Why NEWS2 scores are not enough to spot a deteriorating patient

Early warning scores give nurses a vital insight into a patient’s condition, but baseline measurements and clinical judgement are crucial to detecting deterioration

As a third-year nursing student, I have almost completed the 2,300 practice hours required by the Nursing and Midwifery Council before I can join the nursing register.

During my training, I have lost count of just how many routine observations I have taken: checking vital signs and watching for any indications of deterioration.

NEWS2 is one piece of a bigger puzzle

My experience has taught me that while the Royal College of Physicians’ National Early Warning Score (NEWS 2) is an essential tool, it is not the be-all and end-all, particularly in