Early Warning Score System Wellington ICU

EWS & Vital Signs Charts


Free Online Resource Library

New Early Warning Score Capital & Coast DHB

Launched 21st September 2015

EWS Matrix Escalation Pathway

New Vital Signs Charts Capital & Coast DHB

Launched 21st September 2015

General Adult Vital Signs Chart High Dependency Bay Chart

Training Posters Capital & Coast DHB

Launched 21st September 2015

MET Poster Teaching Poster

Paediatric Early Warning Score Capital & Coast DHB

Launched 21st September 2015

Paediatric Early Warning Score Paediatric Early Warning Score

Early Warning Score Data Collection Capital & Coast DHB

Audit Tools

MET Activation MET Case Report Form
This website is a library for all resources related to the new Capital & Coast Early Warning Score (EWS) & Vital Signs Charts introduced in September 2015. These are presented in a variety of formats, most of which are not editable. These systems are in use across both hospitals within Capital & Coast District Health Board in Wellington, New Zealand. Both adult & paediatric (PEWS) charts are presented below. Please note that there are 5 paediatric charts which are age specific.

  • The Adult EWS was developed by Alex Psirides & Anne Pedersen during 2015 to update the Wellington EWS & bring it in line with current evidence.
  • The Paediatric EWS was developed by Sinéad McCarthy, Charlotte Stanczuk, Alex Psirides & Anne Pedersen & is based on charts originally designed by Canterbury DHB.
  • The vital signs charts were designed by Alex Psirides, Anne Pedersen & Elena d’Eon.

If you have any queries, please contact us using the envelope icon on the right of this page. If you wish to adapt our system for use in your hospital, editable versions are available for no charge. Most documents were developed using either Adobe InDesign or Apple Pages.
In response to previous enquiries, we have created a Frequently Asked Questions page that can be accessed from the red button.
Documents can be sorted using the dark blue category bar below. Click on any picture for more information & a download link.

EWS System,Adult

Adult EWS Matrix

EWS Matrix
NEW EARLY WARNING SCORE MATRIX

This graphic shows the scored parameters, their assigned scores & the banding zones they fall into. Extremes represent the Medical Emergency Team (MET) calling criteria for which an urgent ‘777’ call must be placed.

Can be printed at A3 or A4 size.

DOWNLOAD
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Adult Escalation Pathway

EWS Escalation Pathway
WELLINGTON MANDATORY EARLY WARNING SCORE ESCALATION PATHWAY

This graphic shows the mandatory escalation pathway for patients with an EWS of 1 or more. A patient scoring 10 or more or with any vital sign in the blue zone must have an immediate ‘777’ MET call placed.

Can be printed at A3 or A4 size.

DOWNLOAD
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EWS Activation Sticker

Early Warning Score Activation
EARLY WARNING SCORE ACTIVATION STICKER

This sticker is designed to be placed in the medical record of any patient who triggers an EWS activation. It allows audit of response times of reviewing medical staff.

Should be printed at A4 size on paper with an adhesive background. The linked document contains 4 EWS stickers which should be divided before use.

DOWNLOAD
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MET Activation Sticker

Medical Emergency Team Activation
MEDICAL EMERGENCY TEAM ACTIVATION STICKER

This sticker is designed to be placed in a patient’s medical record by the team at the end of a MET call. It highlights to the primary team that their patient had required the attention of the MET; as such the colours chosen are particularly offensive so as not to go unnoticed. This is particularly important for patients seen by the MET out-of-hours where the primary team may be absent.

Should be printed at A4 size on paper with an adhesive background. The linked document contains 2 MET stickers which should be divided before use.

DOWNLOAD
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MET Case Report Form

Medical Emergency Team Case Report Form
MEDICAL EMERGENCY TEAM CASE REPORT FORM

This form can be used to collect data at every MET call. In Wellington, it has since been superceded by an electronic database but is preserved here for historical reasons & may be of use to others.

This document is double sided.
Print at A4 size.

DOWNLOAD
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Interhospital Patient Transfer

Patient Record Interhospital Transfer
INTERHOSPITAL PATIENT TRANSFERS

This form is used by the Wellington Flight Retrieval Service as an interhospital transfer record. It incorporates information to help with transport planning as well as integration of the EWS into the vital signs record in-transit. The record also provides data on all retrieval times so any delays can be identified as part of Flight Retrieval Service governance processes.

This document is double sided. Both pages should be stapled together.
Print at A4 size.

DOWNLOAD
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Adult,Education

Adult MET Poster

MET Poster
WELLINGTON MEDICAL EMERGENCY TEAM (MET) CALL POSTER

This poster promotes the MET-calling criteria which are based on both a patient’s vital signs and staff concern. It is intended for display in clinical areas.

Print at A3 size.

DOWNLOAD
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Adult Teaching Poster

EWS Poster
NEW CHART POSTER

This poster explains the changes in the new EWS & the rationale behind them. It is intended for display in clinical areas & uses the Wellington Adult General chart as an example.

Print at A2 or A3 size.

DOWNLOAD
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Adult,Charts

High Dependency Chart

EWS Vital Signs Chart
WELLINGTON 5 SOUTH HIGH DEPENDENCY CHART

This chart is for use in the High Dependency Bay only in 5 South in Wellington Regional Hospital.

This chart is double sided & is different on each side.
Print at A2 size.

DOWNLOAD
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Adult General Chart

EWS Vital Signs Chart
WELLINGTON ADULT GENERAL CHART

This chart is for use in both general medical & surgical wards in Wellington Regional Hospital.

This chart is double sided & is the same on both sides.
Print at A3 size.

DOWNLOAD
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Cardiology & Cardiothoracic Surgery Chart

EWS Vital Signs Chart
WELLINGTON 6 SOUTH HEART & LUNG UNIT CHART

This chart is for use in the Heart & Lung Unit on ward 6 South in Wellington Regional Hospital.

This chart is double sided & is the same on both sides.
Print at A3 size.

DOWNLOAD
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Neurology & Neurosurgical Chart

EWS Vital Signs Chart
WELLINGTON NEUROLOGICAL CHART

This chart is for use in the Neurology & Neurosurgical wards in Wellington Regional Hospital. It replaces the ‘AVPU’ neurological assessment tool with the Glasgow Coma Score to allow for more a detailed assessment of neurology as well as specifics relating to limb neurology.

This chart is double sided & is the same on both sides.
Print at SOA3 size.

DOWNLOAD
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Interventional Radiology Recovery Chart

EWS Vital Signs Chart
WELLINGTON INTERVENTIONAL RADIOLOGY CHART

This chart is for use in patients recovering after interventional radiology procedures in Wellington Regional Hospital.

This chart is double sided & is the same on both sides.
Print at A3 size.

DOWNLOAD
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Kenepuru Adult General Chart

EWS Vital Signs Chart
KENEPURU ADULT GENERAL CHART

This chart is for use in adult patients in Kenepuru Hospital.

This chart is double sided & is the same on both sides.
Print at A3 size.

DOWNLOAD
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Fluid Balance Chart

Fluid Balance Chart
FLUID BALANCE CHART

This chart is for use in adult patients. It is designed to be used as a standalone chart (not double-sided with a vital signs chart) as, by nature of its use, it is time limited.

This chart is double sided & is the same on both sides. It is available in 2 formats:

- An A4 variant covering 24 hours each side (48 hours in total)
- An A3 variant covering 48 hours each side (96 hours in total) (pictured)

DOWNLOAD A4 (2 days)

DOWNLOAD A3 (4 days)
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Kenepuru Adult General & Fluid Balance Chart

EWS Vital Signs Chart
KENEPURU ADULT GENERAL & FLUID BALANCE CHART

This chart is for use in adult patients in Kenepuru Hospital.

This chart is double sided with the vital signs chart on one side & a 48 hour fluid balance chart on the other.

Print at A3 size.

DOWNLOAD
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EWS System,Adult,Education

Lanyard For General Adult Scores & Escalation Pathway

EWS Lanyard
GENERAL ADULT LANYARD

This lanyard contains the Early Warning Score matrix on one side & the mandatory escalation pathway on the other. It is designed as a reminder to clinical staff to be worn around the neck.

The lanyard is double sided.
Print at appropriate size & laminate.

DOWNLOAD
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Paediatric,Charts

Paediatric Chart for 0-3 Months

PEWS
PAEDIATRIC CHART 0-3 MONTHS

This chart is for use in children aged between 0 and 3 months.

This chart is double sided & includes a fluid balance chart on the back.
Print at A3 size.

DOWNLOAD
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Paediatric Chart for 4-11 Months

PEWS
PAEDIATRIC CHART 4-11 MONTHS

This chart is for use in children aged between 4 and 11 months.

This chart is double sided & includes a fluid balance chart on the back.
Print at A3 size.

DOWNLOAD
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Paediatric Chart for 1-4 Years

PEWS
PAEDIATRIC CHART 1-4 YEARS

This chart is for use in children aged between 1 and 4 years.

This chart is double sided & includes a fluid balance chart on the back.
Print at A3 size.

DOWNLOAD
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Paediatric Chart for 5-11 Years

PEWS
PAEDIATRIC CHART 5-11 YEARS

This chart is for use in children aged between 5 and 11 years.

This chart is double sided & includes a fluid balance chart on the back.
Print at A3 size.

DOWNLOAD
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Paediatric Chart for 12+ Years

PEWS
PAEDIATRIC CHART 12+ YEARS

This chart is for use in children aged 12 years & older.

This chart is double sided & includes a fluid balance chart on the back.
Print at A3 size.

DOWNLOAD
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Other Resources

These provide additional information around the introduction of the new charts & EWS.

  • The eLearning presentations will form the basis for self-directed learning through the Intranet; They are available here in Powerpoint format for ward teaching for both the Adult & Paediatric EWS systems.
  • The Medical Bulletin has been distributed to all junior medical staff & provides the rationale for the new adult EWS as well as explaining how the medical components of the chart should be used (particularly the ‘EWS Modifications’ box).

Please select a button below to download the relevant document.

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