What is between the flags in nursing?

The Between the Flags (BTF) system is a ‘safety net’ for patients who are cared for in NSW public hospitals and health care facilities. It is designed to protect these patients from deteriorating unnoticed and to ensure they receive appropriate care if they do.

What is a yellow zone response?

Any Red Zone Observation or additional criteria = Rapid Response. Deterioration not reversed within 1 hour of Clinical Review = Rapid. Response. Serious Concern = Rapid Response. The Yellow Zone.

What does the blue zone on the observation chart indicate?

Blue zone response: If your Pt has any blue zone observations you MUST (1) Initiate appropriate clinical care. (2) Increase the frequency of observations, as indicated by your Pt’s condition. (3) Manage anxiety, pain and review oxygenation in consultation with the NURSE IN CHARGE.

What does Sago chart stand for?

standard adult observation chart
Some states, territories and private hospital groups have developed and implemented general observation charts for use in their health service organisations. For example, in NSW most public hospitals are required to use the standard adult observation chart (SAGO) developed as part of the Between the Flags Program.

How do you fill out an observation chart?

2. Practise filling out an observation chart

  1. Plot her latest observations on the chart: Respiratory rate: 17 breaths/min.
  2. Calculate and add the latest NEWS to the observation chart.
  3. Add the frequency of monitoring required and the most appropriate clinical response on the observation chart.

What is detect in nursing?

DETECT (Detecting Deterioration, Evaluation, Treatment, Escalation and Communicating in Teams) which is part of the Between the Flags Program has many user friendly resources developed by NSW Health.

What is a track and trigger chart?

Colour-coded charts that incorporate a track and trigger system. The different colours in the charts reflect levels of physiological abnormality and are linked to weighted scores in aggregate scoring systems, or specific triggers in single or multiple parameter systems.

What is the purpose of an observation chart?

An observation and response chart is a document that allows the recording of patient observations, and specifies the actions to be taken in response to deterioration from the norm.

How do you use a fluid balance chart?

When completing a fluid balance chart, you should record any fluid intake by the patient in exact quantities, as well as the type of fluid. For example, if you give the patient a 200mL glass of water, you will record that information. You should also keep a running total (CQC 2019).

What are the signs of a deteriorating patient?

Other clues that your patient may be deteriorating include changes in pulse quality (irregular, bounding, weak, or absent), slow or delayed capillary refill, abnormal swelling or edema, dizziness, syncope, nausea, chest pain, and diaphoresis. Monitoring your patient’s temperature is also important.