Clinical pathways

Snake Bite

New clinical pathways and resources for management of snake bites in emergency departments developed by an expert reference group led by  Emergency Care Improvement and Innovation Clinical Network (ECIICN). 

Generic Emergency Care Patient Record

This generic patient record is designed for use in small rural health services to aid in the documentation of their patient care delivery in the emergency area. The record provides prompts to assist the registered nurse in the assessment and management of emergency presentations.

The record has undergone significant revision in 2013 and now incorporates the deteriorating patient  elements from Standard 9 Recognising and responding to clinical deterioration in acute health care setting, NSQHS Standards. The record folds out into a 6 page (back and front) document.

The clinical handover/communication prompt ISBAR is also included within the record.

The vital signs and clinical review criteria section of the record principally covers the adult patient. 

An audit tool is available for health services to undertake their own documentation audit.

ViCTOR Urgent Care charts

The ‘ViCTOR Urgent Care’ and ‘ViCTOR Neurological’ packages are available for registration and download via the project website Additionally, a series of videos demonstrating paediatric vital sign measurement, named ‘ViCTOR Back 2 Basics’ are also freely available. Further ViCTOR charts are also available from the website for paediatric and newborn clinical documentation.  

Grampians Frameworks

There are a number of frameworks available in the Grampians Region however those listed here relate to acute/emergency care.

Grampians Acute Cardiac Care framework 2016

This Acute Cardiac Care Framework has been developed in response to the expanded capacity within the Grampians Region for interventional treatment options particularly for the time critical ST elevation myocardial infarction (STEMI) patient and to a lesser extent, the Non ST elevation myocardial infarction (NSTEMI) patient. 

A resource to go with the cardiac framework is a video on the administration of Tenecteplase, this resource has been provided by Boehringer Ingelheim and is a youtube format. Click Tenecteplase administration to watch the video clip, it runs for approximatly 4 minutes.

Framework for the Management of acute stroke 2016

The National Stroke Foundation published Clinical Guidelines for Stroke Management 2010 wich made a number of evidenced based recommendations. In response to the recommendations, the Grampians Region developed the Framework for the management of acute stroke 2012, Version 1. This Framework has been reviewed and revised producing the Framework for the management of acute stroke 2013 with a further revision undertaken in 2016.

Grampians Region - A guide to emergency birthing for the non-midwife 

This guide is designed for the non-midwife who may need to manage an emergency presentation of a woman in labour. The guide does not attempt to provide an extensive resource; it does, however, provide the fundamental points to enable a health professional to assist the mother with a normal delivery and continue to manage the mother and baby for transfer.

The guide is also an attachment to the Grampians Region Maternity and Newborn Services Framework.

 icon A guide to emergency birthing for the non midwife March_2016 (684.31 kB)

Ballarat Health Services resources

Ballarat Health Services has kindly provided some of their resources for the Region through their internet site. To access the clinical practice and drug guidelines log on to the  Ballarat Health Services web site 

Go to For Healthcare Professionals - select Clinical Guidelines - under basic search pick Document Type and then select the guideline group you want to search in.

The other area that is of interest is the  Emergency Education Resource  this provides a variety of resources on different topics related to emergency care. 

Coroners Court

The Coroners Court of Victoria is a specialist court established to investigate certain types of deaths and fires. The purpose of these investigations is to consider ways that similar deaths and fires may be prevented in the future. The website has a number of resources that assist health professionals in this are.