Early warning and response system tools
Measuring a patient’s physiological observations (‘vital signs’) plays an important role in detecting clinical deterioration as patients often have abnormalities in their observations prior to adverse events such as cardiopulmonary arrest, unplanned admission to intensive care, and unexpected death.1
Regular measurement, documentation, interpretation and, where required, escalation of physiological observations is essential to ensure all patients receive a timely and appropriate treatment response.1
Observation and response charts (ORCS)
Observation and response charts (ORCs) are tools for documenting, monitoring, and communicating changes in physiological observations.1
The frequency of observations must be consistent with the acuity and clinical condition of the patient. Abnormalities in any of the physiological observations may indicate that a patient’s condition is deteriorating. The chart is designed so the users can recognise deterioration and take appropriate action.1
Note: An ORC does not replace clinical judgement but rather provides a validated tool for supporting clinical judgement.
Examples of observation record charts
Below are examples of a track and trigger chart and a scoring response chart. There are different versions of ORC charts; check with your hospital or health service to ensure that you use the right one.
Choose one to fill one out.
