Modified Early Warning Score (MEWS) Assessment

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Patient MEWS

A clinical care assessment system utilizing Heart Rate, Respiration Rate, SpO2 Percentage, Temperature, NIBP, and AVPU to determine a patient evaluation score. Functioning as a prediction system, MEWS recognizes early signs of health deterioration to ensure a timely escalation of patient care.

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Clinical Assessment of Consciousness

A

Patient is awake and aware of environment. Responds cognitively to questions and commands.

V

Patient is not fully awake but responds to verbal stimulation and commands.

P

Patient is difficult to awaken and only responds to painful stimuli.

U

Patient is unresponsive and does not respond to any stimulation.

Updating Patient MEWS Assessment

  1. Access the Dashboard Tab.
  2. Select a patient from the My Patient’s Tab.
  3. Select the + on the bottom of any patient page.
  4. Select the MEWS icon.
  5.  Click the Sync button to pull in data from the patient’s latest vitals within SafeNSound.

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If latest vitals are not available to display, manually enter the following:

  • Heart Rate
  • Respiration Rate
  • SpO2
  • Temperature
  • Blood Pressure
  • AVPU- Alert, Voice, Pain, Unresponsive
  • Select Update

Suggested Patient Observation Based on Score (MEWS)

Patient Score

Suggested Observation

1-2

Perform Observation Every 2 Hours

3

Perform Observation Every 1 – 2 Hours

4-5

Perform Observation Every 1/2 Hour

 

NOTE: If a patient’s MEWS Assessment is actively declining, the nurse is encouraged to contact an attending physician before escalation is necessary.


P/N 073-0645-00 Rev. A

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