{"text":"MEWS Escalation \nMEWS scores \nobserved for all \npatients having \nobservations \n\" \u00ae Inform the nurse in | = Inform \u2018the RMO ' | \u00ae Inform the RMO \n! charge W Inform the nurse in | \u00ae Inform the consultant \n- Increase the frequency charge- ' Imptement MOVE \nof observations ' . . +\/- move to HDU (Monitor, Oxygen, \n' level care Venous access, ECG) \nIy { \u00aem Implement MOVE - | m Moveto HDU level \n. ) ' (Monitor, Oxygen, ) care and prepare for \nVenous access, ECG) transfer to ITU care \n[ A SENT DEFINTIONS ] \n| PAIN SCORE 0-10 NUMERICAL RATING.| | SEDATION SCORE NAUSEA SCORE \n+:0-10 Numerical Rating Scale 0 Fu[[y alert ' 0 No nausea \n\u2019i ] T | -1 1 1 Easy to rouse 1 Nausea \n: It Lrrrl 2 Difficult to rouse . 2 Vomiting and retching \n0123456)7 8910 o o \ni No Moderate Worst 3 Unre5p\u00b0n,sw_e \n{ )Pain Pain Possible Pain . o \u2018 \nR PATIENTS' UNDERGOING MUSKOLOSKEL \nIndicated limb being assessed \n\" Date Bhlio W13 110 | 1t)a)p | 1|30zl | M2 \nTime 1\u2018{45\u2019 ISOS | jg35\u00b0 IQOS 2200 |g70\u00b0 \nColour of affected limb \ne.g. pink \/ white \nSensation felt by patient \nk| P Pine [ \ne.g. numb \/ pins & needles \/ . . LV \nno%malm p L : LUMQL NormgU \u2018 Nb\u2019\u201c\"\u2018\u00bb NOVMGJ . Y\\\\NM \\ \\\\\u2018 \nMovement in timb ' 1 Nl \nYes \/ No Agosy Yes . \\7(9\/) . \\{\u2018Q:Q; \\ \n* Skin-temperature \u2019 o N o \nwarm \/ cold \/ clammy | [ sedyen | WOYY? | Wiy InNcut | NI \nPulses felt ' . . N \nYes \/ No, Moo | Mes . -[&4 -%ng fodagect| Y \n-t . ez w = l L \u2014\u2018 \nInitial of assessing nurse - \nAo .| \u20ac0 \nNuffield Health Day and Overnight Stay Care Record - -7- \nR \nv2 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