ViCTOR – Keeping kids safe in their zones
In 2013 the Victorian Paediatric Clinical Network (VPCN) funded a joint proposal by The Royal Children’s Hospital (RCH) and Monash Children’s Hospital to develop a set of Statewide Paediatric Observation and Response Charts, now known as ViCTOR (Victorian Children’s Tool for Observation and Response).
Launched in 2014, the ViCTOR charts utilise the most recent evidence in newborn and paediatric vital sign parameters as well as human factor elements such as colour, font and layout to assist clinicians to recognise and respond to clinical deterioration in newborn and paediatric patients.
The ViCTOR charts are available for any Victorian health service with newborn and/or paediatric patients up to the 18th birthday and are designed to be used in conjunction with the health services paediatric observation and escalation of care procedure.
There are 5 types of ViCTOR charts as detailed below.
|CHART||LAUNCH DATE||INTENDED AREA OF USE|
|ViCTOR||October 2014||Inpatient settings|
|ViCTOR Urgent Care||November 2015||Urgent Care Centres, specifically in rural hospitals|
|ViCTOR Neurological||November 2015||As an accompaniment to ViCTOR and ViCTOR Urgent Care Charts|
|ViCTOR BirthSuite / Postnatal||May 2017||Birth Suite Settings and Postnatal Units|
|ViCTOR Special Care Nursery||May 2017||Special Care Nursery environments|
What makes ViCTOR different to other newborn and paediatric observation charts:
- All observations are visualised on one page (A3 portrait)
- Each chart varies in vital sign increments according to the specific paediatric age group.
- Heart rate, respiratory rate and blood pressure all scale in smaller increments (e.g. 5mmHg) compared to adult charts indicating that ‘small changes can imply bigger concerns’
- Modifications are viewed in-line with the corresponding vital sign.
ViCTOR a State finalist
The ViCTOR team were thrilled to be finalists in the 2015 Victorian Public Healthcare Awards. The ViCTOR project was Highly Commended in the ‘Premiers Award for excellence in supporting the health workforce. Pictured below the ViCTOR Team (L to R) Dr Sharon Kinney, The Royal Children’s Hospital/The University of Melbourne, Dr Annie Moulden, Monash Children’s and Jen Sloane The Royal Children’s Hospital/Victorian Paediatric Clinical Network.
ViCTOR Project Reports
ViCTOR Project 2013 – 2014 SPORC Report August 2014
ViCTOR Urgent Care Project 2015 ViCTOR Rural Suitability Report October 2015
ViCTOR Newborn Project 2017 ViCTOR Newborn Project Final Report April 2017