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PEWS Warning System Will Provide Assessment, Early Intervention and Stabilization for Welsey Pediatric Patients

October 06, 2013

PEWS Warning System Will Provide Assessment, Early

Intervention and Stabilization for Wesley Pediatric Patients

WICHITA, Kansas – Wesley Medical Center has implemented an additional safety measure for its pediatric patients. The new Pediatric Early Warning System (PEWS) is now a standard component of pediatric patient assessment.

“PEWS should help us decrease code blues and increase our awareness of patient deterioration at an early stage,” said Cyndi Chapman, Wesley Medical Center’s pediatric intensive care manager. “It will also provide a better communication tool for nurses and physicians.”

Similar to the MEWS system for adults, PEWS provides assessment, early intervention and stabilization for pediatric patients and helps prevent clinical deterioration or arrest. PEWS includes a scoring tool and an action algorithm. Nurses use the scoring tool as an adjunct to their daily clinical assessment in order to help detect clinical deterioration of pediatric patients. The action algorithm provides a set of minimal actions to assist deteriorating patients by involving all necessary team members in a timely manner. The algorithm also assists in determining the level of care necessary.

Pediatric nurses caring for inpatients chart PEWS assessments and scores in Meditech, Wesley’s patient tracking software, a minimum of every four hours. The scoring tool enables nurses to assign objective sub-scores to behavior, cardiovascular and respiratory areas. Additional points may also be assigned for every 15-minute or continuous nebulizations and/or persistent vomiting following surgery. Based on the results of the clinical assessment and PEWS score, the nurse can find the corresponding action(s) on the PEWS action algorithm. The corresponding action could include: more frequent reassessment; notifying the charge nurse, clinical staff leader, and/or primary medical team; or activating the Pediatric Response Team.

For more information about Wesley Medical Center and its pediatric services, please visit