The score is determined by the following criteria: Behavior Sleepy, happy, fussy/crying Cardiovascular(Heart) Skin color and heart rate Respiratory (Lungs) Breathing rate or effort. Does the patient need oxygen? A senior nurse will validate the assessment of the patient when the score is 4 or greater, inform the family of the change, and notify the physician. In addition, the physician must see the patient within 30 minutes if the score is 5 or greater. The Rapid Response Team is called to see the patient if the physician is unable to see the patient within 30 minutes. FINDINGS: Rapid Response team calls increased from 31 to 45 (45 % increase) within one year. Code Blue incidences (cardiopulmonary arrest) on the general care units decreased from 12 codes within 15 months to 1 code in 15 months. Based on the PEWS score, an additional 44 patients were evaluated and treated by physicians based on PEWS scores, resulting in positive patient outcomes. DISCUSSION: Within the year, all admitted patients to the general care units, will be assessed using the PEWS system with the primary goal to intervene in the pre-arrest state, making the incidence of code blues on the general care units a distant memory. References: Duncan, Heather, Hutchison, James, & Parshuram, Christopher (2006). The pediatric early warning system score: A serverity of illness score to predict urgent medical need in hospitalized children. Journal of Critical Care, 21, 271-279. ; Monaghan, Alan (2005). Detecting and managing deterioration in children. Paediatric Nursing, 17(1), 32-35.en_GB
dc.date.available2011-10-28T15:19:45Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:19:45Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.