The aims and expected benefits of providing the children's ...

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$Clavicle fracture - children.pdf - East Cheshire NHS Trust$

Appendix 1MedicalAcute conditions e.g. IV antibiotics,D&V, dehydration and pyrexia.Endocrine conditions.Asthma, o2 dependentchildren,neonate, feeding issuesDiabetes ViralGeneralSurgeryHernia repairOrchidopexyAppendicectomyCircumcision, Wound CareDay Surgery follow-upOrthopaedicsExternal fixationPerthes diseaseComplexneedsTrachestomy careGastrostomy careOxygen dependentTertiaryCareOncologyCystic FibrosisRheumatologyCardiologyGastroenterologyDermotologyAtopic EczemaAllergy testingPsoriasisOpthalmologyAdministration of eye dropsFollow up of day surgeryChildren’s Community TeamOperational Policy CA 2009-10-15Review 20126
Appendix 2 CCN Team Clinical GuidelinesClinical GuidelineDischarge Criteria Viral or bacterial infection Focus of infection identified and documented. No rash evident on referral. Less than 5% dehydrated. Tolerating a minimum of 10ml/kg/hr. Have shown evidence of urine output. Parents are competent at giving medication.Clinical GuidelineDischarge Criteria Gastroenteritis Child must be less than 5% dehydrated. Be tolerating a minimum of 10ml/kg/hr. Have shown some evidence of urine output.Clinical Guideline Asthma or viral associatedwheezeDischarge Criteria A diagnosis is established and documented in the relevantnotes. Clinical observations must be stable post broncodilator(i.e. respiration rate within normal limits for age. Tolerating fluids. Parents and child educated in the use of inhalers (andaccompanying devices) and deemed competent in theiruse. Information (verbal and written) on the effects of secondhand smoke given to parents.Clinical Guideline Intravenous Antibiotic Therapy(IVAB)Discharge Criteria Focus of infection identified and documented Clinical observations must be stable for a minimum of 4hours prior to discharge) All known allergies documented. Appropriate intravenous access is established prior todischarge (e.g. peripheral cannula, peripheral long line,central line, portocath) Intravenous antibiotic therapy (type, frequency and duration)and anaphylaxis drugs are prescribed prior to discharge. The first dose of antibiotic therapy regime is given on theChildren’s Unit- any adverse reactions are documented andchanges to the regime made as indicated. Antipyretic therapy should have been commenced and beeffective. Up to three nursing visits per day Parents are given written instructions on how to care for thedevice used for intravenous access prior to dischargeChildren’s Community TeamOperational Policy CA 2009-10-15Review 20127
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