Paediatric Key Documents

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Key Document Supporting Information

Approval date - 26th March 2021

Review date - 26th March 2024

These are the most up to date version and should be used until a revised version is in place.

Version 7

Approved by : Paediatric Quality Improvement Meeting

Anaphylaxis in children

Administration of subcutaneous immunotherapy

Administration of Seasonal Sublingual Immunotherapy (SLIT)

Administration of Adrenaline Auto Injectors Standard Operating Procedure

Adrenaline Auto Injector Checklist

Allergy skin prick testing

Chronic urticaria

Eczema

Omalizumab therapy in children and young people

Paediatric In Hospital Oral Food Challenge Guideline

Procedure for Sublingual Immunotherapy (SLIT)

Pathway for Referral of Challenges or Supervised feeds

Supervised Feed Guideline for Children

Acute pain management in children

Nil by mouth (NBM) and peri operative medicines use

Post Op Nausea and Vomiting (refer to PIP guidelines)

Delivery of nebulised medication

High flow nasal cannula oxygen therapy (optiflow) in children with bronchiolitis or acute respiratory illness

Home oxygen therapy for infants with chronic lung disease

Omalizumab therapy in children and young people

Prescribing, monitoring and administration of oxygen in paediatrics

Prevention of cross infection in children and young people with Cystic Fibrosis

Pneumonia (refer to PIP guidelines)

Pleural effusion (refer to PIP guidelines)

Pneumothorax (refer to PIP guidelines)

Undertaking spirometry testing in paediatrics

Management of Acute Asthma/Wheeze in Children >2years Guideline

Cyanotic Congenital Heart disease (refer to PIP guidelines)

ECG interpretation (refer to PIP guidelines)

Endocartis prophylaxis (refer to PIP guidelines)

Heart failure and weak pulses (refer to PIP guidelines)

Tachycardia and Bradycardia (refer to PIP guidelines)

Apparent Life Threatening Events (ALTE) (refer to PIP guidelines)

APLS Cardiorespiratory arrest (refer to PIP guidelines)

APLS-Recognition and assessment of the sick child (refer to PIP guidelines)

Administration of entonox in children, young people and adults

Investigation of Sudden and Unexpected Death in Children under 18 years

COVID-19 Enhanced Child Death Notification Form

Intraosseous infusion (refer to PIP guidelines)

KIDS clinical guideline: fluid and electrolyte therapy

KIDS Drug Calculator

Long line insertion (refer to PIP guidelines)

Pain assessment (refer to PIP guidelines)

Pre-op fasting (refer to PIP guidelines)

Post GA monitoring of ex-premature infants (refer to PIP guidelines)

Paediatric resuscitation, stabilisation retrieval and transfer - (Guideline)

Paediatric Critical Care Unit Level 1 Worcestershire Acute Hospitals Trust

Supporting the family of a child/young person who is critically ill

Standard Operating Procedure for Time Critical Patients

Poisoning and drug overdose (refer to PIP guidelines)

Adrenal Insufficiency

BSPED recommended DKA guidelines

Children and adolescents with Diabetes requiring surgery

Congential hypothyroidism

Continuous Glucose monitoring for guideline for children and young people with Diabetes

DKA calculator

Paediatric DKA Integrated Care Pathway

Diagnosis and Management of Type 2 Diabetes (T2DM) in Children and Young People (CYP): Clinical Practice Guideline

Failure to attend for children and young people with diabetes

Healthy weight

Hypoglycaemia (refer to PIP guidelines)

Hypoglycaemia in children with type 1 diabetes

Insulin Pump Therapy Guideline for Children and Young People with Diabetes

Ketone monitoring (refer to PIP guidelines)

Management of children and adolescents with newly diagnosed type 1 Diabetes

Newly diagnosed Type 1 Checklist

Paediatric Insulin Adjustment in the Well Child with Diabetes

Paediatric Diabetes sick day management /Hyperglycaemia and Ketosis in the community

Paediatric and adolescent Diabetes transitional care

Paediatric Diabetes Service Operational Policy

Paediatric and adolescent diabetes with high HbA1c

Supporting children with diabetes in school

Staff Training Resources

Steroid dependence (refer to PIP guidelines)

Abdominal pain (refer to PIP guidelines)

Failure to thrive (refer to PIP guidelines)

Jaundice (refer to PIP guidelines)

Nutritional first line advice (refer to PIP guidelines)

Vitamin D deficiency (refer to PIP guidelines)

Care pathway for children and young persons with febrile neutropenia, neutropenic sepsis or suspected central venous line infections

Henoch-schonlein purpura (refer to PIP guideines)

Implanted central venous access device (alternatively called a port) in children

Management of acute presentation of primary Immune Thrombocytopenia (ITP) in children

Paediatric blood transfusion policy - see Appendix 3 Transfusion of Blood Components for Infants and Children

Skin tunnelled central venous catheters in children

Safe administration of chemotherapy for malignant disease in paediatrics

The following documents are Birmingham Children's Hospital policies and permission has been granted for these to be used-

Cover letter for Paediatric Oncology Policies

Guideline for the Management of Tumour Lysis Syndrome

Guideline for the Administration of Chemotherapy for Malignant Disease

Guideline for the immunisation of Children following treatment with Standard-dose Chemotherapy

Guideline for the immunisation of Children following treatment with high-dose Chemotherapy

Procedure for the managment of body waste and clinical samples from patients receiving Cytotoxic drugs

CCLG and Birmingham Women's and Children's Hospital Guideline on the Management of Chemotherapy Induced Nausea and Vomiting

Guideline for the prevention, recognition and management of fever in Children and Young People with Cancer

Procedure for the Management of spillage of cytotoxic drugs

Policy for the use of personal protective Equipment when handling chemotherapy, spillage of chemotherapy, body waste and/or clinical samples from patients receiving chemotherapy

Policy for the Care and Management of central venous catheters

Policy for the care and management of ports

Policy on the Handling of chemotherapy by staff who are pregnant or breastfeeding

Guidelines for the Prevention and Management of Chemotherapy and Radiotherapy induced Diarrhoea

Policy for Pregnancy testing and contraception for pregnancy prevention before Surgery/X-ray, Radiotherapy/Chemotherapy and treatment with medicines of Teratogenic potential

HIV and hepatitis B post exposure (refer to PIP guidelines)

Hepatitis (refer to PIP guidelines)

HIV testing (refer to PIP guidelines)

Immunodeficiency (refer to PIP guidelines)

Initial management of suspected bacterial meningitis

Kawasaki disease (refer to PIP guidelines)

Malaria (refer to PIP guidelines)

Management of sepsis in infants and children

Meningitis - NICE Guidance

Notifiable infectious diseases and food poisoning (refer to PIP guidelines)

Neonatal BCG vaccination

Osteomyelitis and septic arthritis (refer to PIP guidelines)

Petechial/purpuric rashes (refer to PIP guidelines)

Preseptal and orbital cellulitis in children

Paediatric nursing protocol for the administration of immunisations to a child

Reducing the risk of neonatal Group B Streptococcal (GBS) Infection

Antibiotic Prescribing in the Paediatric Directorate

Tuberculosis - NICE Guidance

Admission of children and young persons to the Acute Trust inpatient wards

Children's collaborative advance care plan policy

Children's urgent care guidelines - Top 10

Day Case Admission Record

Outlining the rights of children in hospital

Policy for clinical supervision of temporary or locum members of junior paediatric medical staff

Transfer of Paediatric Patients within and outside WAHT

Paediatric intravenous fluid guidelines

Responsibility of the Consultant Paediatrician on call

Restrictive physical intervention (Restraint and clinical holding for children and young people)

Trigger List Poster

LTF Labels

Emergency rescue medication for children with epilepsy (use of buccolam in children)

Facial palsy (refer to PIP guidelines)

Glasgow coma score (refer to PIP guidelines)

Epilepsy Transition Checklist

Head injury - Early management of head injury in children

Inpatient Management of patients on a ketogenic diet

Neuromuscular disorders (refer to PIP guidelines)

Referral Pathways for "Fits, Faints and Funny Turns" in Children and Young People <17 years of age

Status epilepticus in children

Care after death

Children's Clinic staff competencies checker

Use of nasal Continuous Positive Airway Pressure (CPAP) in the management of bronchiolitis in infants up to age 6 months

Discharge of children and young people from inpatient CYP wards

Flowchart for an Absconding Child/Young Person

Inserting, managing and removing peripheral vascular devices

Paediatric and NNU Peripheral Vascular Devices Record

Operational Policy for Paediatric Bed Management Including full capacity management and Nurse Staffing Escalation

It's okay to talk poster

Nursing Management of Nephrotic Syndrome

Paediatric Assessment Unit Standard Operating Policy

Paediatric monitoring and observation

Paediatric priority scoring for isolation

Policy on Chaperoning Infants, children and young people

Triage rapid assessment and access tool

Lumbar Puncture Guideline

Phlebotomy Children's Clinic -Standard Operating Procedure

Sedation of children for CT and MRI scanning

Undertaking capillary blood sampling in paediatrics

Venepuncture in paediatrics

Hypertension (refer to PIP guidelines)

Haemolytic uraemic syndrome (refer to PIP guidelines)

Investigation and management of antenatal diagnosis of renal pelvic dilation

Nocturnal enuresis

Nephrotic syndrome (refer to PIP guidelines)

Management of Nephrotic Syndrome and Discharge planning checklist

Renal calculi (refer to PIP guidelines)

Renal investigations (refer to PIP guidelines)

Arthritis (refer to PIP guidelines)

Limping child (refer to PIP guidelines)

Safeguarding children pathway

Change to Number for Children and Young People's Sexual Assault Referral Service in the West Midlands Region

Flowchart for an Absconding Child/Young Person

Investigation of Sudden and Unexpected Death in Children under 18 years

Escalation of Inappropriate Behaviour

Escalation of Self Harm on the Ward

Self harm (refer to PIP guidelines)

Worcestershire Children and Young People's Multiagency Urgent Mental Health Care Pathway

CAMHS/CRISIS Supervision Checklist

Physical Injuries - A Safeguarding Children Briefing

Nil by mouth (NBM) and peri operative medicines use

Operational policy for childrens day surgery at Kidderminster Treatment Centre

Paediatric general surgery

Paediatric Preoperative Anxiolytic Medication

Key Document Contact Information

If you require any information not currently available, please contact the pathway owner

Endocrine and Metabolism

Owner- Dr J West & Diane Cluley

Respiratory

Owner- Dr C Onyon, Paul Watson

Neonates

Owner - Dr Weckemann Dr Harry

Haematology and Oncology

Owner- Dr Kamalarajan, Dawn Forbes

Neurology

Owner- Dr A Gallagher

Allergy

Owner- Dr T Dawson

Renal

Owner- Dr Ahmed

Miscellaneous

Owner- Dana Picken

Infectious Diseases

Owner- Dr T Dawson

Anaesthetics/Critical Care

Owner- Dr Shinwari

Surgery

Owner- Dr A Gallagher

Paediatric Nursing

Owner- Dana Picken

Page last updated: 05 September 2022

Paediatric Key Documents

Key Document Supporting Information

Paediatric Key Documents Contents Page

Allergy

Anaesthetics

Breathing -Respiratory Disease

Cardiovascular Disease

Critical Care

Drugs and Poisoning

Endocrine and Metabolism

Gastroenterology

Haematology and Oncology

Infectious Diseases

Miscellaneous

Neonatal

Neurology

Paediatric Nursing

Procedures

Renal

Rheumatology

Safeguarding

Surgery

Key Document Contact Information