Guidelines

Paediatric Guidelines

Paediatric Record Keeping

• Standardised Paediatric Record Keeping

Paediatric Unit Management Structure

• Structure for Unit Management Meetings

Guidelines on Referring Children

• Admission, Discharge and Referral Criteria
• Procedure for Transferring Children to the Pietermaritzburg Metropolitan Hospitals Complex

Guidelines on Social Grants for Children

• Social Grants

Guidelines on Clincal Examination

• Clinical Examination Technique for Children (with reference also to the DCH)

Paediatric Cardiology Guidelines

• Why do a Paediatric ECG?
• Innocent Murmurs
• Rheumatic Heart Disease
• Management of HIV-associated Heart Conditions
  
  

Child Healthcare Problem Identification Programme (ChIP) Guidelines

• Child Healthcare Problem Identification Programme (ChIP)

Paediatric CNS Guidelines

• Approach to the Fitting Child
• Epilepsy
• Meningitis
• Cerebral Palsy

Paediatric Endocrine Guidelines

• DKA
• Looking after Children with Diabetes

Paediatric ENT Guidelines

• Upper Airway Obstruction

Paediatric GIT Guidelines

• Overview of the Management of Paediatric Diarrhoeal Disease
• Initial Fluid Management for Paediatric Diarrhoeal Disease
• Metabolic Management for Paediatric Diarrhoeal Disease
  
  
• Constipation
• Hepatitis A
• Chronic Liver Disease

Paediatric Haemotology Guidelines

• Microcytic Anaemia

Paediatric HIV Guidelines

• Consent for HIV Testing
• Classifying and Staging HIV in Children
• Inpatient Management of Children with HIV
• Ambulatory Care of Children with HIV
• Management of HIV-associated Heart Conditions

Paediatric Non-Accidental Injury Guidelines

• Childhood Sexual Abuse Guidelines
• Childhood Sexual Assualt Management Poster
• Childhood Sexual Assualt and Filling in the J88 Poster

Paediatric Nutrition Guidelines

• Inpatient Management of Severe Malnutrition

Paediatric Orthopaedic Guidelines

• Orthopaedics

Paediatric Poisioning Guidelines

• Ingestion of Paraffin by Children

Paediatric Renal Guidelines

• Urinary Tract Infection
• Nephrotic Syndrome
• Acute Glomerulonephritis

Paediatric Respiratory Guidelines

• The use of Pulse Oximetry in Children's Wards
• Acute Respiratory Infection
• Acute Severe Asthma
• Chronic Childhood Asthma
• SACAWG Childhood Asthma Flow Chart

Paediatric Surgery Guidelines

• Burns

Paediatric Tuberculosis Guidelines

• National Tuberculosis Guidelines
• TB Meningitis

Complete Set of Paediatric Guidelines for Printing

• Complete Set of Paediatric Guidelines for Printing

Neonatal Guidelines

Cornerstones of Neonatal Care

• Cornerstones of Neonatal Care Poster

Neonatal Resuscitation Guidelines

• Neonatal Resuscitation
• Neonatal Resuscitation Poster

Format For Clerking Neonates

• Format for Clerking Neonates

Guidelines on Neonatal Record Keeping

• Instructions on Use of Infant Care Record

Guidelines on Equipment in a Neonatal Unit

• Neonatal Sundries

Guidelines on Referring Neonates

• Referral Criteria for Sick Neonates
• Procedure for Transferring Neonates to the Pietermaritzburg Metropolitan Hospitals Complex
• Transporting Neonates

Neonatal Apnoea Guidelines

• Apnoea

Guidelines on the use of the Ballard Score

• Use of the Ballard Score

Neonatal CNS Guidelines

• Neonatal Convulsions
• Hypoxic Ischaemic Encephalopathy

Neonatal HIV Guidelines

• Preventing Mother to Child Transmission of HIV

Neonatal Hypoglycaemia Guidelines

• Neonatal Hypoglycaemia

Neonatal Hypothermia Guidelines

• Neonatal Hypothermia

Neonatal Infections Guidelines

• Sepsis Neonatorum

Neonatal Jaundice Guidelines

• Neonatal Jaundice
• Neonatal Jaundice Poster

Kangaroo Mother Care Guidelines

• Kangaroo Mother Care (KMC)

Guidelines for LGA Babies

• LGA Babies

Nutrition Guidelines

• Neonatal Feeding and Fluids

Perinatal Problem Identification Programme (PPIP) Guidelines

• Perinatal Problem Identification Programme

Respiratory System Guidelines

• Neonatal Respiratory Distress

Complete Set of Neonatal Guidelines for Printing

• Complete Set of Neonatal Guidelines for Printing

KZN Guidelines

HIV Guidelines

• Step-by-Step Guide for the Management of Children on ART
• Site Manual for the Paediatric ART Programme

Sexual Abuse Guidelines

• Step-by-Step Guide for the Management of Sexually Abused Children
• Childhood Sexual Assualt Management Poster
• Childhood Sexual Assualt and Filling in the J88 Poster

National Guidelines

EDL

• EDL for Primary Care, 2003
• EDL for Paediatrics, Hospital Level 2006

National Haemophilia Guidelines

• Haemophilia Treatment Guide

National Rheumatic Heart Disease Guidelines

• National Rheumatic Heart Disease Guidelines

National Tuberculosis Guidelines

• National Tuberculosis Guidelines

IMCI

• IMCI Chart Booklet

World Health Organisation Guidelines

• WHO Pocketbook of Hospital Care for Children

Clinical Records

Administration

• Catalogue for paediatric forms (Paed/D)
• Ordering form for paediatric forms(Paed/E)

Document Audit

• Principles of Document Review
• Neonatal Records Review
• Paediatric Records Review

Babies

Instructions

• Record keeping instructions: Nursery (Paed/A)
• Use of infant care record (Paed/B)

Newborn Care Record

• Note: Pages 1 to 4 should be printed on an A3 fold out sheet. This record should act as a stand alone document for all babies born, and will probably be all that is needed for 90% of deliveries.
• Newborn Care Record (complete foldout) (Paed/01) (Note: 1.31mb)

Continuation Sheets

• Weight and intake continuation sheet: Neonate (Paed/02)
• Clinical notes continuation sheet: Neonate (Paed/03)

Doctors' Observations

• Growth chart and Ballard score: Neonate(Paed/04)
• HIE score: Neonate(Paed/05)
• Jaundice Chart: Neonate(Paed/34)

Nurses' Observations

• Basic nursing care: Neonate (Paed/06)
• KMC score sheet (Paed/26)

Neonatal Transfers

• Monitoring sheet for neonatal transfers (Paed/31)

Neonatal Discharge

• Neonatal Discharge and Referral Letter (Paed/39)

Children

Instructions

• Record keeping instructions: Children's Ward (Paed/C)

Cover Page

• Cover page: Paediatric patient record (boys and girls) (Paed/07)

Admission Documents

• Admission Sheet (Paed/08)
• Admission and Discharge Slip (Paed/A&D Slip)
• Ward Admission and Discharge Register (from ChIP)

Growth Charts

• Growth chart: 0-36 months weight and length (Paed/09) (boys and girls)
• Growth chart: 2-20 years weight and length (Paed/10) (boys and girls)
• Growth chart: 0-36 months coh (Paed/11) (boys and girls)

Continuation Sheets

• Diarrhoeal disease continuation sheet (Paed/14)

HIV Management

• HIV clinical staging (Paed/24)
• ARV appointment and prescription record (Paed/HIV1)

Rheumatic Heart Disease Management

• Rheumatic heart disease prophylaxis letter (Paed/25)
• Rheumatic heart disease follow up record (Paed/28)

CNS Management

• Children's coma score (Paed/36)
• Brain death checklist (Paed/27)

Burns Management

• Burns chart for body surface area (Paed/32)

Paediatric Transfers

• Monitoring sheet for paediatric transfers (Paed/29)
• Monitoring sheet in-transit (Paed/30)

Paediatric Discharge

• Paediatric Discharge and Referral Letter (Paed/23)

Babies and Children

• Laboratory results (Paed/16)
• Acid base, blood gas and ventilator settings (Paed/17)
• Oxygen delivery, saturation and nebs (Paed/18)
• Glucose monitoring (Paed/19)
• Ventilator and CPAP observations (Paed/20)
• Intake-output: IV and orals (Paed/21)
• Intake-output: Orals only (Paed/22)
• Letter in support of grant application (Paed/31)

Complete Set of Clinical Records for Printing

• Complete Set of Clinical Records for Printing

Quality Improvement

Audit Tools

Mortality Review

• Proceed to the Child Healthcare Problem Identification Programme (ChIP)
• Proceed to the Perinatal Problem Identification Programme (PPIP)

Clinical Audit

• Principles of Paediatric Clinical Audit
  
  
• Acute Asthma Clinical Audit Form
• Acute Respiratory Infection Clinical Audit Form
• Fits Clinical Audit Form
• LGA Clinical Audit Form
• Malnutrition Clinical Audit Form
• PTB Clinical Audit Form

Document Audit

• Principles of Document Review
• Neonatal Records Review
• Paediatric Records Review

Utilisation Audit

• Principles of Utilisation Review
• Neonatal Utilisation Review
• Example of a Neonatal Utilisation Review
• Paediatric Utilisation Review

Staff Review

• End of Block Evaluation of Staff Member
• PMDS Staff Evaluation (Note: Requires Microsoft Excel)

Norms

• Norms for Maternity Ward and Neonatal Nursery in a District Hospital
• Norms for Physical Facilities in a Neonatal Nursery
• Norms for District Paediatric Bed Allocation
• Norms for Equipment and Beds in Paediatric and Neonatal Units (Note: Requires Microsoft Excel)

Child Healthcare Problem Identification Programme (ChIP)

Mortality Review Process

• ChIP Review Process Guideline
• The ChIP Process: A Presentation
• ChIP Readiness Checklist
• Mortality Review Meeting Agenda Proforma:
  Adobe Reader Document (.pdf) | Microsoft Word Document (.doc)
• Mortality Review Report Writing Proforma:
  Adobe Reader Document (.pdf) | Microsoft Word Document (.doc)

Software Manual

• ChIP Software Manual

ChIP Software

• ChIP Software Setup
  This is a .exe file - you will need to run it once you have saved it so that ChIP is installed on your computer.
• ChIP Software Setup Readme

ChIP Getting Started

• Getting Started
• Reply Slip

Admission Forms

• Paediatric Patient Admission Sheet
• Paediatric Ward Admission and Discharge Register

Data Capture Sheets

• Monthly Deaths Register
• Child Death Data Capture Sheet
• Monthly Tally Sheet

Code Lists

• Causes of Death Code List
• Modifiable Factors Code List

Growth Charts

• Boys Birth to 36 Months
• Girls Birth to 36 Months
• Boys 2 to 20 Years
• Girls 2 to 20 years

HIV Data Capture

• Notes for the Completion of the HIV Sections

Facilities List (from Health Systems Trust)

• Health Facilities List (Note: Requires Microsoft Excel)

Saving Children Reports: The ChIP Findings

• Saving Children 2004 Report
• Saving Children 2005 Report

Link to the ChIP Website

• ChIP Website

Perinatal Problem Identification Programme (PPIP)

Mortality Review Process

• PPIP Mortality Review Process

PPIP Software

• PPIP Software Setup
  This is a .exe file - you will need to run it once you have saved it so that PPIP is installed on your computer.

Software Manual

• PPIP Software Manual

PPIP Getting Started

• PPIP Practical Guidelines

Data Capture Sheets

• Monthly Data Sheet
• Perinatal Death Data Capture Sheet
• Maternal Death Data Capture Sheet

Code Lists

• Obstetric Cause of Perinatal Death Code List
• Final Cause of Neonatal Death Code List
• Avoidable Factors Linked with Perinatal Death Code List
  
  
• Obstetric Cause of Maternal Death Code List
• Final Cause of Maternal Death Code List

Saving Babies Report: The PPIP Findings

• Saving Babies 2003 Report

Link to PPIP Website

• PPIP Website

Disease Notification

Notification

• Principles of Disease Notification and Notifiable Disesaes List
• Schematic of Information flow for notifying a medical condition in South Africa

Acute Flaccid Paralysis (AFP)

• Acute Flaccid Paralysis Notification Form

Measles

• Measles EPI Info Sheet
• Measles Outbreak Response
• Suspected Measles Case Procedure
  
  
• Measles Notification Form

Neonatal Tetanus

• Neonatal Tetanus Notification Form

Birth Defects

• Birth Defects Notification Form

Adverse Event Following Immunisation

• Adverse Event Following Vaccination Form

Outreach

• Structure for Outreach Visits
• Monthly Visit Summary Sheet

NELS

Neonatal Experiential Learning Site (NELS)

Guidelines

• Neonatal Guidelines
  

Nursing Protocols

• Admission and Discharge in Neonatal Nursery
• Gestational Age Scoring
• Basic Care of a Baby in the Neonatal Unit
• Developmental Care
• Infection Control
• Skin Care and Hygiene
• Incubator Care
• IV Lines
• Umbilical Venous Lines
• Establishing Feeding
• Medication Administration
• Blood Transfusion
• Phototherapy
• Preparing for Transfer
  
  
• Complete set of Nursing Protocols for Printing

NELS Workbook

• NELS Workbook
  

Nursing Care Plans

• Basic Neonatal Care Plan
  
  
• Cardiac Anomaly Care Plan
• Cleft Palate Care Plan
• GIT Abnormality Care Plan
• Hypoxic Ischaemic Encephalopathy (HIE) Care Plan
• Infant of a Diabetic Mother (IDM) Care Plan
• Jaundice Care Plan
• Necrotising Enterocolitis (NEC) Care Plan
• Prem Infant Care Plan
• Pre-Op Care Plan
• Post-Op Care Plan
• Ventilated Babies Care Plan
  
  
• Complete Set of Care Plans for Printing

Other Documents

• Neonatal Sundries