2.50
Hdl Handle:
http://hdl.handle.net/10755/183105
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, FL, email: sharon.simmons-nm@bmcjax.com
Abstract:
PURPOSE:
A Pediatric Early Warning Score (PEWS) was implemented on the general care units to enhance early recognition and early intervention for the sick child. PEWS is an objective assessment tool used to determine a colored coded risk score for the patient. An algorithm guides nursing action for each assessed color.

METHOD:
Patients are assessed and scored accordingly at the following intervals:

Score: 0-2, Green Assessed every 4 hours;
Score: 3, Blue Assessed every 3 hours;
Score: 4, Yellow Assessed every 2 hours;
Score: >5, Red Assessed every 1 hour;

The score is determined by the following criteria:
1) Behavior - Sleepy, happy, fussy/crying
2) Cardiovascular (Heart) - Skin color and heart rate
3) 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:
1) Rapid Response team calls increased from 31 to 45 (45 % increase) within one year.
2) Code Blue incidences (cardiopulmonary arrest) on the general care units decreased from 12 codes within 15 months to 1 code in 15 months.
3) 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.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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, FL, email: sharon.simmons-nm@bmcjax.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/183105-
dc.description.abstractPURPOSE:<br/>A Pediatric Early Warning Score (PEWS) was implemented on the general care units to enhance early recognition and early intervention for the sick child. PEWS is an objective assessment tool used to determine a colored coded risk score for the patient. An algorithm guides nursing action for each assessed color. <br/><br/>METHOD:<br/>Patients are assessed and scored accordingly at the following intervals: <br/><br/>Score: 0-2, Green Assessed every 4 hours;<br/>Score: 3, Blue Assessed every 3 hours;<br/>Score: 4, Yellow Assessed every 2 hours;<br/>Score: &gt;5, Red Assessed every 1 hour;<br/><br/>The score is determined by the following criteria:<br/>1) Behavior - Sleepy, happy, fussy/crying<br/>2) Cardiovascular (Heart) - Skin color and heart rate<br/>3) Respiratory (Lungs) - Breathing rate or effort. Does the patient need oxygen?<br/><br/>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.<br/> <br/>FINDINGS:<br/>1) Rapid Response team calls increased from 31 to 45 (45 % increase) within one year. <br/>2) Code Blue incidences (cardiopulmonary arrest) on the general care units decreased from 12 codes within 15 months to 1 code in 15 months. <br/>3) Based on the PEWS score, an additional 44 patients were evaluated and treated by physicians based on PEWS scores, resulting in positive patient outcomes. <br/><br/>DISCUSSION:<br/>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.en_GB
dc.date.available2011-10-28T16:14:46Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:14:46Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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.-
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