Ambulatory Emergency
Care Unit (AEC)
Score Sheet
Date of arrival
Time of arrival
Admission Prediction Score (Amb Score)
An Amb Score of 5 or greater identifies patients who are potentially suitable for AEC. Circle each answer as appropriate
0
Male
-0.5
Age
Less than 80
0
More than 80
-0.5
Access to public or private transport?
Yes
2
No
0
IV treatment anticipated?
Yes
0
No
2
Acutely confused?
Yes
0
No
2
NEWS score of 0?
Yes
1
No
0
Discharged from hospital within 30 days?
Yes
0
No
1
ON
LY
Female
US
E
Sex
TOTAL SCORE
The NEWS Scoring System
/8
(Royal College of Physicians 2012 National Early Warning Score). Circle each answer as appropriate
3
Respiratory rate
Oxygen saturations
8 or less
91% or less
Any supplemental oxygen
Temperature (˚C)
FO
R
Systolic BP
2
SP
CA
Score
Heart rate
92 - 93%
1
0
9 - 11
12 - 20
94 - 95%
96% or more
Yes
35 or less
90 or less
91 - 100
40 or less
Level of consciousness (AVPU)
1
2
3
21 - 24
25 or more
No
35.1 - 36.0
36.1 - 38.0
101 - 110
111 - 219
41 - 50
51 - 90
38.1 - 39.0
39.1 or more
220 or more
91 - 110
111 - 130
131 or more
A
V, P, U
AEC exclusions: paediatrics, cardiac chest pain, deliberate self harm / psychiatric illness,
non-ambulant, surgical / trauma, infection control issues (e.g. diarrhoea)
Patient unsuitable
Yes / No
Patient suitable but no capacity
Yes / No
Patient suitable and accepted
Yes / No
Signature
Print Name
TO BE FILED IN THE CLINICAL RECORD SECTION OF THE HEALTH RECORD
Designation
GHNHSFT/Y1329/09_13