maternity vital signs chart...50s ≤ 40s temperature (o c) mark temp with x write value if off...

Maternity Vital Signs Date MEWS Time (24 hour) Respiratory Rate (breaths/min) write RR value ≥ 31 26-30 3 21-25 2 10-20 0 6-9 3 ≤ 5 Oxygen (L/min) Room air X 0 L/min 2 Oxygen Saturaon (%) write SpO 2 value ≥ 95 0 92-94 2 ≤ 91 3 Heart Rate (bpm) mark HR with X write value if off scale ≥ 140 130s 3 120s 2 110s 1 100s 90s 0 80s 70s 60s 50s 1 40s 3 ≤ 30s Systolic Blood Pressure (mmHg) mark SBP with X write value if off scale ≥ 200 190s 3 180s 170s 160s 150s 2 140s 130s 0 120s 110s 100s 90s 1 80s 2 70s 3 60s ≤ 50s Diastolic Blood Pressure (mmHg) mark DBP with X write value if off scale ≥ 110s 3 100s 2 90s 80s 0 70s 60s 50s ≤ 40s Temperature ( o C) mark Temp with X write value if off scale ≥ 39s 3 38s 1 37s 0 36s 35s 1 ≤ 34s 3 Level Of Consciousness Normal 0 Abnormal 3 MEWS TOTAL or apply exempon (EX) Pain Score (0-10) Rest Movement Initials MATERNITY VITAL SIGNS CHART Surname: First Names: Sex: AFFIX PATIENT LABEL HERE Date of Birth: NHI#: A full set of vital signs with corresponding MEWS must be taken and calculated each me at a frequency stated in hospital policy. If there is no mely response to your request for review, escalate to the next coloured zone. Modificaon to Maternity Early Warning Score (MEWS) Triggers The MEWS can be changed to prevent inappropriate escalaon. All modificaons should be made in line with local policy and regularly reviewed by the responsible clinician. Query any modificaon that is not signed and dated. Vital sign (use abbr) Accepted values and modified MEWS Date and me Duraon (hours) Name and contact details / / : Reason: Mandatory escalaon pathway MEWS total Acon MEWS 1-4 MEWS 5-7 Acute illness or unstable chronic disease MEWS 8-9 or any vital sign in pink zone Likely to deteriorate rapidly MEWS 10+ or any vital sign in blue zone Immediately life threatening crical illness ESCALATE CARE FOR: • ANY WOMAN YOU, THEY OR THEIR FAMILY ARE WORRIED ABOUT, REGARDLESS OF VITAL SIGNS OR EARLY WARNING SCORE • ACUTE FETAL CONCERN THIS CHART IS FOR PREGNANT OR RECENTLY PREGNANT WOMEN ONLY (WITHIN 42 DAYS)

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Maternity Vital Signs

Date MEWSTime

(24 hour)

Respiratory Rate

(breaths/min)

write RR value

≥ 3126-30 3

21-25 2

10-20 0

6-9 3

≤ 5

Oxygen (L/min)

Room air X 0

L/min 2

OxygenSaturation (%)

write SpO2 value

≥ 95 0

92-94 2

≤ 91 3

Heart Rate(bpm)

mark HR with X

write value if off scale

≥ 140

130s 3

120s 2

110s1

100s90s

080s70s60s50s 1

40s 3

≤ 30s

Systolic Blood Pressure (mmHg)

mark SBP with X

write value if off scale

≥ 200190s

3180s170s160s150s

2140s130s

0120s110s100s

90s 1

80s 2

70s 3

60s≤ 50s

Diastolic Blood Pressure (mmHg)

mark DBP with X

write value if off scale

≥ 110s 3

100s2

90s80s

70s60s50s

≤ 40s

Temperature (oC)

mark Temp

with Xwrite value if

off scale

≥ 39s 3

38s 1

37s0

36s35s 1

≤ 34s 3

Level Of Consciousness

Normal 0

Abnormal 3

MEWS TOTAL or apply exemption (EX)Pain Score (0-10)

RestMovement

Initials

MAT

ERN

ITY

VITA

L SI

GNS

CHAR

Surname:

First Names: Sex:

AFFIX PATIENT LABEL HERE

Date of Birth: NHI#:

A full set of vital signs with corresponding MEWS must be taken and calculated each time at a frequency stated in hospital policy. If there is no timely response to your request for review, escalate to the next coloured zone.

Modification to Maternity Early Warning Score (MEWS) Triggers The MEWS can be changed to prevent inappropriate escalation. All modifications should be made in line with local policy and regularly reviewed by the responsible clinician. Query any modification that is not signed and dated.

Vital sign (use abbr)

Accepted values and modified

MEWSDate and

timeDuration (hours)

Name and contact details

/ /:

Reason:

Mandatory escalation pathwayMEWS total Action

MEWS 1-4

MEWS 5-7

Acute illness or unstable

chronic disease