The Vital Signs Charts shown here have yet to be updated to the national HQSC chart. New versions will follow soon.
New Early Warning Score Capital & Coast DHB
Launched 21st September 2015
New Vital Signs Charts Capital & Coast DHB
Launched 21st September 2015
Training Posters Capital & Coast DHB
Launched 21st September 2015
Paediatric Early Warning Score Capital & Coast DHB
Launched 21st September 2015
Early Warning Score Data Collection Capital & Coast DHB
Audit Tools
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.
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.
- 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.
Adult 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.
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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
Adult 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
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
EWS Activation Sticker
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
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
MET Activation Sticker
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
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
MET 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
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
Interhospital Patient 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
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
PAR Referral
PATIENT AT RISK TEAM REFERRAL RECORD
This form is used to record patient information at the time of referral to the Patient At Risk (PAR) team. The PAR team are expert nurses with critical care skills, available 24/7 in Wellington Regional Hospital. They act as a key component of the pre-MET system. The form follows the 'SBAR' recommendations for referral. All information is subsequently entered into an online database.
This document is double sided.
Print at A4 size.
DOWNLOAD
This form is used to record patient information at the time of referral to the Patient At Risk (PAR) team. The PAR team are expert nurses with critical care skills, available 24/7 in Wellington Regional Hospital. They act as a key component of the pre-MET system. The form follows the 'SBAR' recommendations for referral. All information is subsequently entered into an online database.
This document is double sided.
Print at A4 size.
DOWNLOAD
Adult 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
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
Adult Teaching 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.
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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
High Dependency 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.
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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
Adult General 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.
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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
Cardiology & Cardiothoracic Surgery 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.
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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
Neurology & Neurosurgical 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
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
Interventional Radiology Recovery 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.
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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
Kenepuru Adult General 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
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
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)
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)
Kenepuru Adult General & Fluid Balance 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
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
Lanyard For General Adult Scores & Escalation Pathway
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
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
Paediatric Chart for 0-3 Months
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
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
Paediatric Chart for 4-11 Months
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
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
Paediatric Chart for 1-4 Years
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
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
Paediatric Chart for 5-11 Years
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
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
Paediatric Chart for 12+ Years
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
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
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).