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Ward Nursing

Give each nursing shift a clearer picture of the ward

NextHealth Care

Included in Care Hospitals.

NXH Care nursing tools bring observations, risk assessments and handover into the ward workflow. Each patient’s latest vitals are scored with NEWS2 and ranked on the nurse dashboard, while care plans, fluid balance and Morse, Braden and MUST assessments stay in the record. The system drafts an SBAR shift handover from the chart, and a nurse edits and signs it. Scores and flags support nursing judgement. They do not replace it, and they do not send an escalation.

Carry the nursing record from observations to handover

  1. Step 1

    Observe

    Record the patient’s observation set

  2. Step 2

    Review score

    See the NEWS2 score and risk band

  3. Step 3

    Assess and update

    Record risk assessments, fluid balance and care plans

  4. Step 4

    Hand over

    Edit and sign the SBAR draft

What your team can do

  • Record observation sets, with the latest vitals scored using NEWS2.
  • Rank inpatients on the nurse dashboard by NEWS2 score and risk band.
  • Record Morse falls, Braden pressure injury and MUST nutrition assessments, with reassessment due times.
  • Keep fluid balance and care plans in the nursing record.
  • Draft an SBAR handover from the chart, then edit and sign it.

Know what the score means and what it leaves out

The score is NEWS2, worked out from the patient’s latest vitals: respiratory rate, oxygen saturation, temperature, systolic blood pressure and pulse. Consciousness and supplemental oxygen are not captured, so they score zero, and the score is marked partial whenever a vital is missing. Treat it as a floor, not a ceiling. A score of 0 to 4 is low, 5 or 6, or any single parameter scoring 3, is medium, and 7 or more is high, shown in green, yellow and red.

What the flags do

The dashboard ranks inpatients by score so that the patients with the highest scores appear first, and it refreshes every 30 seconds. It does not send an escalation alert, start an escalation timer or tell a nurse what to do next. Escalation stays with your clinical procedures and the nurse’s judgement. Agree escalation responsibility in your own response procedure, because Care does not assign it.

Assessments and handover

Each risk assessment shows when it is next due, and suggested precautions follow from the level scored. The SBAR draft is compiled from the latest vitals, the NEWS2 score, medication doses due in the next four hours and the last 24 hours of fluid balance. The nurse adds the recommendation, and the signed handover is stored as a frozen snapshot.

Illustrative example: an observation round

This example uses synthetic data.

A nurse records observations for a synthetic patient, Yusuf Sample: respiratory rate 22, oxygen saturation 94 percent, temperature 37.0, systolic pressure 108 and pulse 96. Care scores them 2, 1, 0, 1 and 1, a total of 5, which is the medium band shown in yellow, and the patient moves up the dashboard. The nurse reviews the patient and follows the ward’s own escalation procedure. At the end of the shift she opens the SBAR draft, adds her recommendation and signs it.

Common questions

  • Nursing care is included in Care Hospitals. It forms part of the hospital workflow alongside the clinical foundation provided by the other Care modules.

  • Yes. Care scores the latest vitals with NEWS2 using respiratory rate, oxygen saturation, temperature, systolic pressure and pulse. Consciousness and supplemental oxygen are not captured, so the score can understate risk. Nurses and the treating team review it within their clinical workflow.

  • The system drafts an SBAR handover from the chart. The nurse edits it, adds the recommendation and signs it, and the signed handover is stored as a frozen snapshot.

  • No. Care does not send escalation alerts or start escalation timers. Use the scores and dashboard alongside your facility’s established clinical review and response procedures.

  • NEWS2 from the latest vitals, and the Morse falls, Braden pressure injury and MUST nutrition assessments from the items a nurse completes.

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