There is rapidly growing evidence, outcomes for children are improved by early attendance at specialist sites. As there is NO onsite paediatric speciality provision at HRI. It has been agreed that children likely to benefit from early Paediatric/Neonatal care move to CRH as swiftly as possible. This will be done using the agreed pathway, to reduce treatment and speciality input delay.
Category: Paeds-Refer
Paediatric Surgical Pathway
As there are now no longer a paediatric clinical team at HRI, the paediatric surgical pathway is up-dating, this is the current provisional pathway, to ensure care falls inline with GIRFT report.
Underage Sexual Activity
This applies to all children/young people under 16 years old and those 16-18 years who are considered vulnerable, engaging in sexual activity. Getting this right is immensely challenging, as it is impossible to cover all variables influencing decision making within this guidance, further more you need to carefully weight the often conlicting needs of the child. (Involve seniors early if you have any doubts) Read more
Rape & Sexual Assault
Don’t
Preform intimate examinations on Sexual assault/Rape patients
- Unless life-threatening injuries are suspected e.g Haemorrhage.
- As our examination will inevitably destroy evidence that may aid this patient’s case
Do’s
- Consider contamination injury (HIV, HepB, HepC) – Guide
- Consider emergency contraception
- Children must have police referral for safeguarding
- Refer to The Sexual Assault Referral Centre, either via Police or Self referral
Paediatric – Time Critical Transfers (non-trauma)
Definition of a time critical transfer
Transfer of a patient for life, limb or organ saving treatment when the time taken to provide this treatment is a critical factor in outcome.
Principles
- Acceptance by the regional centre is NOT dependent on bed availability.
- Time critical transfer should normally be provided by the referring hospital team NOT Embrace.
Paeds Liaison Form – EPR
The Paediatric Liaison Form (PLF is now part of EPR – how to guide)
This form alerts the Paediatric Liaison Team to your concerns so that they can investigate and provide appropriate support to the child & family.
You SHOULD inform the family that you are completing the form as the Paeds Liaison Team or other agencies (e.g. social services or school nurse)may contact them.
You SHOULD NOT use this form for patients who have either suffered or at risk of significant harm. In this case you should discuss directly with the paediatric consultant on-call.
PDF: Safeguarding Guide
NightOWLS – Overnight Crisis
Night OWLS is a confidential support line for children, young people, their parents and carers who live in Bradford, Leeds, Calderdale, Kirklees and Wakefield. This is a pilot scheme funded till March 2022.
Read moreCare of the Next Infant (CONI)
What is CONI?
Parents who have experienced a sudden and unexpected death of a baby or child often feel anxious when they have another baby. CONI is a programme working with local public healthcare providers to facilitate a service for bereaved parents to help with the anxieties around another baby.
EMBRACE & Paediatric Critical Care
In our trust we don’t have paediatric critical care beds. However, in our region we use EMBRACE (a paediatric critical care transport team), who can transfer critically ill children to specialist centers (in or out of region).
EMBRACE
- 0114 268 8180
- Guidance
Y&H Paed Critical Care
Drugs:
- Trust guide
- Remember: Midazolam 10mg/2ml is used(not the 5mg/5ml we have in ED)
- Found in theatres control drug cupboard (see trust guide)
SUDIC – Sudden Unexpected Death In Child
Occasionally children (<18 yrs) unfortunately will either die in ED or be brought in dead, this is obviously a terrible time for the child’s family and for staff. Despite this there are several important things we must do. Read more
