Paediatric Monitoring and Response Chart 2023
These charts have thresholds for escalation (Red you must call a doctor – registrar or above – to review the child ASAP; Orange, you should also be alert and escalate to a senior nurse or RMO).  These charts require trained nurses who understand how to plot the charts, and RMOs and registrars who can come to review patients and make assessments if observations are in the red zone.  Depending on the frequency of observations, each chart can last 2 days (if 2nd hourly observations), 3 days (if 3rd hourly observations) or 4 days (if 4 hourly observations).  The frequency of observations is prescribed by the doctor, depending on the severity of the patient, and this changes as the child improves.