Quality statement 2: Monitoring

Quality statement

Children and young people with suspected or confirmed bacterial meningitis or meningococcal septicaemia have their temperature, respiratory rate, pulse, blood pressure, urine output, oxygen saturation and neurological condition monitored at least hourly until stable.

Quality measure

Structure: Evidence of local arrangements for children and young people with suspected or confirmed bacterial meningitis or meningococcal septicaemia to have their temperature, respiratory rate, pulse, blood pressure, urine output, oxygen saturation and neurological condition monitored at least hourly until stable.

Process: Proportion of children and young people with suspected or confirmed bacterial meningitis or meningococcal septicaemia who have their temperature, respiratory rate, pulse, blood pressure, urine output, oxygen saturation and neurological condition monitored at least hourly until stable.

Numerator – the number of people in the denominator who have their temperature, respiratory rate, pulse, blood pressure, urine output, oxygen saturation and neurological condition monitored at least hourly until stable.

Denominator – the number of children and young people with suspected or confirmed bacterial meningitis or meningococcal septicaemia.

What the quality statement means for different audiences

Service providers ensure systems are in place for children and young people with suspected or confirmed bacterial meningitis or meningococcal septicaemia to have their temperature, respiratory rate, pulse, blood pressure, urine output, oxygen saturation and neurological condition monitored at least hourly until stable.

Healthcare professionals monitor the temperature, respiratory rate, pulse, blood pressure, urine output, oxygen saturation and neurological condition of children and young people with suspected or confirmed bacterial meningitis or meningococcal septicaemia at least hourly until stable.

Commissioners ensure they commission services for children and young people with suspected or confirmed bacterial meningitis or meningococcal septicaemia to have their temperature, respiratory rate, pulse, blood pressure, urine output, oxygen saturation and neurological condition monitored at least hourly until stable.

Children and young people with suspected or confirmed bacterial meningitis or meningococcal septicaemia (blood poisoning) have their temperature, breathing, pulse, blood pressure, urine production, blood oxygen levels and level of consciousness monitored at least every hour until they are stable.

Source guidance

Data source

Structure: Local data collection.

Process: Local data collection. Contained within the baseline assessment for the NICE guideline on meningitis (bacterial) and meningococcal septicaemia in under 16s.

Definitions

Monitoring

Children and young people with suspected or confirmed bacterial meningitis or meningococcal septicaemia have the physiological observations described in the statement assessed regularly throughout their care pathway, whether presenting in primary care or after they have been admitted to hospital.

Neurological condition is assessed using observations that include pupillary reactions, motor function and levels of consciousness (Glasgow Coma Scale or AVPU [Alert, Voice, Pain, Unresponsive]).

[NICE's guideline on meningitis (bacterial) and meningococcal septicaemia in under 16s, recommendations 1.1.6 and 1.4.47]