ViCTOR

Victorian Children’s Tool for Observation and Response (ViCTOR) is a suite of standardised charts and educational resources for use in Victorian health services.

ViCTOR (paediatric wards and emergency departments)

These observation charts incorporate age-related vital signs for children across five age groups and are intended for use in paediatric wards and emergency departments.  The charts should be used in conjunction with the health services specific escalation of care procedures. 

The example PDF files can be accessed through the links below:

Example ViCTOR Chart - Under 3 Months

Example ViCTOR Chart - 3-12 Months

Example ViCTOR Chart - 1-4 Years

Example ViCTOR Chart - 5-11 Years

Example ViCTOR Chart - 12-18 Years

Video: Introduction to ViCTOR and using the charts

This 11-minute video explains how the charts should be used).

Videos: Paediatric Observations – Back to Basics

These videos demonstrate how to conduct observations on children. The first video  provides an overview of paediatric observations and the subsequent shorter videos shows how to take observations for each age group. 

Taking a closer look at paediatric observations:

Newborn Charts

There are two types of newborn charts: one intended for the newly delivered baby in the birth suite and postnatal setting and the other for use in the special care nursery.

Example ViCTOR Birth Suite/Postnatal

Example ViCTOR Special Care Nursery

Videos: Recognising deterioration in the newborn  (case studies)

Using the victor newborn charts

Urgent Care Charts

These charts have been designed for use in Urgent Care and small rural health settings. The original ViCTOR charts have been adapted and include additional sections for initial assessment and triage information, presentation/admission check list and transfer/discharge check list and a paediatric medication chart. 

The example PDF files can be accessed through the links below:

Example ViCTOR Urgent Care - Under 3 Months

Example ViCTOR Urgent Care - 3-12 Months

Example ViCTOR Urgent Care - 1-4 Years

Example ViCTOR Urgent Care - 5-11 Years

Example ViCTOR Urgent Care - 12-18 Years

Fluid Management Charts

There are two types of fluid management charts: one for use in the paediatric ward and emergency department the other for use in the special care nursery.

The example PDF files can be accessed through the links below:

Example ViCTOR Paediatric Fluid Management

Example ViCTOR SCN Fluid Management Chart

Videos

The first video discusses the principles of fluid management in hospitalised children and the second video demonstrates how to use the fluid management charts.   

Fluids management in paediatrics

 

Using the ViCTOR Paediatric fluid management chart

 

ViCTOR Neurological Observation Chart

This neurological assessment chart is designed to be used with the ViCTOR charts and incorporates  the  paediatric coma score for three age groups (Birth to 1 year, 1- 5years and older than 5 years).

The sample PDF file can be accessed through the link below:

Example - Statewide neurological observation chart

VICTOR Medical Emergency Response Metrics

This form along with the “General Instructions” guides data collection for use with inpatient paediatric patients who have a medical emergency response (e.g. MET call or Code Blue). These metrics have been developed to assist organisations in their local review of deteriorating patients.   

ViCTOR Medical Emergency Response Information Sheet

Victorian Children’s Tool for Observation and Response - Medical Emergency Response Metrics

Acknowledgement

The development and implementation of these ViCTOR resources was led by the Royal Children’s Hospital and Monash Children’s Hospital and funded by the Victorian Paediatric Clinical Network (Safer Care Victoria).

Additional Resources & Support

The charts can be ordered from Allanby Press Printers Camberwell https://www.allanbypress.com.au/  The print order codes are noted below.