The Irish Paediatric Early Warning System (PEWS) Essay Sample 

This following essay sample paper shall focus on the Paediatric Early Warning System in Ireland, National Clinical Guidelines, and critical illness in Irish children.

The Irish Paediatric Early Warning System (PEWS) is a branch of work that is being carried out by the National Clinical Programme for Paediatrics and Nanotology.

PEWS provides a framework for empowering clinical staff to act of care on behalf of a child who has signs of deterioration and clinical concerns.

It also ensures safe admission of children and care and nursing staff into the hospital so that no harm is caused to the pediatric patients and proper care is taken of them.

Paediatric Early Warning System can be located in the periphery, regional, or in any place in Ireland which needs to strictly adhere to the safety guidelines. It must use the safety interventions for providing any clinical care to the patients and for better outcomes.

The safety interventions used in the hospital settings under the Paediatric Early Warning System are The National Paediatric Observations Chart incorporating the PEWS scoring tool, standard system of communication, nurse care and intensive medical input, documentation of management plans, and reassessment of the children.

The National Clinical Guidelines 

A National Guidelines on the Irish Paediatric Early Warning System was published by the National Clinical Effectiveness Committee and Department of Health in November 2015.

These National Clinical Guidelines can be applied to young children, babies, and infants who can be admitted into pediatric inpatient settings. It is applied only to the infants and young children who are not in maternity and neonatal units and who are in the emergency ward.

National Clinical Effectiveness Committee is a Committee that is run by the Ministry and was set up in the year 2010 and was a key recommendation of the report of the Commission on Patient Safety and Quality Assurance (2008).

The National Clinical Guidelines for PEWS were developed in collaboration with the National Clinical Programme for Paediatrics and Neonatology and the Quality Improvement Division of Health Service Executive.

Paediatric Early Warning System (PEWS) has helped in improving the clinical outcomes in the form of reduced cardiopulmonary arrest, early clinical intervention, and transfer to the intensive care unit of Paediatric.

It also ensures an effective decision in favour of the children who are under pediatric care having deteriorative health.

The early warning system can be applied to both adults and young children. The pediatric warning system may include children who have difficulty in expressing their feelings and emotions, children with respiratory deterioration, and with abnormal physiology.

The formula for PEWS success is strong leadership and governance at the institutional level, ongoing audit, evaluation, target training, and feedback. It has proved to be an effective clinical outcome in terms of shorter stays in PICU and less severity of illness on admission.

The clinicians and family must be well aware of the PICU and the admission of the child into the unit. The effectiveness of PEWS depends upon the implementation of the safety interventions, coordinated teamwork, safety culture, and situational awareness.

Such interventions are supported by the application of quality improvement methods.

PEWS is not an emergency-based system and must not be used for it. National Clinical Guideline No. 1 states that the National Early Warning Score is used for non-pregnant adults. National Clinical Guideline No. 4 states that Irish Maternity Early Warning System is meant for women with confirmed pregnancy and 42 days postnatal period.

The guideline makes a recommendation for the implementation and use of PEWS. It is vital and is used by healthcare professionals, hospital management, children, and families.

Critical Illness in the Irish Children 

There is almost 1,600 admission per year of children into the two paediatric intensive care units in Dublin, Ireland.

The two intensive care units for children called Lady’s Children Hospital admits around  1,100 patients per year and The Temple Street Children’s University Hospital admits around 500 patients annually.

Children who are admitted into the paediatric wards every year and suffering from a critical illness can only stabilize after therapeutic intervention.

The paediatrics centres situated outside the hospital settings can provide high intensive care to the children so that escalation to PICU can be avoided. A high level of care includes an increase in monitoring, person-centred nursing care, and support.

If there is any critical illness in the young children and infants though it is very rare they may be admitted to an adult intensive care unit (ICU) depending upon the local arrangements which are made available. The situation of the child is first stabilized and then transferred to PICU.

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The above sample explains in elaboration about the Irish Paediatric Early Warning System (PEWS).

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