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Between the flags - Sydney Nursing School
Transcript of Between the flags - Sydney Nursing School
The Between the Flags Program is designed to establish a 'safety net' in all NSW public hospitals and healthcare facilities that reduces the risks of patients deteriorating unnoticed and ensures they receive appropriate care in response if they do.
The Standard Adult General Observation (SAGO) chart was developed by the Between the Flags Management Committee
NSW Health Standard
DETECT is aimed at enhancing clinical assessment and management skills for early intervention for adult patients who are clinically deteriorating.
I S B A R
The ISBAR acronym provides a simple but effective way of prioritising information when communicating about a patient and their situation.
The program uses the analogy of Surf Life Saving Australia where Lifeguards and Life Savers aim to keep people safe by ensuring they are under close observation so that they do not venture into unsafe areas. Importantly they also ensure that rescue occurs rapidly, should someone get into trouble.
In a hospital, the ‘flags’ are the clinical boundaries for normal patient observations. Doctors and nurses are the lifeguards on duty who are monitoring the wellbeing of patients in their care.
If a patient’s observations enter the Yellow Zone on the SAGO Chart, clinical staff will initiate treatment, consult with the Nurse or Midwife in charge, and decide if a Clinical Review is required.
Clinical Reviews are conducted by appropriately skilled nurses and doctors and will include an assessment of the patient’s care plan. Appropriate treatment will then be started to prevent any further clinical deterioration.
If a patient’s observations fall within the Red Zone, a Rapid Response is immediately initiated. Clinical staff with advanced life support skills will be called to resuscitate the patient and treat whatever may have caused the deterioration in condition.
Quick reference cards
Acknowledgment: Clinical Excellence Commission (CEC) & NSW Health
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