Irish Paediatric Early Warning System (PEWS) Update and Implementation Overview

 
Irish Paediatric Early Warning System
 
(PEWS)
Update
 
Learning Outcomes
 
By the end of the session, you will be able to:
 
Discuss the importance of clinical judgement and
individualised assessment
Discuss the use of PEWS in clinical practice in <<ward
or hospital>>
Demonstrate effective use of PEWS charts and the
escalation guide in <<ward or hospital>>
Discuss the appropriate use of permitted
variance/special situations within PEWS in <<ward or
hospital>>
 
Aim of PEWS
 
Assist recognition and response to
deterioration
 
Improved situation awareness
Standardised communication
Use of a common language
Earlier opportunity to rescue
 
 
 
 
 
Paediatric Observation Charts
 
Key Points
 
6 core parameters every time
Additional only as required for individual child
‘Draw the dot, join the 
straight
 line’
Baseline + trending essential in recognition
Individual parameter score → total PEWS score
 
Consider
Frequency of observations
Reassess within
 
Escalation Guide
 
Urgent PEWS Call
 
Response pathway to PEWS Score 
7
 
Optional Modules
 
Case discussion
Case presentation
Audit results and recommendations
Question & answer session
 
Questions
 
?
?
 
PEWS Key Points
 
PEWS score is a tool only
Monitor the child for trends in
 
vital signs and PEWS Score
Use clinical judgement + clinical
trends to interpret the Escalation
Guide
Listen for parent concern
 
 
The next slide is for Train the Trainer only
 
PEWS Training Tips
 
- Who are you training?
- Create schedule
- Venue/ environment
- AV requirements
- Pre-course organisation
Slide Note

This slide set represents a national template for PEWS training and as such, reflects a national standard in practice.

Additions should be made to these slides to reflect local arrangements/resources.

It is essential to refer to PEWS implementation/training guide, PEWS User Manual and National Clinical Guideline No.12 PEWS before using this slide-set.

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Explore the latest updates on the Irish Paediatric Early Warning System (PEWS) including learning outcomes, aims, observation charts, key points, escalation guide, and response pathways. Understand the importance of clinical judgment, individualized assessment, and standardized communication for recognizing and responding to deterioration in pediatric patients. Enhance your knowledge on using PEWS in clinical practice and effectively utilizing PEWS charts for timely escalation in ward or hospital settings.


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  1. Irish Paediatric Early Warning System (PEWS) Update

  2. Learning Outcomes By the end of the session, you will be able to: Discuss the importance of clinical judgement and individualised assessment Discuss the use of PEWS in clinical practice in <<ward or hospital>> Demonstrate effective use of PEWS charts and the escalation guide in <<ward or hospital>> Discuss the appropriate use of permitted variance/special situations within PEWS in <<ward or hospital>>

  3. Aim of PEWS Assist recognition and response to deterioration Improved situation awareness Standardised communication Use of a common language Earlier opportunity to rescue

  4. Paediatric Observation Charts

  5. Key Points 6 core parameters every time Additional only as required for individual child Draw the dot, join the straight line Baseline + trending essential in recognition Individual parameter score total PEWS score Consider Frequency of observations Reassess within

  6. Escalation Guide PEWS does not replace an emergency call Minimum Observations Score Minimum Alert Minimum Response Any trigger should prompt increase in observation frequency as clinically appropriate 1 4 hourly Nurse in charge 2 2-4 hourly 3* 4-5 1 hourly Nurse in charge review Nurse in charge + 1stDoctor on call 30 minutes Urgent medical review Nurse in charge + 1stDoctor on call + Senior Dr. +/- Consultant 6 Urgent SENIOR medical review Continuous URGENT PEWS CALL 7 Immediate local response team *Pink score in any parameter merits review PEWS does not replace clinical concern

  7. Urgent PEWS Call Response pathway to PEWS Score 7

  8. Optional Modules Case discussion Case presentation Audit results and recommendations Question & answer session

  9. Questions

  10. PEWS Key Points PEWS score is a tool only Monitor the child for trends in vital signs and PEWS Score Use clinical judgement + clinical trends to interpret the Escalation Guide Listen for parent concern

  11. The next slide is for Train the Trainer only

  12. PEWS Training Tips - Who are you training? - Create schedule - Venue/ environment - AV requirements - Pre-course organisation

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