NEWTT2 FAQs: Using the Chart
Frequently asked questions about the NEWTT2 framework and chart.
What if the value plots on the line?
Observations that plot on the line e.g., a temperature of 36.5C, fall within the score of the box above the line, so for this example 36.5C sits on the line between the hypothermia blue boxes and the normal range white boxes and is therefore a normal observation and scored as zero.
How does the NEWTT2 tool work with the KP Risk calculator / NICE Categorical Framework?
While the majority of newborn infants require only short-term surveillance, there are groups at risk of developing complications particular to the perinatal period. These groups should have additional observations tracked using the NEWTT2 tool. One type of ‘at-risk group’ is infants at risk of early neonatal infection.
The Kaiser Permanente Sepsis Risk Calculator and the NICE categorical framework are tools to determine the risk of early onset infection in newborn babies. (Please refer to relevant national and local guidance to ensure you are using these tools appropriately.) These two tools can be used to determine which babies need additional observations. The NEWTT2 chart can then be used to track these observations and provides recommendations on escalation where necessary.