409 KB. ... We follow the "2, 4, 6, 8 rule" for fasting guidelines in children. The pediatric Evidence-Based Care Recommendations developed at Cincinnati Children's Hospital Medical Center are developed by experts, patients and families to help pediatricians provide the best possible care to patients. For your child's safety, it is very important that you follow these instructions the night before and the day of a procedure or surgery. Boston Children’s Hospital 300 Longwood Avenue Boston, MA 02115 Boston Children’s Hospital at Waltham 9 Hope Avenue Waltham, MA 02453 Boston Children’s Hospital at Lexington 482 Bedford Street © 2020 Children's Wisconsin. NPO Guidelines. Ingestion of clear liquids by children 6 months or older was permitted up to 2 h before anesthesia in 48% of institutions ( Table 1 ). Nicotine Replacement Therapy Policy. Alert. Mercy Hospital's policies are available to download below. The James M. Anderson Center for Health Systems Excellence is dedicated to sharing its expertise and knowledge. 481 KB. Children 6 months of age or older: No clear liquids up to three (3) hours before surgery. Prescribing Guidelines for Acute Otitis Externa and Otitis Media with Tympanostomy Tube Otorrhea. 50 Flemington Road Parkville Victoria 3052 Australia, Site Map | Copyright | Terms and Conditions, A great children's hospital, leading the way, Acceptable ranges for physiological variables, Acute behavioural disturbance: Acute management, Acute behavioural disturbance: Code Response, Acute management of an oesophageal variceal bleed, Acute Spinal Cord Injury Management (see >> Spinal cord injury (acute management)), Adenoidectomy (see >> Tonsillectomy and adenoidectomy post operative nursing management), Admission criteria for general medicine SSU and IPU, Adolescent gynaecology - Heavy menstrual bleeding, Adolescent gynaecology - lower abdominal pain, Adolescent gynaecology - Sexually transmitted infections (see >> Sexually transmitted infections (STIs)), Adolescent gynaecology - vulval ulcers (see >> Vulval ulcers), Adolescent patient - engagement and assessment (see >> Engaging with and assessing the adolescent patient), Adolescent substance use (see >> Substance use (abuse)), Adrenal crisis and acute adrenal insufficiency, Adrenal insufficiency steroid replacement before and after surgery or procedure requiring GA, Adrenaline and fluid bolus administration in resuscitation, Advanced Directives (see >> Withholding or withdrawal of life-sustaining treatment), advanced secretion clearance (see >> Nurses role in advanced secretion clearance), Airway management (see >> Emergency airway management), Airway Obstruction (see >> Acute upper airway obstruction), Alkaline Ingestion (see >> Alkalis poisoning), Alkaline Poisoning (see >> Alkalis poisoning), ALTE (see >> Brief Resolved Unexplained Event BRUE), Anaesthetic (see >> Routine post anaesthetic observation), Analgesia and sedation (see >> Acute pain management), Angioedema (see >> C1 Esterase inhibitor deficiency), Antibiotics (see >> Antimicrobial guidelines), Anticoagulation Guidelines (see >> Long term ventricular assist device VAD anticoagulation), Antifungal prophylaxis for children with cancer or undergoing haematopoietic stem cell transplant, Apnoea Monitoring Post Operatively in Infants, Apparent life threatening event ALTE (see >> Brief Resolved Unexplained Event BRUE), Arthritis (see >> The acutely swollen joint), Assessment of severity of respiratory conditions, Assisting with elective intubation of the neonate on the Butterfly Ward, Asylum seeker issues (see >> Immigrant health resources), Autism and developmental disability: Management of distress/agitation, Balanitis (see >> The penis and foreskin), BC algorithm (see >> Childrens cancer centre - blood culture), BD Saf-T-Intima (see >> Subcutaneous catheter devices management of insuflon and BD safTIntima devices), Bedwetting (see >> Enuresis - Bed wetting and Monosymptomatic Enuresis), Bell's palsy (see >> Facial weakness and Bell's palsy), BiPAP (see >> Continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV)), Bladder pressure (see >> Intra-abdominal pressure monitoring), Bleeding dental socket (see >> Dental conditions - non traumatic), Blood Culture Guidelines (see >> Childrens cancer centre - blood culture), Blood Pressure Charts (see >> Hypertension), Blood transfusion consent documentation and administration, Bowel (see >> Post-operative bowel management), Burns (see >> Nursing management of burn injuries), Button battery ingestion (see >> Foreign body ingestion), Cardiac catheterisation (see >> Care of the patient post cardiac catheterisation), Cardiomyopathy (see >> Peri-operative management of patients with pulmonary hypertension or cardiomyopathy), Cardiothoracic surgery (see >> Pleural and mediastinal drain management after cardiothoracic surgery), Care of the patient post cardiac catheterisation, Care of the seriously unwell child (see >> Resuscitation: Care of the seriously unwell child), Catheter (urinary indwelling) - insertion and ongoing care (see >> Indwelling urinary catheter - insertion and ongoing care), Catheter devices (see >> Subcutaneous catheter devices management of insuflon and BD safTIntima devices), Catheterisation (see >> Teaching and supporting Clean Intermittent Catheterisation for parents and children), Cellulitis and other bacterial skin infections, Central venous access device insertion and management, Charcoal in Poisonings (see >> Use of Activated Charcoal in Poisonings), Chest drain insertion (see >> Thoracocentesis and chest drain insertion), Chroming (see >> InhalantsVolatile Substance Use - Chroming), CINV (see >> Chemotherapy induced nausea and vomiting), Circumcision (see >> The penis and foreskin), Colic (see >> Unsettled or crying babies), compartment syndrom (see >> Neurovascular observations), Contact prophylaxis for invasive meningococcal or Hib disease, Continuous Positive Airway Pressure (CPAP) - Care in the Newborn Intensive Care Unit (Butterfly Ward), Continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV), CPAP (see >> Continuous Positive Airway Pressure (CPAP) - Care in the Newborn Intensive Care Unit (Butterfly Ward)), CPR (see >> Resuscitation: Hospital Management of Cardiopulmonary Arrest), CPR (COVID) (see >> Resuscitation: Hospital Management of Cardiopulmonary Arrest COVID-19), Daytime wetting (see >> Urinary Incontinence - Daytime wetting), Death Certificate (see >> Death of a child), Death of a child with a suspected metabolic disorder, Decannulation - Tracheostomy (see >> Tracheostomy management), Dental abscess (see >> Dental conditions - non traumatic), Developmental disability (see >> Autism and developmental disability: Management of distress/agitation), Diabetes Phone Calls (see >> Management of diabetes phone calls), Distraction techniques for COVID-19 swabbing, DKA (see >> Transitioning from IV Insulin to Subcutaneous Insulin for DKA Patients), Do Not Resuscitate (see >> Withholding or withdrawal of life-sustaining treatment), Documentation (see >> Nursing Documentation Principles), Drain management (see >> Pleural and mediastinal drain management after cardiothoracic surgery), Drug Doses - Emergency (see >> Emergency drug doses - CPG), Eating disorders (see >> Management of Eating Disorders in the Emergency Department), Ebola (see >> Empiric treatment of infectious diseases in Ebola suspect), Elective extubation (see >> Extubation (elective) of the neonate on butterfly ward), Elective intubation (see >> Assisting with elective intubation of the neonate on the Butterfly Ward), Emergency Drug Dose Calculator (see >> Emergency drug doses - CPG), Empiric treatment of infectious diseases in Ebola suspect, Endotracheal tube suction of ventilated neonates, Engaging with and assessing the adolescent patient, Enteral feeding and medication administration, Enuresis - Bed wetting and Monosymptomatic Enuresis, Envenomation and Bites (see >> Snakebite), Environmental humidity for premature neonates, Epididymoorchitis (see >> Acute scrotal pain or swelling), Epiglottitis (see >> Acute upper airway obstruction), External ventricular drains and intracranial pressure monitoring, Extravasation (see >> Peripheral Extravasation Injuries: Initial management and washout procedure), Extubation (elective) of the neonate on butterfly ward, Eye (see >> Acute eye injuries in children), Eye Examination on the Newborn (see >> Neonatal eye examination on the Newborn Intensive Care Unit Butterfly Ward), Febrile neutropenia (see >> Fever and suspected or confirmed neutropenia), Feeding and medication administration (see >> Enteral feeding and medication administration), Fever and sickle cell disease (see >> Sickle cell disease), Fever and suspected or confirmed neutropenia, Filters for venous access lines in select group of cardiac patients, Fluid bolus (see >> Adrenaline and fluid bolus administration in resuscitation), Fluid Therapy (see >> Intravenous fluids), Gastrooesophageal reflux disease in infants, Gastrostomy acute replacement of displaced tubes, Gynaecology (see >> Adolescent gynaecology - lower abdominal pain), Gynaecology (see >> Prepubescent gynaecology), Gynaecology (see >> Adolescent gynaecology - Heavy menstrual bleeding), Handover (see >> Nursing clinical handover), HDU (see >> High dependency and special nursing care), Heart Rate - Normal (see >> Acceptable ranges for physiological variables), Heavy Menstrual Bleeding (see >> Adolescent gynaecology - Heavy menstrual bleeding), Heparin infusion (see >> Anticoagulation therapy), Hereditary Angioedema (see >> C1 Esterase inhibitor deficiency), High risk - low dose paediatric ingestions, High risk anaesthesia (see >> Peri-operative management of patients with pulmonary hypertension or cardiomyopathy), Home Based Care Osteosarcoma (see >> Osteosarcoma home based care), Hydrocoele (see >> Acute scrotal pain or swelling), Hypertrophic Pyloric Stenosis (see >> Pyloric stenosis), Hypoglycaemia - Neonatal (see >> Neonatal hypoglycaemia), Hypothermia (see >> Therapeutic hypothermia in the neonate), Idiopathic Nephrotic Syndrome (see >> Nephrotic syndrome), Immunoglobulin (see >> Palivizumab for at-risk patients), Incontinence (see >> Urinary Incontinence - Daytime wetting), Indwelling urinary catheter - insertion and ongoing care, Infant Distress (see >> Unsettled or crying babies), Infusion Management (see >> Peripheral intravenous (IV) device management), Inguinal hernia (see >> Acute scrotal pain or swelling), InhalantsVolatile Substance Use - Chroming, Insuflon (see >> Subcutaneous catheter devices management of insuflon and BD safTIntima devices), Intermittent oesophageal pouch suction (see >> Oesophageal Atresia Intermittent oesophageal pouch suction for the neonate and infant), Intermittent oesophageal pouch suction for the neonate - infant with unrepaired oesophageal atresia including long-gap2, Intracranial Pressure Monitoring (see >> External ventricular drains and intracranial pressure monitoring), Intraosseous needle insertion (see >> Intraosseous access), Intravenous access (see >> Peripheral intravenous (IV) device management), Intubation (Elective) (see >> Assisting with elective intubation of the neonate on the Butterfly Ward), Invasive group A streptococcal infections: management of household contacts, IV (see >> Neonatal Intravenous Fluid Management), IV insertion (see >> Intravenous access - Peripheral), jaundice (see >> Phototherapy for neonatal jaundice), Joint Pain (see >> The acutely swollen joint), Kangaroo care (see >> Skin to skin care for the newborn), Laryngotracheobronchitis (see >> Croup (Laryngotracheobronchitis)), Latex - management of a patient at risk of or with a known latex allergy, Lichen Sclerosus (et Atrophicus) (see >> Prepubescent gynaecology), Life Limiting Condition (see >> Withholding or withdrawal of life-sustaining treatment), Limping or non-weight bearing Child (see >> The limping or non-weight bearing child), Long term ventricular assist device VAD anticoagulation, Long-gap (see >> Oesophageal Atresia Intermittent oesophageal pouch suction for the neonate and infant), Lymphadenitis (see >> Cervical lymphadenopathy), Major paediatric trauma - the primary survey, Major paediatric trauma - the secondary survey, Management of Distress and Agitation (see >> Autism and developmental disability: Management of distress/agitation), Management of Eating Disorders in the Emergency Department, Management of the paediatric patient receiving opioids, Medical Emergency Team (see >> MET criteria - call 777 for help), Medication administration (see >> Enteral feeding and medication administration), Meningitis (see >> Nursing Management of Meningitis), Meningococcal infection (see >> Acute meningococcal disease), Menstrual management in adolescents with disabilities, Metabolic Disorders (see >> Death of a child with a suspected metabolic disorder), Mouth care – oral care of the paediatric oncology patient and haematopoieitic stem cell transplant patient, Nasal Discharge (see >> Persistent nasal discharge rhinosinusitis), Nasopharyngeal tube NPT modified for pierre robin sequence PRS, Nausea and Vomiting (see >> Chemotherapy induced nausea and vomiting), Negative Pressure Ventilation (see >> Continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV)), Neonatal (premature) target oxygen saturation levels (see >> Oxygen saturation SpO2 level targeting in neonates), Neonatal Apnoea (see >> Apnoea (neonatal)), Neonatal Environmental Humidity (see >> Environmental humidity for premature neonates), Neonatal Extravasation (see >> Extravasation injury management), Neonatal eye examination on the Newborn Intensive Care Unit Butterfly Ward, Neonatal intubation (Elective) (see >> Assisting with elective intubation of the neonate on the Butterfly Ward), Neonatal sleep maximisation in the hospital environment, Neonate (see >> Ward management of a neonate), Neonates (see >> Recognition of the seriously unwell neonate and young infant), Neutropenia (see >> Fever and suspected or confirmed neutropenia), NGT feeding (see >> Enteral feeding and medication administration), NJT feeding (see >> Enteral feeding and medication administration), Non Accidental Injury (see >> Child abuse), Non-Invasive ventilation (see >> Continuous positive airway pressure (CPAP) and non-invasive ventilation (NIV)), Nonsteroidal Anti-inflammatory Drug NSAID poisoning, Normal Ranges for Physiological Variables (see >> Acceptable ranges for physiological variables), NPT (see >> Nasopharyngeal tube NPT modified for pierre robin sequence PRS), Nurses role in advanced secretion clearance, Observation (see >> Routine post anaesthetic observation), Observations - Normal Ranges (see >> Acceptable ranges for physiological variables), Oesophageal Atresia Intermittent oesophageal pouch suction for the neonate and infant, Oesophageal Variceal Bleed (see >> Acute management of an oesophageal variceal bleed), Oncology patients with known or suspected respiratory infections (see >> NPA), Opioids (see >> Management of the paediatric patient receiving opioids), Orbital Cellulitis (see >> Periorbital and orbital cellulitis), Oxygen saturation SpO2 level targeting in neonates, Pain Assessment (Neonatal) (see >> Neonatal Pain Assessment), Pain management (see >> Acute pain management), Pain management - Intranasal fentanyl (see >> Intranasal fentanyl), PainBuster® (see >> Wound catheter management), Palliative Care (see >> Withholding or withdrawal of life-sustaining treatment), Paraphimosis (see >> The penis and foreskin), Patient Blood Management in the Surgical Setting, PEG feeding (see >> Enteral feeding and medication administration), Pelvic Pain (see >> Adolescent gynaecology - lower abdominal pain), Perianal care for the paediatric oncology patient, Peri-operative management of patients with pulmonary hypertension or cardiomyopathy, Peripheral Extravasation Injuries: Initial management and washout procedure, Peripheral intravenous (IV) device management, Peripheral Intravenous Cannulation (see >> Intravenous access - Peripheral), Persistent nasal discharge rhinosinusitis, Pertussis (see >> Whooping cough (pertussis)), Petechiae - Purpura with Fever (see >> Fever and petechiae - Purpura), Petrol Poisoning (see >> Hydrocarbon poisoning), Pin site care for the child with an external fixator, Play space (see >> Supervised enclosed play space), Play Therapy (see >> Supervised enclosed play space), Pleural and mediastinal drain management after cardiothoracic surgery, Pneumonia (see >> Community acquired pneumonia), Pneumothorax (see >> Primary spontaneous pneumothorax), Poisoning - Acute Guidelines For Initial Management, Poisoning - Alkaline (see >> Alkalis poisoning), Poisoning – Anticholinergic Syndrome (see >> Anticholinergic Syndrome), Poisoning - Anticonvulsant (see >> Anticonvulsant poisoning), Poisoning - Antihistamine (see >> Antihistamine poisoning), Poisoning - Benzodiazepine (see >> Benzodiazepine poisoning), Poisoning - Camphor (see >> Camphor poisoning), Poisoning – Carbamazepine (see >> Carbamazepine poisoning), Poisoning – Chloral Hydrate Poisoning (see >> Chloral Hydrate Poisoning), Poisoning – Corrosives / Caustic (see >> Corrosives - Caustic Poisoning), Poisoning - Essential Oil (see >> Essential Oil Poisoning), Poisoning – Ethanol (see >> Ethanol poisoning), Poisoning - Eucalyptus Oil (see >> Eucalyptus Oil Poisoning), Poisoning - Hydrocarbon (see >> Hydrocarbon poisoning), Poisoning – Hydrofluoric acid (see >> Hydrofluoric acid exposure), Poisoning – Inhalants/volatile substance use (see >> InhalantsVolatile Substance Use - Chroming), Poisoning – Local anaesthetic (see >> Local anaesthetic poisoning), Poisoning – Nicotine (see >> Nicotine Poisoning), Poisoning - Nonsteroidal anti-inflammatory drug (NSAID) (see >> Nonsteroidal Anti-inflammatory Drug NSAID poisoning), Poisoning - Paracetamol (see >> Paracetamol poisoning), Poisoning - Petrol (see >> Hydrocarbon poisoning), Poisoning – Phenobarbitone (see >> Phenobarbitone poisoning), Poisoning – Phenytoin (see >> Phenytoin poisoning), Poisoning – Quetiapine (see >> Quetiapine Poisoning), Poisoning - Recreational drug use and overdose (see >> Recreational drug use and overdose), Poisoning – Risperidone (see >> Risperidone Poisoning), Poisoning - Salicylates (see >> Salicylates poisoning), Poisoning - Selective Serotonin Re-uptake Inhibitors (SSRIs) (see >> Selective serotonin re-uptake inhibitors SSRIs poisoning), Poisoning - Serotonin and Noradrenaline Re-uptake Inhibitors (SNRIs) (see >> Serotonin and noradrenaline re-uptake inhibitors SNRIs poisoning), Poisoning - Serotonin Syndrome (see >> Serotonin syndrome), Poisoning – Sodium Valproate (see >> Sodium valproate poisoning), Poisoning - Spider Bite - Big Black Spider (see >> Spider Bite - Big Black Spider), Poisoning - Spider Bite - Redback Spider (see >> Spider Bite – Redback Spider), Poisoning - Theophylline (see >> Theophylline poisoning), Poisoning - Toxidromes (see >> Toxidromes poisoning), Poisoning - Tricyclic Overdose (see >> Tricyclic Antidepressant (TCA) Poisoning), Poisoning - Use of Activated Charcoal in Poisonings (see >> Use of Activated Charcoal in Poisonings), Post-operative (see >> Routine post anaesthetic observation), Premature Environmental Humidity for Neonates (see >> Environmental humidity for premature neonates), Premature Neonate (see >> Oxygen saturation SpO2 level targeting in neonates), Premature Neonate (see >> Environmental humidity for premature neonates), Pressure injury prevention and management, Procedural pain management (see >> Sucrose (oral) for procedural pain management in infants), Procedures (see >> Communicating procedures to children), PRS (see >> Nasopharyngeal tube NPT modified for pierre robin sequence PRS), Pulmonary Arterial Hypertension (see >> Peri-operative management of patients with pulmonary hypertension or cardiomyopathy), Pyelonephritis (see >> Urinary tract infection), Rabies and Australian Bat Lyssavirus post exposure prophylaxis, Rapid rehydration (see >> Gastroenteritis), Recognition of the seriously unwell neonate and young infant, Rectal washout (see >> Bowel washout rectal), Refugee issues (see >> Immigrant health resources), Respiratory Rate - Normal (see >> Acceptable ranges for physiological variables), Restraint (aggressive patient) (see >> Acute behavioural disturbance: Code Response), Resuscitation (see >> Adrenaline and fluid bolus administration in resuscitation), Resuscitation: Care of the seriously unwell child, Resuscitation: Hospital Management of Cardiopulmonary Arrest, Resuscitation: Hospital Management of Cardiopulmonary Arrest COVID-19, Resusitation Order (see >> Withholding or withdrawal of life-sustaining treatment), Returned traveller - illness in (see >> Illness in the returned traveller), Rhinosinusitis (see >> Persistent nasal discharge rhinosinusitis), Rickhams (see >> Ventricular reservoir management in Neonates), RSV (see >> Palivizumab for at-risk patients), Scrotum (see >> Acute scrotal pain or swelling), Sedation (see >> Peri-operative management of patients with pulmonary hypertension or cardiomyopathy), Selective serotonin re-uptake inhibitors SSRIs poisoning, Septic Arthritis (see >> Osteomyelitis and septic arthritis), Seriously unwell neonate and young infant (see >> Recognition of the seriously unwell neonate and young infant), Serotonin and noradrenaline re-uptake inhibitors SNRIs poisoning, Serum Sickness and Serum Sickness like reactions (SSLRs), Sham feeding for infants with unrepaired long-gap oesophageal atresia, Short Stay Unit Admission Guidelines (see >> Admission criteria for general medicine SSU and IPU), Sinusitis (see >> Persistent nasal discharge rhinosinusitis), Skin care for the infant (see >> Neonatal & infant skin care), Skin Infections (see >> Cellulitis and other bacterial skin infections), Speaking Valves - Tracheostomy (see >> Tracheostomy management), Special Nursing Care (see >> High dependency and special nursing care), Standard Heparin (see >> Anticoagulation therapy), Status epilepticus (see >> Afebrile seizures), Subcutaneous catheter devices management of insuflon and BD safTIntima devices, Sucrose (oral) for procedural pain management in infants, Suctioning - Tracheostomy (see >> Tracheostomy management), Surfactant Replacement Therapy (see >> Surfactant Administration in the NICU), Surgical Drains (see >> Surgical drains (non cardiac)), Swabbing for COVID-19 (see >> COVID-19 swabbing), Teaching and supporting Clean Intermittent Catheterisation for parents and children, Testis (see >> Acute scrotal pain or swelling), Tetanus-prone wounds (see >> Management of tetanus-prone wounds), Thermoregulation (see >> Temperature management), Thermoregulation for neonates (see >> Assisted thermoregulation), Thoracocentesis and chest drain insertion, Tonsillectomy and adenoidectomy post operative nursing management, Torticollis (see >> Acquired Torticollis), Torticollis (see >> Congenital Torticollis), Toxicology (see >> Poisoning - Acute Guidelines For Initial Management), Transfusion (see >> Blood product prescription), Transitioning from IV Insulin to Subcutaneous Insulin for DKA Patients, Trauma – Early management of pelvic injuries in children, Trauma (Major) (see >> Major paediatric trauma - the secondary survey), Trauma (Major) (see >> Major paediatric trauma - the primary survey), Traveller - returned (see >> Illness in the returned traveller), Treatment Plan (see >> Withholding or withdrawal of life-sustaining treatment), Unfractionated heparin (see >> Anticoagulation therapy), Upper Airway Obstruction (see >> Acute upper airway obstruction), Urinary catheter (Indwelling) - insertion and ongoing care (see >> Indwelling urinary catheter - insertion and ongoing care), VAD (ventricular assist device) (see >> Long term ventricular assist device VAD anticoagulation), Vaginal Bleeding (see >> Prepubescent gynaecology), Valproate poisoning (see >> Sodium valproate poisoning), Varicella (see >> Chickenpox (varicella)), Ventricular reservoir management in Neonates, Volatile substance use (see >> InhalantsVolatile Substance Use - Chroming), Vulvovaginitis (see >> Prepubescent gynaecology), Withholding or withdrawal of life-sustaining treatment, work of breathing (see >> Assessment of severity of respiratory conditions), Zipper Injury (see >> The penis and foreskin). 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