New Zealand national maternity early warning system (MEWS) preparation and implementation guide
The health of pregnant and recently pregnant women can deteriorate for many reasons. At times, the failure to recognise signs of deterioration, escalate care and respond appropriately can cause preventable deterioration. We encourage maternity services and the wider hospital to establish a system for managing the care of pregnant, and recently pregnant (up to and including 42 days later), women who deteriorate while receiving in-hospital care.
This guide helps project leads and teams prepare for and implement a nationally consistent maternity early warning system (MEWS). It sets out the aim of the national MEWS programme, components to implement, available support, and recommended activities during the prepare, implement and sustain periods.
Specific tools and guidance have been developed to help you prepare for and implement the clinical, local measurement, and governance components of the MEWS. These are available to download below.
If you have any queries about these resources, please email info@hqsc.govt.nz.
Factsheet for senior clinicians and clinical leads (PDF 298KB)
Factsheet for midwives (PDF 322KB)
Factsheet for nurses (PDF 318KB)
Factsheet for clinicians – FAQs (PDF 321KB)
Education PowerPoint (PPTX 8.6MB)
Educational poster (PDF 733KB)
MEWS virtual grand round presentation
Completing maternity vital signs chart and MEWS eLearning via Ko Awatea
Measurement guidance (PDF 254KB)
Case review updated August 2021
Weekly data collection tool (XLSM 548KB)
Monthly data collection tool (XLSM 824KB)
The following additional materials are available on request by emailing info@hqsc.govt.nz:
- project charter template
- current system assessment template
- stakeholder assessment template
- countdown to launch posters
- eLearning module.
Preparation and implementation guide
Preparation and implementation guide (PDF 2MB)
Recognition: supporting tools and guidance
Maternity vital signs chart – editable (PDF 1.2MB)
Maternity vital signs chart user guide (PDF 1.2MB)
Escalation and response sticker to aid clinical documentation (DOCX 95KB)
Escalation mapping tool (DOCX 383KB)
Factsheet – the eight vital signs (PDF 279KB)
Response: supporting tools and guidance
Factsheet for project teams – capabilities (PDF 387KB)
Factsheet for clinicians – sepsis (PDF 363KB)
Factsheet for clinicians – hypertension (PDF 298KB)
Factsheet for clinicians – supplemental oxygen (PDF 322KB)
Factsheet for clinicians – clinical communication tools (PDF 297KB)
Clinical governance: supporting tools and guidance
Clinical governance recommendations (PDF 246KB)
Education: supporting tools and guidance
Factsheet for senior clinicians and clinical leads (PDF 298KB)
Factsheet for midwives (PDF 322KB)
Factsheet for nurses (PDF 318KB)
Factsheet for clinicians – FAQs (PDF 321KB)
Education PowerPoint (PPTX 8.6MB)
Educational poster (PDF 733KB)
MEWS virtual grand round presentation
Completing maternity vital signs chart and MEWS eLearning via Ko Awatea
Measurement: supporting tools and guidance
Measurement guidance (PDF 254KB)
Case review updated August 2021
Weekly data collection tool (XLSM 548KB)
Monthly data collection tool (XLSM 824KB)
The following additional materials are available on request by emailing info@hqsc.govt.nz:
- project charter template
- current system assessment template
- stakeholder assessment template
- countdown to launch posters
- eLearning module.