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Paediatric Early Warning Score Chart (PEWS) Essay Sample  

This essay sample shall deal with the paediatric early warning score chart, it’s the purpose and the way to prepare the Paediatric Early Warning Score (PEWS) Chart.

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The nurses and other clinical healthcare staff members at the paediatrics centres are supposed to use the standardised paediatric early warning score chart along with training to cater to the needs of the child.

PEWS score helps in the early detection and intervention of the sick patients and management of deterioration in children.

Paediatric Early Warning Score Chart (PEWS) includes certain observation categories while providing a care treatment to the young children and infants.

The National Paediatric Early Warning Score was introduced to improve the communication of the health status of a deteriorating child from one health board to another.

There are fourteen early warning scoring charts which is used for recording the score differently. The staffs and carers are also recorded to avoid any concerns.

The regular assessment of recording is very important for the early detection of signs of serious illness or deterioration by providing necessary information for the child’s illness and his respond to the treatment.

Early recognition of any serious illness and neurological problems or respiratory issues will prevent the majority of the cardiac arrests reducing the risk of mortality and morbidity.

The child’s clinical status must be determined through a combination of situation awareness and monitoring observations of the child that must be shared with other staff members as well.

A frequent observation or monitoring is required for the children going through serious and high-risk treatments. For example – Radiotherapy, blood transfusion, chemotherapy and other forms of therapies are needed to be observed.

Purpose of Early Warning Score Chart 

Every set of clinical observations must be scored with the help of the paediatric early warning system and appropriate action must be taken on the PEWS chart.

Paediatric Early Warning Score chart is especially meant for the purpose of identification of the changing trends in the observations and if there is any non-progress or decline in trend then such concerns must be escalated to the concerned staff. The trends can be identified on the PEWS chart by the dots on it which are connected by straight lines.

These recording of observation must be made by the assistant practitioners, nursing students and healthcare support workers who are trained under the guidance and supervision of a registered nurse.

The nurse verifies the observation and the clinical staff escalate or inform to the concerned staff when any serious observation is made requiring personal attention.

A patient meets the trigger score will activate the tool and medical assessment must follow the escalation plan.

If a child’s observation score is 1 or above on the PEWS chart then the child must be reviewed as per the escalation guide. A plan of action is required to include the clinical interventions and investigation and the child needs to be reassessed.

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How to prepare the PEWS chart

The Paediatric Early Warning  Score chart is based on the observation chart where each assessment includes certain parameters that need to be met. It includes the heartbeat rate, blood pressure, oxygen saturation, body temperature, consciousness level, family concern and capillary refill time.

Child’s observation should be recorded onto the age-appropriate paediatric early warning score chart which will include the details of the child, year, the expected frequency of observations.

The Frequency of Observations indicates the set of observations on admission to the paediatric care centre which is being documented on any chart and any alteration is made when needed.

It includes clinical judgement and awareness of the condition of child and nursing decisions based on the escalation guide.

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The above sample is written on paediatric early warning score chart based on the early warning system and its relevancy in the treatment of young children and infants.

Childcare QQI Level 5, Wellbeing QQI Level 5, Healthcare QQI Level 5, Nursing QQI Level 5, Careskills QQI Level 5, Caring for Children in Hospital Training Course QQI Level 5, Child Health and Wellbeing QQI Level 5, Early Childhood Education and Care QQI Level 5, Children with Additional Needs QQI Level 5 students can benefit from reading such samples on paediatrics and child healthcare system.

We have assignments which can be referred by the students while reading this essay sample are on The Irish Paediatric Early Warning System (PEWS), Personal care routine for babies and young children, Importance of child health and wellbeing in babies, Feeding babies and children, Health care practitioners and Nappy changing records.

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