NEWS2 (RCP National Early Warning Score 2) Calculator

The NEWS2 (RCP National Early Warning Score 2) Calculator works on a simple aggregate scoring system where a score is allocated to physiological measurements already recorded during routine practice.

Patients with an acute illness may develop an acutely altered mental state, manifesting as new confusion, delirium or a Glasgow Coma Scale (GCS) <15. This is an important sign of critical clinical deterioration requiring urgent clinical assessment.

NEWS2 (RCP National Early Warning Score 2) Calculator Scoring

Score	Risk
1-4	Low
3 in any single parameter	Low to Medium
5-6	Medium
7 or over	High

Accessing the NEWS2 (RCP National Early Warning Score 2) Calculator

1. From Consultation Manager, select Vision+ from the floating toolbar and select Calculators - Other - NEWS2 (RCP National Early Warning Score 2).

   

2. The NEWS2 (RCP National Early Warning Score 2) Calculator displays:

   

Using the Calculator

Home Tab

From the Home tab:

• Save & Close - Select to save the calculator and generated score to the patient's record.

• Codeset - Enter a code for the selected line.

• Read Code - Enter a value against the underlying clinical term.

• BP - Displays the Blood pressure data entry screen, see Recording Blood Pressure Values.

• Contract - Displays the Codeset data entry screen, see Data Entry in Vision+.

• Default Read Code - Enter the default code for the selected line.

• Show Indicators - Select to display the patient's Alert Indicator without opening Consultation Manager.

• Undo Last Entry - Deletes the previous entry.

• Indicator Logic - Select to display the rules behind the calculator.

• Default Date - Defaults to today, update if required by entering a new date or selecting from the calendar.

• Previous Tab / Next Tab - Moves between the Calculator tabs.

Calculator Tabs

Select from:

• History - Displays the clinical information from the patient's record.

  See Viewing the History Tab for details.

• NEWS2 - The main calculator tab, complete as required.

• NEWS2 Evidence - If available, Displays further information about the calculator.

Completing the Calculator

To complete the NEWS2 (RCP National Early Warning Score 2) Calculator and score your patient:

1. Any relevant data from the patient record automatically populates.
2. Populate the calculator with any additional information required:
   • History:
     • A blue arrow displays if the row contains none or one relevant clinical term.
     • A red arrow displays if the row contains more than one relevant clinical term.

     • To close the History screen, select Close . The window can also be resized using the Resize option.

   • Read Code - Enter a value against the underlying clinical term.
   • Codeset - Codeset takes you to the Codeset Codes data entry screen, where codes can be chosen from pre-defined list.
   • Undo Last Entry - Select to delete the clinical term previously entered on that line during the current session.
   • BP - Displays the Blood pressure data entry screen, see Recording Blood Pressure Values.
   • Contract - Displays the Codeset data entry screen, see Data Entry in Vision+.
3. Select Save & Close to save the score and calculator to the patient's record:

   

4.  The appropriate clinical term saves to the patient's record: