Early Warning Sytem (EWS) Keperawatan - Deteksi dini kondisi sebelum pasien mengalami kegawatan

Summary

This video provides an insightful explanation of the Early Warning System (EWS), a crucial tool in healthcare for detecting the early signs of patient deterioration. It covers the history, categories, and scoring system of EWS, explaining how healthcare professionals assess vital signs such as heart rate, blood pressure, respiratory rate, consciousness, temperature, oxygen saturation, and respiratory support usage. The video emphasizes the importance of early detection to prevent medical emergencies, detailing specific actions to take based on different score categories. Viewers will gain a deeper understanding of how EWS helps in making swift, informed clinical decisions.

Takeaways

• 😀 EWS (Early Warning System) is a method used to detect early signs of patient deterioration before critical conditions like cardiac arrest occur.
• 😀 The system started in Europe in 1997 and was later adopted worldwide, including in Indonesia, where it became a hospital accreditation standard in 2017.
• 😀 EWS uses a scoring system based on seven key physiological parameters to assess a patient's condition.
• 😀 Key parameters in EWS include heart rate, blood pressure, respiratory rate, consciousness level, temperature, oxygen saturation, and use of respiratory support.
• 😀 A low heart rate (bradycardia) can indicate serious conditions like hypothermia or CNS depression.
• 😀 Hypotension, or low blood pressure, is an important indicator of acute health issues and requires careful attention.
• 😀 High respiratory rates can signal acute diseases like sepsis, while a low respiratory rate may indicate advanced compensation.
• 😀 Changes in consciousness level, from alertness to coma, indicate the severity of a patient's condition and need for urgent care.
• 😀 Temperature abnormalities, such as hyperthermia or hypothermia, reflect serious underlying health issues.
• 😀 Oxygen saturation levels, measured by pulse oximeter, are crucial for monitoring heart and lung function, and should be checked regularly.
• 😀 Based on the score from these parameters, patients are categorized into color-coded levels (green, yellow, orange, red) to guide the level of medical intervention required.

Q & A

What is the purpose of the Early Warning System (EWS)?

The Early Warning System (EWS) is designed to detect early signs of deterioration in a patient's condition before it becomes critical, allowing for timely intervention to prevent emergencies such as cardiac arrest.

How was the Early Warning System (EWS) first implemented and when did it gain prominence?

The EWS was first implemented in 1997 in Europe, specifically in emergency departments, and gained prominence with the development of a scoring system to assess changes in patient physiological parameters.

What are the main parameters assessed in the Early Warning System for adult patients?

The main parameters include heart rate, blood pressure, respiratory rate, consciousness, temperature, and oxygen saturation.

How does the scoring system work in the Early Warning System (EWS)?

The scoring system assigns points based on the patient's vital signs, with each parameter having a specific score range. These scores are then used to determine the level of intervention required, ranging from normal (green) to high risk (red).

What are the categories based on the scoring in the Early Warning System (EWS)?

The categories are Green (normal), Yellow (low risk), Orange (moderate risk), and Red (high risk), with each corresponding to a different level of urgency and required intervention.

How does the Early Warning System (EWS) help in clinical decision-making?

EWS helps clinicians make quick, informed decisions by providing a structured framework to assess patient deterioration. It supports the timely identification of deteriorating patients, ensuring that necessary interventions are made promptly.

What is the significance of monitoring vital signs such as heart rate and blood pressure in EWS?

Monitoring heart rate and blood pressure is crucial in detecting early signs of deterioration. For example, bradycardia (low heart rate) or hypotension (low blood pressure) can indicate severe conditions like hypothermia, CNS depression, or fluid volume loss, which require immediate attention.

How does the Early Warning System (EWS) vary across different patient populations (e.g., adults, children, pregnant women)?

The EWS has different versions for specific populations, such as the Adult Early Warning System (NEWS) for adults, Pediatric Early Warning System (PEWS) for children, and Modified Early Obstetric Warning System (MEOWS) for pregnant women, each tailored to the unique needs of these groups.

What role do nurses play in the Early Warning System (EWS)?

Nurses play a key role in the Early Warning System as they are often the first to detect changes in patient condition. They measure vital signs, apply the scoring system, and determine the level of intervention needed, escalating to the appropriate healthcare team when necessary.

What should happen if a patient’s EWS score falls into the 'Red' category?

If a patient's score falls into the 'Red' category (score of 7 or more), immediate intervention is required. This includes continuous monitoring, activating the emergency response team (such as Code Blue), and preparing for potential transfer to an ICU or critical care unit.