Critical care outreach

Critical care outreach teams, often headed by a consultant nurse, have become common in the UK (McArthur-Rose 2001). Their precise remits vary between hospitals. Most are available for education and advice and nurses should be aware of the personnel and the remit of the team in individual hospitals.

Table 2.2 Early warning system calling criteria.

Score

3

2

1

0

1

2

3

Temp (°C)

<35

35-35.9

36-37.9

38-38.9

>39

Systolic BP

<70

71-80

81-100

101-199

>200

Heart rate

<40

41-50

51-100

101-110

111-139

>140

Respiratory rate

<8

9-14

15-20

21-29

>30

CNS

New agitation

Alert

Voice

Pain

or confusion

Unresponsive

Fig. 2.8 Early warning scoring system treatment flowchart (reproduced with permission from Gloucestershire Hospitals NHS Trust).

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