NICU360 clinical tool

Downes Score

Respiratory distress score with escalation cues

Educational reference only. Verify inputs, units, source guidance, local policy, and the complete clinical context before acting.

Downes respiratory domains

Select one observation in every domain. The total updates as selections are made.

Respiratory Rate

Count for a full minute when irregular

Cyanosis

Central cyanosis, not acrocyanosis

Air Entry

Auscultation before and after support changes

Grunting

Expiratory grunt

Retractions

Chest indrawing / recession

Current score

—/ 5 domains

Choose an observation to begin.

Completed

0 of 5