Observation Chart for

Patient Name: Hospital Number:
Date ()
Time 17.50 19.00 20.00 20.05 20.15 20.30 21.00 22.00 00.00 02.00 04.00 05.00

Blood pressure mmHg

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Pulse per minute ()

  • >160
  • 160
  • 150
  • 140
  • 130
  • 120
  • 110
  • 100
  • 90
  • 80
  • 70
  • 60
  • 50
  • 40
↑
¦ ↑ ↑
¦		 ↑ ↑
¦ ↑ ↑ ↑ ¦ ¦
¦		 ¦
¦		 ↑ ¦
¦
↑ ¦ ¦ ¦ ↑ ¦
¦		 ¦ 70 72 ¦ 70
¦ ¦ ¦ 64 ¦ 60 68 ¦ ¦ 65 ¦
¦ ↓ ¦ ¦ ¦ ¦ ¦
¦		 ¦ ¦ ¦
¦		 ¦
¦ ↓ ¦ ↓ ↓ ↓ ↓ ↓ ↓ ↓
↓ ↓
Temperature 38.4 38.0 38.1 38.1 38.0 37.6 37.2 37.0 37.2 37.0
CVP/GCS P V V V P 10/V 10/V 10/A 10/A 7/A 10/A
RR (per min) 25 24 24 27 26 25 24 24 24 26 28
Oxygen Sats (%) 99 99 99 99 98 98 98 95 95 94 92
Oxygen delivery % / Litres 15 L 15 L 15 L 15 L 15 L 40 40 40 40 40 40
O2 device on air (A) NRM NRM NRM NRM NRM CH CH CH CH CH CH
Blood sugar (mmols) 11.5 8.0 7.6 6.5 6.3 6.2
EWS Score Individual scores for each observation and total score | Check against EWS criteria
Temp 2 0 2 2 0 0 0 0 0 0
Systolic BP 3 0 2 2 3 2 1 0 1 1 1
HR 2 2 2 1 2 1 1 1 1 1 1
RR 2 2 2 2 2 2 2 2 2 2 2
Oxygen % 3 3 3 3 3 1 1 1 1 1 1
Neuro (AVPU) 2 1 1 1 2 1 1 0 0 0 0
Urine 0 0 0 0 0 1 2 2 1 2 1
Total EWS Score 14 8 10 11 14 8 8 6 6 7 6
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