Bristol Observation Chart - Day in the Life

Bristol Observation ChartFrequencyof obsWard:Date:Name:D.o.B.:Ward:Resp.RateSaO2DateTime36+31-3526-3021-2515-209-14≤ 893+90-9285-89

How to calculate MEWS Scorel Record standard observations (RR, BP, Temp, BP, HR, AVPU)l Note whether observation falls in shaded ‘At Risk Zone’. Score as per MEWS key.l Add points scored and record total ‘MEWS Score’ in bottom row of chart.Incident Report - MEWS ≥5Date Time Comment action Taken initialsHow to use the Bristol Observation ChartStart up Observations MEWS scores Action1 Take chart2 Put patientidentification labelin top right handcorner3 Identify frequencyfor observations inthe boxes provided4 If patient is not forMEWS e.g.palliative care thenConsultant or SpR toinitial box on bottomright of chart1 Record ALLobservations with a‘firm’ dot l2 Join consecutiveobservations with astraight line3 For SaO2 above 93write value in boxprovided1 Total the MEWS scoreusing 0 to 3 scoringguide on the chart2 Record the totalMEWS score in the boxfor MEWSMEWS SCORE 0 – 1Continue with routineobservationsMEWS SCORE 2-31 Inform nurse in charge2 Nurse to alterfrequency of obs toe.g. hourly in boxat top of chart3 Record obs at newfrequencyMEWS SCORE ≥51 Inform nurse in charge2 Request medicalreview within 30minutes3 Record action takenand result of medicalreview in box onreverse of obs. chart