Effect of the development of the Modified Early Warning Scores (MEWS) system for monitoring and managing the patient's symptoms before entering critical condition inpatient nursing jobs Rong Kham Hospital Kalasin Province.

Abstract

     This study was research and development aimed to Develop the use of warning signs before patients become in critical condition (MEWS) in monitoring patients before they enter critical condition and study the results of using the MEWS assessment in evaluating and monitoring patient changes in inpatient wards. Unplanned forwarding Intubation and patient death developed. Data were collected using a recording form created by the researcher according to the characteristics of the study variables consisting of 7 elements. Sample size includes all patients admitted to the hospital and MEWS assessed with a score of ≥ 1 between October 2022 and April 2023. Using the average performance over the past 3 years, the sample group was numbered. 164 documents were analyzed using descriptive statistics, including numbers, percentages, means, and standard deviations, to evaluate the use of the warning system (Modified Early Warning Score: MEWS) in patient surveillance before Entering a state of crisis.

     Results: There are guidelines for using early warning signs before patients become critical (MEWS) in patient monitoring. Communicate patient surveillance guidelines to nurses working in the ward so that they can be used to assess and monitor patients. The nurse records the values of the five physiological elements according to the alarm system, namely blood pressure, heart rate, breathing rate. body temperature and Oxygen in the body measured at the fingertip is 100 percent. Next was the level of consciousness (Glasgow coma score) at 98.17 percent, but no records were found for component 7, the amount of urine in 4 hours (ml.), up to 70.12 percent, as a result of the patient not being in the disease group. You must monitor your kidney function. There is monitoring of score levels. 1Highest 49.39%. All patients receive nursing care according to the specified score level criteria. and received follow-up after providing nursing care, 100% of the symptoms improved at the score level 1-2, 98.33%, the highest referral was at the score level 4, 25% had the highest survival at the score level 1-2, 4 and Score ≥6 100 percent