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Personal profile

Research interests

Alan Monaghan is a senior lecturer in Nursing. He is a Registered Nurse Adult and Child. His research interest is recognition of the seriously ill child and as the original author of the Brighton Paediatric Early Warning Score has a research interest in Early warning scores and their use in various settings.

Royal Alexandra Hospital for Sick Children, Brighton Paediatric Early Warning Score.

 

 

0

1

2

3

Score

Behaviour

Playing / Appropriate.

Sleeping.

Irritable or Parents concerned.

Lethargic/ Confused

Reduced response to pain.

 

Cardiovascular

Pink or Capillary refill 1-2 seconds

Pale or Capillary refill 3 seconds

Grey or Capillary refill 4 seconds.

Tachycardia of 20 above normal rate.

Grey and mottled or capillary refill 5 seconds or above. Tachycardia of 30 above normal rate or bradycardia.

 

Respiratory

Within normal parameters, no recession or tracheal tug.

> 10 above mean, Using accessory muscles, 30+% Fi02

or 4+ litres/min.

>20 above mean recessing, tracheal tug.

40+% Fi02 or 6+

litres/min.

>30 above or 5 below mean with sternal recession, tracheal tug or grunting.  50% Fi02 or 8 + litres/min.

 

Score 2  extra for ¼ hourly nebulisers or persistent vomiting followingsurgery.

Monaghan (2005)

 

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Research Output 2002 2017

Accuracy of a pediatric early warning score in the recognition of clinical deterioration

Freitas, J., de Camargo, C., Lopez Sobrinho, C., Sales Portela, D. & Monaghan, A., 10 Jul 2017, In : Revista Latino-Americana de Enfermagem. 25, p. 1-7 7 p.

Research output: Contribution to journalArticle

Open Access
File
Pediatrics
ROC Curve
Sensitivity and Specificity
Social Sciences
Routine Diagnostic Tests

Clinical deterioration in hospitalized children: integrative review of a pediatric early warning score

Freitas, J., de Camargo, C., Lopez Sobrinho, C., Sales Portela, D. & Monaghan, A., 1 Mar 2016, In : Journal of Nursing UFPE online. 10, 3, p. 1128-1136 9 p.

Research output: Contribution to journalArticle

Open Access
File
Hospitalized Child
Pediatrics
Brazil
Patient Acuity
Publications

Translation and adaptation of a pediatric early warning score

Freitas, J., de Camargo, C., Lopez Sobrinho, C., Sales Portela, D., Monaghan, A., Santana Freitas, K. & Fonseca Mendoza, R., 1 Sep 2016, In : Revista Brasileira de Enfermagem. 69, 5, p. 1-9 9 p.

Research output: Contribution to journalArticle

Open Access
File
Pediatrics
Hospitalized Child
Semantics
Documentation
Brazil

Simulation without borders

Morley, K. & Monaghan, A., 2 Nov 2015, In : BMJ. p. 1 1 p.

Research output: Contribution to journalArticle

simulation
student
budget
infrastructure
project management
student
OSCE
video
curriculum
coaching