Paediatrics

The Between the Flags (BTF) system is a 'safety net' for all patients, including children and young people, who are cared for in NSW public hospitals and health care facilities. It is designed to protect these patients from deteriorating undetected and to ensure they receive appropriate care if they do.

Charts

Standard Paediatric Observation Charts
Between the Flags

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Emergency Department Paediatric Observation Charts
Between the Flags

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Escalation

In some cases, babies and children who deteriorate may require transfer to a facility with paediatric specific expertise. There must be a paediatric-specific Clinical Emergency Response System (CERS) and escalation response relevant to all units and departments within any facility where children are cared for, or may present.

Refer to NSW Health Policy PD2020_018 - Recognition and management of patients who are deteriorating for further information on CERS and escalation of care.

    For additional information on paediatric transfer processes refer to:

    Education

    These My Health Learning education resources aim to provide health care practitioners with the knowledge, skills and understanding to recognise and respond to early and late warning signs of clinical deterioration in infants and children. They are aimed at assisting clinicians in developing a systematic approach to ensure appropriate assessment and timely intervention and escalation.

    To view the eLearning courses you will need to log in to My Health Learning.

    • Between the Flags - Tier 1: Awareness, Charts and Escalation (eLearning)
      (Course Code 90688727)
    • Between the Flags - Tier 2: Case Studies - Nursing & Medical (Paediatric)
      (Course Code 99825657)
    • Between the Flags - Tier 2: Systematic Assessment
      (Paediatric) (Course Code 99825401)
    • eMR: Between the Flags - Paediatric
      (Course Code 132261490)
    • Clinical Handover
      (Course Code 47857717)
    • Clinical Handover: Think, Talk and Write ISBAR
      (Course Code 39831743)