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HTML Preview Newborn Baby Chart page number 1.
1
The Royal W
olverham
pton Hosp
itals
NHS Trust
Newborn Early Warning System
Observation Chart
Reason for observ
ations:_____________
_____________
For frequency
of observati
ons see over
leaf
Date
Time
Initial
Temperature
o
C
38
37.5
37
36.5
36
35.5
Value
Respi
rato
ry Rat
e
80
70
60
50
40
30
Value
Grun
ti
n
g
Heart Rate
190
180
170
160
150
140
130
120
110
100
90
80
70
60
V
alue
SaO
2
≥
9
4
93-91
≤
9
0
Neur
o
Alert
Irrita
ble
Jittery
Poor f
eed
Floppy
Seizures
Glucose <2.
6
All observations in green – Contin
ue observations. N
o action.
1 Observation in amber – Inform Dr/ANNP/S
hif
t lead. Re
peat observa
tions in 30
minutes
2 or more observ
ations in amber – Immediat
ely call Dr/ANNP
for urgent medical r
eview
1 or more observat
ion in red – Immediately call Dr/AN
NP for urgent medical review
Surnam
e:
First nam
e:
Hospital Number:
NHS number:
Affix pa
tient
label
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