The program was dubbed “Between the Flags” because it was based on the way Surf Life Savers keep watch over us and ensure we remain within safe boundaries.
Research into health systems around the world shows that some warning signs can be recognised earlier.
Between the Flags supports doctors and nurses in knowing these signs, making clinical decisions on when to seek help and what sort of help is needed.
The chart dictates exactly what action staff must take when a person’s vital signs (obs) fall within the ‘yellow’ zone, which indicates early deterioration and the need for a clinical review, and the more critical ‘red’ zone, which calls for a rapid response.
The standardised system improves the way medical staff recognise and respond to patients who are clinically deteriorating.
“Since between the flags came in it is mandatory to do obs on patients at least three times a day. This is not required for aged care patients in a designated aged care unit.
I work on a Medical ward and we average half of our patients waiting for placement. A few have been with us for two years. Apparently we might get around the requirement for tds obs if the docs change the frequency and document it on the obs chart.
We have enough trouble trying to get altered calling criteria. We’ve tried to get them to document altered obs frequencies on the obs charts but then you have to get them to do it every week with the new chart.”
Has anyone else come up with a solution to this?”
What are your thoughts?
Does anyone else have trouble getting altered calling criteria?
Has anyone had trouble adjusting to “Between the Flags”?
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Image credit: Horizon 2035
This post was brought to you by the NSW Nurses’ Association.