Patient Sticker

Early Warning
Observation Score Chart Obstetrics
Date
Time
3
39.5
3
39
Temperature'C

3
38.5
1
38
37.5
37
36
1
35 3
Sub Score
3
210
3
200
2
190
2
180
(skoring untuk tekanan Sistolik saja)

2
170
2
160
2
150
1
Tekanan Darah

140
130
120
110
100
90
1
80
3
70
3
60
3
50
3
40
3
30
Systolic sub score
Diastolic sub score
3
130
2
120
2
110
Denyut Jantung/ Nadi

1
105
100
(kali/menit)

90
80
75
1
70
1
60
2
50
2
40
3
Sub Score
3
35
3
30
Pernapasan

(kali/menit)

2
25
1
20
15
1
10
2
5
3
Sub Score
Urine score
CNS score
SpO2 %

Total EWS
Score 0 1 2 3

SpO2% >95% 90-94% 88-89% <88%

Urine output (mi/hr) <50ml/5hrs <100ml/4hrs <10ml/hr

Alert Voice Confused/ Unconscious

Conscious level (CNS)
A V Aggitated: Pain: PU

NO PU NO PU
No Catheter 8 hrs & NO 10 hrs

BLADDER