Vitals and NEWS2 — Kinto Help Centre

Vitals is where you record a set of observations and see its NEWS2 score. At the top, Recent observations and NEWS2 lists the latest sets with their score; below it is one card per kind of reading with the latest five readings.

The Vitals page listing recent sets of observations with coloured NEWS2 badges, above cards for each kind of reading.

Record a set of observations

Select Record observations on the Vitals page, or on the resident’s Vitals tab.
Choose the resident (if you started from the Vitals page) and check Taken at.
Enter what you measured: respiration rate, SpO2, blood pressure, pulse and temperature, and optionally blood glucose and weight. Kinto checks each value is in a believable range, so a slip such as 375 for 37.5 is caught.
Choose Air or On oxygen, and the resident’s consciousness (ACVPU). These are never filled in for you.
Watch the NEWS2 panel at the bottom: the score, band and what to do update as you type.
Select Save observations.

The Record observations form filled in for a resident, with the NEWS2 panel showing 14, High, and the emergency response.

For a full score record all seven parameters marked •. If some are missing, Kinto shows the score with a + and lists what’s missing: the full score could be higher.

SpO2 Scale 2

Tick Use SpO2 Scale 2 only if a clinician has set a target saturation of 88–92% for the resident (for example COPD with hypercapnic respiratory failure). Kinto remembers it for that resident’s next set.

NEWS2 bands and what to do

Score	Band	Monitoring and response
0	Low	Minimum every 12 hours. Continue routine NEWS2 monitoring.
1–4	Low	Minimum every 4–6 hours. Inform the registered nurse, who must assess the resident.
3 in one parameter	Low–medium	Minimum every hour. The registered nurse informs the medical team (for example the GP or out-of-hours service).
5–6	Medium	Urgent response: inform the medical team immediately and ask for an urgent assessment.
7 or more	High	Emergency response: continuous monitoring and an emergency assessment; in a care home this usually means calling 999.

New confusion scores 3, the same as responding only to voice, pain or being unresponsive.

After you save, Kinto shows the result. A medium or high score raises an Early warning alert on the Alerts page for the whole team (no more than once every 12 hours at the same level, but a rise to high always alerts).

Observations saved, showing NEWS2 14 High, the emergency response and a note that an early-warning alert has been raised.

A resident's Vitals tab listing their sets of observations with NEWS2 scores, and the Record observations button. — Each resident’s Vitals tab lists their sets of observations. Their latest score is shown next to their name.

Still stuck, or spotted something that doesn’t match what you see? Email support@kinto.you and tell us which page you were on. Please don’t include residents’ personal or medical details.