Clinical Practice Guidelines - NSW Health - Paediatric Emergencies
In line with the Statewide Paediatric Network's goal for standardised quality of care, multidisciplinary working groups from all three Child Health Networks were instructed to develop guidelines for the treatment of the 10 most common paediatric presentations to emergency departments. The following were developed:
- Abdominal
Pain
(pdf) 163K - Asthma
(pdf) 196K - Bacterial
meningitis
(pdf) 223K - Bronchiolitis
(pdf) 167K - Croup
(pdf) 184KB - Fever
(pdf) 181K - Gastroenteritis
(pdf) 340K - Head
Injury
(pdf) 228KB - Otitis
Media
(pdf) 162K - Recognition
of a Sick Child in Emergency Departments
(pdf) 226K - Seizures
(pdf) 122K - Sore
Throat
(pdf) 247K
Visit the NSW Health web site for a full list of policies pertaining to the baby and child.
Additional guidelines for Kaleidoscope, Hunter Children's Health Network staff are also available on their web site.
Pathways and Protocols (Paediatric)
These documents are for use in Emergency Departments as indicated by the title. They have been locally adapted from the NSW Health - Paediatric Emergency Clinical Practice Guidelines.
- Abdominal Pain
Pathway - Bulahdelah Community Hospital
(pdf) 143K - Abdominal Pain Pathway
- Hunter - Northern Sector - Referral Hospital
(pdf) 76K - Abdominal Pain Pathway -
Hunter - Northern Sector - Rural Hospital
(pdf) 76K - Abdominal
Pain Pathway - Hunter - Southern Sector - Rural hospital
(pdf) 81K - Abdominal Pain Pathway -
Hunter - Southern Sector - John Hunter & Maitland hospitals
(pdf) 78K - Abdominal Pain Pathway - Manning
Hospital
(pdf) 142K - Abdominal Pain Signs
& Symptoms - Hunter - all hospitals
(pdf) 71K
- Admission
and Transfer Protocol - Hunter - Emergency Services for Hospitals
without specialised paediatric services
(pdf) 68K
- Asthma Pathway -
Bulahdelah Community Hospital
(pdf) 142K - Asthma Pathway - Hunter
- Northern Sector - Referral Hospital
(pdf) 80K - Asthma Pathway - Hunter - Northern
Sector - Rural Hospital
(pdf) 80K - Asthma
Pathway - Hunter - Southern Sector - <20 acute beds hospital
(pdf) 81K - Asthma Pathway - Hunter - Southern
Sector - +20 acute beds hospital
(pdf) 83K - Asthma
Pathway - Hunter - Southern Sector - John Hunter & Maitland Hospitals
(pdf) 81K - Asthma Pathway - Manning Hospital
(pdf) 142K
- Bacterial Meningitis
Pathway - Bulahdelah Community Hospital
(pdf) 124K - Bacterial Meningitis
Pathway - Hunter - Northern Sector - Referral Hospital
(pdf) 113K - Bacterial Meningitis Pathway
- Hunter - Northern Sector - Rural Hospital
(pdf) 113K - Bacterial Meningitis Pathway
- Hunter - Southern Sector - Rural Hospital
(pdf) 110K - Bacterial
Meningitis Pathway - Hunter - Southern Sector - John Hunter & Maitland
Hospitals
(pdf) 104K - Bacterial Meningitis Pathway -
Manning Hospital
(pdf) 142K
- Bronchiolitis Pathway
- Bulahdelah Community Hospital
(pdf) 147K - Bronchiolitis Pathway -
Hunter - Northern Sector - Referral Hospital
(pdf) 88K - Bronchiolitis Pathway - Hunter
- Northern Sector - Rural Hospital
(pdf) 89K - Bronchiolitis
Pathway - Hunter - Southern Sector - <20 acute beds hospital
(pdf) 103K - Bronchiolitis Pathway - Hunter
- Southern Sector - +20 acute beds hospital
(pdf) 103K - Bronchiolitis
Pathway - Hunter - Southern Sector - John Hunter & Maitland Hospitals
(pdf) 102K - Bronchiolitis Pathway - Manning Hospital
(pdf) 146K
- Croup Pathway - Bulahdelah
Community Hospital
(pdf) 142K - Croup Pathway - Hunter -
Northern Sector - Referral Hospital
(pdf) 94K - Croup Pathway - Hunter - Northern
Sector - Rural Hospital
(pdf) 87K - Croup Pathway
- Hunter - Southern Sector - <20 acute beds hospital
(pdf) 109K - Croup Pathway - Hunter - Southern
Sector - +20 acute beds hospital
(pdf) 109K - Croup Pathway
- Hunter - Southern Sector - John Hunter & Maitland Hospitals
(pdf) 108K - Croup Pathway - Manning Hospital
(pdf) 150K
- Fever Pathway - Bulahdelah
Community Hospital
(pdf) 137K - Fever Pathway - Hunter -
Northern Sector - Referral Hospital
(pdf) 95K - Fever Pathway - Hunter - Northern
Sector - Rural Hospital
(pdf) 84K - Fever Pathway
- Hunter - Southern Sector - <20 acute beds hospital
(pdf) 66K - Fever Pathway - Hunter - Southern
Sector - +20 acute beds hospital
(pdf) 30K - Fever
Pathway - Hunter - Southern Sector - John Hunter & Maitland Hospitals
(pdf) 65K - Fever Pathway - Manning Hospital
(pdf) 145K
- Gastro
- Oral Trial of Fluids - Bulahdelah Community Hospital
(pdf) 197K - Gastro - Oral Trial of
Fluids - Hunter
(pdf) 62K - Gastro - Oral Trial of Fluids
- Manning Hospital
(pdf) 199K - Gastro Pathway - Bulahdelah Community
Hospital
(pdf) 143K - Gastro Pathway - Hunter
- Northern Sector - Referral Hospital
(pdf) 100K - Gastro Pathway - Hunter - Northern
Sector - Rural Hospital
(pdf) 90K - Gastro Pathway
- Hunter - Southern Sector - <20 acute beds hospital
(pdf) 112K - Gastro Pathway - Hunter - Southern
Sector - +20 acute beds hospital
(pdf) 112K - Gastro
Pathway - Hunter - Southern Sector - John Hunter & Maitland Hospitals
(pdf) 112K - Gastro Pathway - Manning Hospital
(pdf) 144K - Gastro Policy - Hunter
- Emergency Services
(pdf) 241K
- Head Injury Pathway - Bulahdelah
Community Hospital
(pdf) 220K - Head Injury Pathway
- Hunter - Northern Sector - Referral Hospital
(pdf) 122K - Head Injury Pathway - Hunter
- Northern Sector - Rural Hospital
(pdf) 122K - Head Injury Pathway - Hunter
- Southern Sector - all hospitals
(pdf) 171 - Head Injury Pathway - Manning
Hospital
(pdf) 211
- Otitis Media Pathway - Bulahdelah Community
Hospital
(pdf) 130K - Otitis Media Pathway - Hunter -
Southern Sector - Rural Hospital
(pdf) 76K - Otitis Media
Pathway - Hunter - Southern Sector - John Hunter & Maitland Hospitals
(pdf) 76K - Otitis Media Pathway - Manning Hospital
(pdf) 126K
- Seizure Pathway
- Bulahdelah Community Hospital
(pdf) 163K - Seizure Pathway - Hunter
- Northern Sector - Referral Hospital
(pdf) 186K - Seizure Pathway - Hunter -
Northern Sector - Rural Hospital
(pdf) 109K - Seizure Pathway - Hunter -
Southern Sector - Rural Hospital
(pdf) 91K - Seizure
Pathway - Hunter - Southern Sector - John Hunter & Maitland Hospitals
(pdf) 135K - Seizure Pathway - Manning Hospital
(pdf) 172K
- Sore Ear
Pathway - Hunter - Northern Sector - Referral Hospital
(pdf) 259K - Sore Ear Pathway - Hunter
- Northern Sector - Rural Hospital
(pdf) 109K
- Sore Throat
Pathway - Bulahdelah Community Hospital
(pdf) 136K - Sore Throat Pathway
- Hunter - Northern Sector - Referral Hospital
(pdf) 115K - Sore Throat Pathway - Hunter
- Northern Sector - Rural Hospital
(pdf) 107K - Sore Throat Pathway - Hunter
- Southern Sector - Rural hospital
(pdf) 29K - Sore
Throat Pathway - Hunter - Southern Sector - John Hunter & Maitland
Hospitals
(pdf) 29K - Sore Throat Pathway - Manning
Hospital
(pdf) 127K
- Triage tool
- Bulahdelah Community Hospital
(pdf) 229K - Triage
tool - Hunter - Northern Sector - Referral Hospital
(pdf) 76K - Triage
tool - Hunter - Northern Sector - Rural Hospital
(pdf) 76K - Triage
tool - Hunter - Southern Sector - all facilities
(pdf) 76K - Triage tool - Manning Hospital
(pdf) 76K
Disclaimer:
-
It should be noted that these documents reflect what is currently regarded as a safe and appropriate approach to care. However, as in any clinical situation there may be factors which cannot be covered by a single set of guidelines, this document should be used as a guide, rather than as a complete authorative statement of procedures to be followed in respect of each individual presentation. It does not replace the need for the application of clinical judgment to each individual presentation.
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Each Area Health Service is responsible for ensuring that local protocols based on these guidelines are developed. Area Health Services are also responsible for ensuring that all staff treating paediatric patients are educated in the use of the locally developed paediatric guidelines and protocols.
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In the interests of patient care it is critical that contemporaneous, accurate and complete documentation is maintained during the course of patient management from arrival to discharge.
-
Parental anxiety should not be discounted: it is often of significance even if the child does not appear especially unwell.
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The clinical guidelines published on this web site are only a guide and should not be used in place of consultation with senior medical staff.
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Furthermore, these are acute care guidelines and must be locally adopted to suit each locality and facility type.
