Gcs paediatric form nsw pdf Bayview

Gcs paediatric form nsw pdf

Paediatric Clinical Practice Guidelines May 02, 2013В В· Results for Paediatric Glasgow Coma Scale 1 Executive Summary for Nurses [PDF] Source: Royal College of Paediatrics and Child Health - RCPCH - 26 February 2012 - Publisher: Royal College of Paediatrics and Child Health (RCPCH) This report examines some of the key recommendations of the guideline The Management of A Child with a Decreased

NSW Health Standard Observation Charts

Glasgow Coma Scale (GCS) LITFL • CCC Trauma. The Paediatric Glasgow Coma Scale (also known as Pediatric Glasgow Coma Score (American English) or simply PGCS) is the equivalent of the Glasgow Coma Scale (GCS) used to assess the level of consciousness of child patients. As many of the assessments for an adult patient would not be appropriate for infants, the Glasgow Coma Scale was modified slightly to form the PGCS., The purpose of this review is to provide an overview of the Glasgow Coma Scale in both its adult and paediatric forms, discuss conditions affecting the calculation of both domain and summary scores, explore innovation and alternative scores to GCS in the measurement of consciousness, and to recommend a standardised method of examination..

The ACT/NSW Paediatric and Children’s Healthcare Network clinical nurse consultants group identified a need for standardised paediatric risk/nursing assessment charts for acute paediatric in-patient units. It is considered correct for patients to answer in the short form ‘08’, instead of ‘2008’. Also, an acceptable GLASGOW COMA SCALE (GCS) AND ABBREVIATED WESTMEAD PTA SCALE (A-WPTAS) Research and development of the A-WPTAS supported by the Motor Accidents Authority NSW. Shores & Lammel (2007) - further copies of this score sheet

Guideline: Traumatic Brain Injury appropriate for use inretrieval settings other than NETS NSW, especially in non-Australian environments. This document reflects what is currently regarded as safe practice. However, as in any clinical situation, there may be determine GCS, pupil size, form … Use for children 2 years and younger only. For older children, use the standard Glasgow Coma Scale (GCS). Note the difference between the Glasgow Coma Score (total score, only applicable when all three components are testable) and the Glasgow Coma Scale (component scores, applicable if any of three components is not testable).

GLASGOW COMA SCALE : Do it this way RATE For factors Interfering with communication, ability to respond and other injuries Eye opening , content of speech and movements of right and left sides Sound: spoken or shouted request Physical: Pressure on ˜nger tip, trapezius or supraorbital notch Assign according to highest response observed Include: GCS, Respiratory Rate, BP, Heart Rate, Sa02, Temperature Spirometry/peak flow. BSI- on known diabetics and those on steroids. Monitoring: Sa02, Cardiac. — Sa02 required on admission for people with respiratory distress. If cardiac involvement is queried, ECG monitoring should also be used.

The gait and lower limb observation of paediatrics (GALLOP) is a very new, comprehensive assessment of questions and objective measures developed in 2016. Therefore, very limited research surrounding this proforma exists. Research suggests that children's gait is a frequent concern of parents and therefore they present to podiatrists and physiotherapists with their child regularly for Chatswood NSW 2067 PO Box 699 Chatswood NSW 2057 T +61 2 9464 4666 F +61 2 9464 4728 www.aci.health.nsw.gov.au Produced by: Neurosurgery Network Further copies of this publication can be obtained from the Agency for Clinical Innovation website at: www.aci.health.nsw.gov.au (iNcorporAtiNg the glAsgow comA scAle)

A retrospective review in 2010 of 1138 severely injured children using data from the New South Wales (NSW) Trauma Registry found children who received definitive treatment at a Paediatric Trauma Centre (PTC) were between 3 to 6 times more likely to survive than … Note. Adapted from “Glasgow Coma Scale (GCS) – level of consciousness” in Head Injury Guideline, by The Royal Children’s Hospital Melbourne, 2014. Paediatric Pain Scales Numeric Rating Scale (0-10) Older children who are able to self report pain Wong-Baker Faces Children aged 4-12 years who are able to self-report pain FLACC Scale

NSW Health Admission Policy Summary The purpose of this policy is to provide guidance to health service staff in regard to the decision to admit, the admission of patients to hospital and associated business processes. This policy aims to ensure consistency in the way that admissions occur and Acknowledgments: The Child’s Glasgow Coma Scale has evolved from adaptations to Jennett and Teasdale’s Glasgow Coma Scale (1), by James and Trauner (2), Eyre and Sharples and by Tatman, Warren and Whitehouse (3), and paediatric nurse colleagues, Kirkham and the British Paediatric Neurology Association GCS Audit Group.

The purpose of this review is to provide an overview of the Glasgow Coma Scale in both its adult and paediatric forms, discuss conditions affecting the calculation of both domain and summary scores, explore innovation and alternative scores to GCS in the measurement of consciousness, and to recommend a standardised method of examination. It is considered correct for patients to answer in the short form ‘08’, instead of ‘2008’. Also, an acceptable GLASGOW COMA SCALE (GCS) AND ABBREVIATED WESTMEAD PTA SCALE (A-WPTAS) Research and development of the A-WPTAS supported by the Motor Accidents Authority NSW. Shores & Lammel (2007) - further copies of this score sheet

Oct 12, 2019 · Chou R et al. Predictive Utility of the Total Glasgow Coma Scale Versus the Motor Component of the Glasgow Coma Scale for Identification of Patients With Serious Traumatic Injuries. Ann Emerg Med. 2017 Aug;70(2):143-157 [PMID 28089112] Green SM. Cheerio, laddie! Bidding farewell to the Glasgow Coma Scale. Glasgow Coma Scale. The Glasgow Coma Scale provides a practical method for assessment of impairment of conscious level in response to defined stimuli. “The Glasgow Coma Scale is an integral part of clinical practice and research across the World.

The Glasgow Coma Scales The Glasgow Coma Scale (GCS) is the most widely used scoring system used in quantifying the level of consciousness following traumatic brain injury. It is used because it is simple, has a relatively high degree of reliability and correlates well with outcomes following severe brain injury. One of the components of Guideline: Traumatic Brain Injury appropriate for use inretrieval settings other than NETS NSW, especially in non-Australian environments. This document reflects what is currently regarded as safe practice. However, as in any clinical situation, there may be determine GCS, pupil size, form …

• Neurological assessment using the Glasgow Coma Scale will be performed by registered nurses accurately and as required by the patient’s condition. • The Glasgow Coma Scale will incorporate assessment of limb strength and pupillary response to light stimulation. M 2009 The use of Glasgow Coma Scale in injury assessment — A critical review √ Fortune P-M 2010 The motor response to stimulation predicts outcome as well as the full Glasgow Coma Scale in children with severe head injury √ Green SM 2011 Cheerio Laddie! Bidding Farewell to the Glasgow Coma Scale √ Takahashi C 2011 A simple and useful

Pediatric Glasgow Coma Scale (pGCS) MDCalc

Gcs paediatric form nsw pdf

Identifying areas for improvement in paediatric trauma. Scoring instructions for clinicians Items where expect independence (IND; white boxes) and emerging skills (EM, pale grey boxes): Physical assistance (fully assisted in doing activity, or hands -on help/set up):, Chatswood NSW 2067 PO Box 699 Chatswood NSW 2057 T +61 2 9464 4666 F +61 2 9464 4728 www.aci.health.nsw.gov.au Produced by: Neurosurgery Network Further copies of this publication can be obtained from the Agency for Clinical Innovation website at: www.aci.health.nsw.gov.au (iNcorporAtiNg the glAsgow comA scAle).

Paediatric Clinical Practice Guidelines

Gcs paediatric form nsw pdf

Glasgow Coma Scale. Note. Adapted from “Glasgow Coma Scale (GCS) – level of consciousness” in Head Injury Guideline, by The Royal Children’s Hospital Melbourne, 2014. Paediatric Pain Scales Numeric Rating Scale (0-10) Older children who are able to self report pain Wong-Baker Faces Children aged 4-12 years who are able to self-report pain FLACC Scale Use for children 2 years and younger only. For older children, use the standard Glasgow Coma Scale (GCS). Note the difference between the Glasgow Coma Score (total score, only applicable when all three components are testable) and the Glasgow Coma Scale (component scores, applicable if any of three components is not testable)..

Gcs paediatric form nsw pdf


Glasgow Coma Scale. The Glasgow Coma Scale provides a practical method for assessment of impairment of conscious level in response to defined stimuli. “The Glasgow Coma Scale is an integral part of clinical practice and research across the World. Epidemiology of traumatic head injury from a major paediatric trauma centre in New South Wales, Australia (i.e. admission Glasgow coma score 13-15) and skull fracture or haematoma on a head

GLASGOW COMA SCALE : Do it this way RATE For factors Interfering with communication, ability to respond and other injuries Eye opening , content of speech and movements of right and left sides Sound: spoken or shouted request Physical: Pressure on ˜nger tip, trapezius or supraorbital notch Assign according to highest response observed A retrospective review in 2010 of 1138 severely injured children using data from the New South Wales (NSW) Trauma Registry found children who received definitive treatment at a Paediatric Trauma Centre (PTC) were between 3 to 6 times more likely to survive than …

Chatswood NSW 2067 PO Box 699 Chatswood NSW 2057 T +61 2 9464 4666 F +61 2 9464 4728 www.aci.health.nsw.gov.au Produced by: Neurosurgery Network Further copies of this publication can be obtained from the Agency for Clinical Innovation website at: www.aci.health.nsw.gov.au (iNcorporAtiNg the glAsgow comA scAle) EM 47. Using the internet safely (including understanding privacy issues, restricted sites) NE 48. Responsible behaviour regarding drugs, alcohol or sex

The Glasgow Coma Scale (GCS) was created in 1974 by Graham Teasdale and Bryan Jennett as an objective way to assess the level of consciousness in humans with traumatic brain injury and coma at initial and subsequent evaluations. This scale GLASGOW COMA SCALE : Do it this way RATE For factors Interfering with communication, ability to respond and other injuries Eye opening , content of speech and movements of right and left sides Sound: spoken or shouted request Physical: Pressure on Лњnger tip, trapezius or supraorbital notch Assign according to highest response observed

The purpose of this review is to provide an overview of the Glasgow Coma Scale in both its adult and paediatric forms, discuss conditions affecting the calculation of both domain and summary scores, explore innovation and alternative scores to GCS in the measurement of consciousness, and to recommend a standardised method of examination. It is considered correct for patients to answer in the short form ‘08’, instead of ‘2008’. Also, an acceptable GLASGOW COMA SCALE (GCS) AND ABBREVIATED WESTMEAD PTA SCALE (A-WPTAS) Research and development of the A-WPTAS supported by the Motor Accidents Authority NSW. Shores & Lammel (2007) - further copies of this score sheet

NICU Team / Paediatric Team review within 30 minutes RED ZONE Criteria Activate a Neonatal PACE Tier 2 call NICU Team / Paediatric Team review within 5 minutes . 3. NSW HEALTH STANDARD NEWBORN OBSERVATION CHART (SNOC) • All newborns must have a set of observation and a … Aug 05, 2013 · The management of moderate to severe traumatic brain injuries include prolonged intensive care and rehabilitation although the prognosis and the outcome remains elusive. Thus, several scoring systems have been introduced and validated in order to determine the outcome of the pediatric patients with traumatic brain injuries .

The ACT/NSW Paediatric and Children’s Healthcare Network clinical nurse consultants group identified a need for standardised paediatric risk/nursing assessment charts for acute paediatric in-patient units. Note that this calculator has been updated as of May 2019 in order to add more supporting references and to distinguish between the Glasgow Coma Score (total score, only applicable when all three components are testable) and the Glasgow Coma Scale (component scores, applicable if any of three components is not testable).

Note that this calculator has been updated as of May 2019 in order to add more supporting references and to distinguish between the Glasgow Coma Score (total score, only applicable when all three components are testable) and the Glasgow Coma Scale (component scores, applicable if any of three components is not testable). The gait and lower limb observation of paediatrics (GALLOP) is a very new, comprehensive assessment of questions and objective measures developed in 2016. Therefore, very limited research surrounding this proforma exists. Research suggests that children's gait is a frequent concern of parents and therefore they present to podiatrists and physiotherapists with their child regularly for

This tool may be freely copied in its current form for dis-tribution to individuals, teams, groups and organizations. It should not be altered in any way, re-branded or sold for commercial gain. Any revision, translation or reproduction in a digital form requires specific approval by the Concus-sion in Sport Group. Recognise and Remove Oct 12, 2019В В· Chou R et al. Predictive Utility of the Total Glasgow Coma Scale Versus the Motor Component of the Glasgow Coma Scale for Identification of Patients With Serious Traumatic Injuries. Ann Emerg Med. 2017 Aug;70(2):143-157 [PMID 28089112] Green SM. Cheerio, laddie! Bidding farewell to the Glasgow Coma Scale.

Note. Adapted from “Glasgow Coma Scale (GCS) – level of consciousness” in Head Injury Guideline, by The Royal Children’s Hospital Melbourne, 2014. Paediatric Pain Scales Numeric Rating Scale (0-10) Older children who are able to self report pain Wong-Baker Faces Children aged 4-12 years who are able to self-report pain FLACC Scale Chatswood NSW 2067 PO Box 699 Chatswood NSW 2057 T +61 2 9464 4666 F +61 2 9464 4728 www.aci.health.nsw.gov.au Produced by: Neurosurgery Network Further copies of this publication can be obtained from the Agency for Clinical Innovation website at: www.aci.health.nsw.gov.au (iNcorporAtiNg the glAsgow comA scAle)

Aug 05, 2013 · The management of moderate to severe traumatic brain injuries include prolonged intensive care and rehabilitation although the prognosis and the outcome remains elusive. Thus, several scoring systems have been introduced and validated in order to determine the outcome of the pediatric patients with traumatic brain injuries . A retrospective review in 2010 of 1138 severely injured children using data from the New South Wales (NSW) Trauma Registry found children who received definitive treatment at a Paediatric Trauma Centre (PTC) were between 3 to 6 times more likely to survive than …

NEUROLOGICAL ASSESSMENT USING THE GLASGOW COMA

Gcs paediatric form nsw pdf

(PDF) Epidemiology of traumatic head injury from a major. Epidemiology of traumatic head injury from a major paediatric trauma centre in New South Wales, Australia (i.e. admission Glasgow coma score 13-15) and skull fracture or haematoma on a head, NSW Health Standard Observation Charts . January 2014 . 1 the foundation on which the whole BTF program is built.\爀屲Th\൥ charts changed how observations were recorded in NSW and applied human factor principles to help clinicians identify trends an對d abnormal signs.\爀屲The standard thresholds for escalation in the chart are based.

Paediatric GCS Assessment Emergency Medical Paramedic

SESLHD PROCEDURE COVER SHEET. The gait and lower limb observation of paediatrics (GALLOP) is a very new, comprehensive assessment of questions and objective measures developed in 2016. Therefore, very limited research surrounding this proforma exists. Research suggests that children's gait is a frequent concern of parents and therefore they present to podiatrists and physiotherapists with their child regularly for, Note. Adapted from “Glasgow Coma Scale (GCS) – level of consciousness” in Head Injury Guideline, by The Royal Children’s Hospital Melbourne, 2014. Paediatric Pain Scales Numeric Rating Scale (0-10) Older children who are able to self report pain Wong-Baker Faces Children aged 4-12 years who are able to self-report pain FLACC Scale.

This tool may be freely copied in its current form for dis-tribution to individuals, teams, groups and organizations. It should not be altered in any way, re-branded or sold for commercial gain. Any revision, translation or reproduction in a digital form requires specific approval by the Concus-sion in Sport Group. Recognise and Remove Identifying areas for improvement in paediatric trauma care in NSW Australia using a clinical, system and human factors peer-review tool

The gait and lower limb observation of paediatrics (GALLOP) is a very new, comprehensive assessment of questions and objective measures developed in 2016. Therefore, very limited research surrounding this proforma exists. Research suggests that children's gait is a frequent concern of parents and therefore they present to podiatrists and physiotherapists with their child regularly for The purpose of this review is to provide an overview of the Glasgow Coma Scale in both its adult and paediatric forms, discuss conditions affecting the calculation of both domain and summary scores, explore innovation and alternative scores to GCS in the measurement of consciousness, and to recommend a standardised method of examination.

Acknowledgments: The Child’s Glasgow Coma Scale has evolved from adaptations to Jennett and Teasdale’s Glasgow Coma Scale (1), by James and Trauner (2), Eyre and Sharples and by Tatman, Warren and Whitehouse (3), and paediatric nurse colleagues, Kirkham and the British Paediatric Neurology Association GCS Audit Group. Use for children 2 years and younger only. For older children, use the standard Glasgow Coma Scale (GCS). Note the difference between the Glasgow Coma Score (total score, only applicable when all three components are testable) and the Glasgow Coma Scale (component scores, applicable if any of three components is not testable).

Epidemiology of traumatic head injury from a major paediatric trauma centre in New South Wales, Australia (i.e. admission Glasgow coma score 13-15) and skull fracture or haematoma on a head A retrospective review in 2010 of 1138 severely injured children using data from the New South Wales (NSW) Trauma Registry found children who received definitive treatment at a Paediatric Trauma Centre (PTC) were between 3 to 6 times more likely to survive than …

This tool may be freely copied in its current form for dis-tribution to individuals, teams, groups and organizations. It should not be altered in any way, re-branded or sold for commercial gain. Any revision, translation or reproduction in a digital form requires specific approval by the Concus-sion in Sport Group. Recognise and Remove Chatswood NSW 2067 PO Box 699 Chatswood NSW 2057 T +61 2 9464 4666 F +61 2 9464 4728 www.aci.health.nsw.gov.au Produced by: Neurosurgery Network Further copies of this publication can be obtained from the Agency for Clinical Innovation website at: www.aci.health.nsw.gov.au (iNcorporAtiNg the glAsgow comA scAle)

EM 47. Using the internet safely (including understanding privacy issues, restricted sites) NE 48. Responsible behaviour regarding drugs, alcohol or sex EMERGENCY TRIAGE EDUCATION KIT TRIAGE QUICK REFERENCE GUIDE. Triage Method Recommended Triage Method Paediatric – Dehydration. PPD Paediatric physiological discriminators (PPD) Category 1 Immediate Disability GCS<8 GCS 9–12 Severe decrease …

In pre-hospital care, there is still a certain level of debate about the overall benefits of performing a GCS on a patient versus a more basic level of consciousness assessment such as AVPU. Paediatric Glasgow Coma Scale. The following are recognised paediatric GCS scores: Best eye response: (E) 4. Eyes opening spontaneously. 3. © The Children’s Hospital at Westmead, Sydney Children’s Hospital, Randwick and Kaleidoscope Children, Young People and Families. page 2 of 2 Treatment The most

The purpose of this review is to provide an overview of the Glasgow Coma Scale in both its adult and paediatric forms, discuss conditions affecting the calculation of both domain and summary scores, explore innovation and alternative scores to GCS in the measurement of consciousness, and to recommend a standardised method of examination. Scoring instructions for clinicians Items where expect independence (IND; white boxes) and emerging skills (EM, pale grey boxes): Physical assistance (fully assisted in doing activity, or hands -on help/set up):

Chatswood NSW 2067 PO Box 699 Chatswood NSW 2057 T +61 2 9464 4666 F +61 2 9464 4728 www.aci.health.nsw.gov.au Produced by: Neurosurgery Network Further copies of this publication can be obtained from the Agency for Clinical Innovation website at: www.aci.health.nsw.gov.au (iNcorporAtiNg the glAsgow comA scAle) In pre-hospital care, there is still a certain level of debate about the overall benefits of performing a GCS on a patient versus a more basic level of consciousness assessment such as AVPU. Paediatric Glasgow Coma Scale. The following are recognised paediatric GCS scores: Best eye response: (E) 4. Eyes opening spontaneously. 3.

Responsibility for NSW Health’s paediatric clinical practice guidelines has transitioned to the Paediatric Network at the NSW Agency for Clinical Innovation. Paediatric clinical practice guidelines are also available via the NSW Health policy distribution system. The Glasgow Coma Scales The Glasgow Coma Scale (GCS) is the most widely used scoring system used in quantifying the level of consciousness following traumatic brain injury. It is used because it is simple, has a relatively high degree of reliability and correlates well with outcomes following severe brain injury. One of the components of

Note that this calculator has been updated as of May 2019 in order to add more supporting references and to distinguish between the Glasgow Coma Score (total score, only applicable when all three components are testable) and the Glasgow Coma Scale (component scores, applicable if any of three components is not testable). 4 Guidelines for Networking of Paediatric Services in NSW NSW Health • Decentralisation of services is desirable,where possible,and will be dependent on availability of appropriate staff,specialised equipment, service priorities and economic considerations. • Subspecialty paediatric services should be centralised at the specialist paediatric hospitals

The Glasgow Coma Scales Rainbow Rehabilitation Centers

Gcs paediatric form nsw pdf

(PDF) IDENTIFYING AREAS FOR IMPROVEMENT IN PAEDIATRIC. Revised SAGO Chart November 2013 Trim: D13/23738 Change: Title change Updated U/O criteria Updated BGL criteria Emphasis on patient, family or staff, M 2009 The use of Glasgow Coma Scale in injury assessment — A critical review √ Fortune P-M 2010 The motor response to stimulation predicts outcome as well as the full Glasgow Coma Scale in children with severe head injury √ Green SM 2011 Cheerio Laddie! Bidding Farewell to the Glasgow Coma Scale √ Takahashi C 2011 A simple and useful.

Clinical Excellence Commission NSW Health Observation Charts. Responsibility for NSW Health’s paediatric clinical practice guidelines has transitioned to the Paediatric Network at the NSW Agency for Clinical Innovation. Paediatric clinical practice guidelines are also available via the NSW Health policy distribution system., retrieval system or transmit in any form, or by any means, part or the whole of the Queensland Ambulance Service (‘QAS’) Clinical practice manual (‘CPM’) without the priorwritten permission of the Commissioner. The Glasgow Coma Scale (GCS) • A modified GCS is required for paediatric patient..

Paediatric Clinical Practice Guidelines

Gcs paediatric form nsw pdf

Mild head injury and concussion Sydney Children's Hospital. Recognition and Management of Patients who are Clinically Deteriorating SummaryThis document describes the standards and principles of the NSW Between the Flags (BTF) System for improving the recognition, response to and management of patients Oct 12, 2019В В· Chou R et al. Predictive Utility of the Total Glasgow Coma Scale Versus the Motor Component of the Glasgow Coma Scale for Identification of Patients With Serious Traumatic Injuries. Ann Emerg Med. 2017 Aug;70(2):143-157 [PMID 28089112] Green SM. Cheerio, laddie! Bidding farewell to the Glasgow Coma Scale..

Gcs paediatric form nsw pdf


Recognition and Management of Patients who are Clinically Deteriorating SummaryThis document describes the standards and principles of the NSW Between the Flags (BTF) System for improving the recognition, response to and management of patients Responsibility for NSW Health’s paediatric clinical practice guidelines has transitioned to the Paediatric Network at the NSW Agency for Clinical Innovation. Paediatric clinical practice guidelines are also available via the NSW Health policy distribution system.

GLASGOW COMA SCALE : Do it this way RATE For factors Interfering with communication, ability to respond and other injuries Eye opening , content of speech and movements of right and left sides Sound: spoken or shouted request Physical: Pressure on Лњnger tip, trapezius or supraorbital notch Assign according to highest response observed EM 47. Using the internet safely (including understanding privacy issues, restricted sites) NE 48. Responsible behaviour regarding drugs, alcohol or sex

Acknowledgments: The Child’s Glasgow Coma Scale has evolved from adaptations to Jennett and Teasdale’s Glasgow Coma Scale (1), by James and Trauner (2), Eyre and Sharples and by Tatman, Warren and Whitehouse (3), and paediatric nurse colleagues, Kirkham and the British Paediatric Neurology Association GCS Audit Group. Acknowledgments: The Child’s Glasgow Coma Scale has evolved from adaptations to Jennett and Teasdale’s Glasgow Coma Scale (1), by James and Trauner (2), Eyre and Sharples and by Tatman, Warren and Whitehouse (3), and paediatric nurse colleagues, Kirkham and the British Paediatric Neurology Association GCS Audit Group.

NSW Health Admission Policy Summary The purpose of this policy is to provide guidance to health service staff in regard to the decision to admit, the admission of patients to hospital and associated business processes. This policy aims to ensure consistency in the way that admissions occur and Epidemiology of traumatic head injury from a major paediatric trauma centre in New South Wales, Australia (i.e. admission Glasgow coma score 13-15) and skull fracture or haematoma on a head

PAEDIATRIC RESUSCITATION 223 This will present to you as cardio-respiratory arrest in an infant. Commence CRP as per APLS algorithm unless the baby has rigor mortis or stasis skin changes You must get senior EM (get a nurse to phone the on-call consultant) and get Paediatric help immediately in this situation –bleep 6666 and Glasgow Coma Scale Eye Opening Response • Spontaneous--open with blinking at baseline 4 points • To verbal stimuli, command, speech 3 points • To pain only (not applied to face) 2 points • No response 1 point Verbal Response

NSW Health Standard Observation Charts . January 2014 . 1 the foundation on which the whole BTF program is built.\爀屲Th\൥ charts changed how observations were recorded in NSW and applied human factor principles to help clinicians identify trends an對d abnormal signs.\爀屲The standard thresholds for escalation in the chart are based Glasgow Coma Scale Eye Opening Response • Spontaneous--open with blinking at baseline 4 points • To verbal stimuli, command, speech 3 points • To pain only (not applied to face) 2 points • No response 1 point Verbal Response

Identifying areas for improvement in paediatric trauma care in NSW Australia using a clinical, system and human factors peer-review tool Recognition and Management of Patients who are Clinically Deteriorating SummaryThis document describes the standards and principles of the NSW Between the Flags (BTF) System for improving the recognition, response to and management of patients

NSW Health Admission Policy Summary The purpose of this policy is to provide guidance to health service staff in regard to the decision to admit, the admission of patients to hospital and associated business processes. This policy aims to ensure consistency in the way that admissions occur and 4 Guidelines for Networking of Paediatric Services in NSW NSW Health • Decentralisation of services is desirable,where possible,and will be dependent on availability of appropriate staff,specialised equipment, service priorities and economic considerations. • Subspecialty paediatric services should be centralised at the specialist paediatric hospitals

Glasgow Coma Scale Eye Opening Response • Spontaneous--open with blinking at baseline 4 points • To verbal stimuli, command, speech 3 points • To pain only (not applied to face) 2 points • No response 1 point Verbal Response 4 Guidelines for Networking of Paediatric Services in NSW NSW Health • Decentralisation of services is desirable,where possible,and will be dependent on availability of appropriate staff,specialised equipment, service priorities and economic considerations. • Subspecialty paediatric services should be centralised at the specialist paediatric hospitals

Note. Adapted from “Glasgow Coma Scale (GCS) – level of consciousness” in Head Injury Guideline, by The Royal Children’s Hospital Melbourne, 2014. Paediatric Pain Scales Numeric Rating Scale (0-10) Older children who are able to self report pain Wong-Baker Faces Children aged 4-12 years who are able to self-report pain FLACC Scale The gait and lower limb observation of paediatrics (GALLOP) is a very new, comprehensive assessment of questions and objective measures developed in 2016. Therefore, very limited research surrounding this proforma exists. Research suggests that children's gait is a frequent concern of parents and therefore they present to podiatrists and physiotherapists with their child regularly for

Note. Adapted from “Glasgow Coma Scale (GCS) – level of consciousness” in Head Injury Guideline, by The Royal Children’s Hospital Melbourne, 2014. Paediatric Pain Scales Numeric Rating Scale (0-10) Older children who are able to self report pain Wong-Baker Faces Children aged 4-12 years who are able to self-report pain FLACC Scale Acknowledgments: The Child’s Glasgow Coma Scale has evolved from adaptations to Jennett and Teasdale’s Glasgow Coma Scale (1), by James and Trauner (2), Eyre and Sharples and by Tatman, Warren and Whitehouse (3), and paediatric nurse colleagues, Kirkham and the British Paediatric Neurology Association GCS Audit Group.