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Modified Early Warning System
Apr 26, 2014
•
Mark Morgan
categories:
General & Administrative
Modified Early Warning System
Less than 9 (2 points)
9 to 14 (0 points)
15 to 20 (1 point)
21 to 29 (2 points)
More than 29 (3 points)
<-- 1. Respiratory Rate (per minute)
Less than 40 (2 points)
40 to 50 (1 point)
51 to 100 (0 points)
101 to 110 (1 point)
111 to 129 (2 points)
More than 129 (3 points)
<-- 2. Heart Rate (per minute)
Less than 70 (3 points)
71 to 80 (2 points)
81 to 100 (1 point)
101 to 199 (0 points)
More than 199 (2 points)
<-- 3. Systolic Blood Pressure
Unresponsive (3 points)
Responds to Pain (2 points)
Responds to Voice (1 point)
Alert (0 points)
New Agitation or Confusion (1 point)
<-- 4. Consciousness (AVPU)
Less than 35.1 (2 points)
35.1 to 36.0 (1 point)
36.1 to 38.0 (0 points)
38.1 to 38.5 (1 point)
More than 38.5 (2 points)
<-- 5. Temperature (degrees Centigrade)
Less than 10 mL per hour (3 points)
Less than 30 mL per hour (2 points)
Less than 45 mL per hour (1 point)
More than 45 mL per hour (0 points)
<-- 6. Hourly urine output for 2 hours
Score -->
number
score1=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6)
Recommended Action -->
result
score2=(Q1)+(Q2)+(Q3)+(Q4)+(Q5)+(Q6);score2>3?'Contact provider to evaluate patient immediately, Check vitals at least every 30 minutes':score2>2?'Notify provider, Check vitals every hour':score2>0?'Notify provider, Check vitals every 2 hours':'Check vitals per active orders'
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reference:
#1
AHRQ Quality Tool
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