Latest Updates

New: Viral Haemorrhagic Fever (VHF) patient pathway 2021

New: Referral to Paediatric Major Trauma Centres in Scotland

New: Major Trauma Single Point of Contact (SPOC) SOP – RHCG

New: Referral Pathways for Head Injury Patients from Emergency Departments to RHC

Updated: Guideline for Emergency Departments, Minor Injury Units and Receiving Units where a child or young person presents under the influence of alcohol and/or drugs

New: Hand washing policy (neonatal guidelines)

New: Epilepsies in children and young people (SIGN 159)

SIGN Guidelines

Updated: Investigation & Management of chemotherapy & radiotherapy induced diarrhoea & constipation in Haematology/Oncology (non-HSCT) patients

Updated: Major haemorrhage protocol

New: Paediatric General Surgery - Processes in ED

Updated: Covid-19 swab transit - RHC Standard Operating Procedure

V8

Updated: Distal Intestinal Obstruction Syndrome (DIOS) , adhesional obstruction and severe constipation management in children with cystic fibrosis

Updated: Antibiotic prophylaxis in paediatric cardiothoracic Surgery

Updated: Paediatric Intravenous Medicines Monographs

Updated: Head injury guideline (Emergency Department)

New: Haematology guideline, neonates

Paediatric Intravenous Medicines Monographs now accessible via Sharepoint using O365 credentials

New: Paediatric wound assessment and management chart

Updated: Paracetamol overdose treatment (N-Acetylcysteine infusion) calculator

Updated: Blood transfusion in children with haematological / oncological disease and following haemopoietic stem cell transplant

Version 5 - web only. The results of this calculator MUST be printed out and signed so it should not be accessed from a mobile device.

Version 4

New: Proteinuria on urinalysis in the Emergency Department

Updated:  Covid-19 patient pathway 2020 – RHCG clinical policy

Minor amendment to Appendix 1: Clinic 3 SOP to add additional phone numbers

Updated: Immunisation guideline for neonates

Links updated and minor change to in-patient prescription form in Appendix 1.

New: Paediatric Transfer Documentation – GG&C

Updated: Covid-19 swab transit - RHC Standard Operating Procedure

Updated:  Covid-19 patient pathway 2020 – RHCG clinical policy

Updated: Anti-thrombotic protocol

Updated: Mucositis - diagnosis and treatment

Updated: Booster immunisation of patients treated with standard dose chemotherapy

V33

Previously titled: Booster immunisation of patients treated for leukaemia, Hodgkin’s Disease, a solid tumour, or recipients of an autologous stem cell transplant

New: Point of care ultrasound for vascular access in PICU

Updated: Neurosurgical patients with shunts admission pathway

Updated: Neurosurgical shunt pathway

New: PICU Fluids Decision Tool and Guidance

New: Guidelines for the management of paediatric line-related sepsis

Updated: Bomb blast injuries in children: antibiotic management

Updated: Paediatric IV to oral antibiotic switch therapy (IVOST) guideline

Updated: Clostridium Difficile Infection (CDI) in children: diagnosis and management

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

V32.
Section 3: Changes to general PPE requirements
Section 6: Changes to indications for COVID-19 virus sampling
Section 11: Changes to Schiehallion admission pathway 

Removed: Booster immunisation of patients treated for leukaemia, Hodgkin’s Disease, a solid tumour, or recipients of an autologous stem cell transplant 

Archived as not all drugs mentioned are currently available. New version in preparation. 

New: RHCG Major Trauma Team Emergency Department Activation and Response - Standard Operating Procedure

Updated: Management of inter-hospital transfers by RHC Emergency Department

New: Fever in the returning paediatric traveller

New: Microbiology classification in cystic fibrosis - recommendations for practice RHC, Paediatrics

Updated: Spasticity management guideline

Updated: Guideline on the classification and management of glomerulonephritis in general Paediatrics

Replaces the documents: Trauma Team Activation Pathway, and Trauma Team Triggers

Updated: Haemophilia protocol

V9

New: Acute neonatal referral pathways

Updated: Admission criteria: Neonatal Unit & Transitional Care

Updated: Intrathecal SACT assessment questions

Updated: Policy for administration of intrathecal chemotherapy

Updated: Diagnosis and management of cow's milk protein allergy in infants

V3

Updated age cut off for triage of babies admitted from home from 10 to 14 days to match acute neonatal referral pathways v3.

V9: Reviewed with no changes to guidance

V8: Section 3.2 named clinical nurse educator updated; Section 4.3 addition of PPE

Changes: Addition of section on allergy focused history; updated signs & symptoms; pathway updated & emphasis on supporting continuation of breastfeeding

Updated: MRI under general anaesthetic: pathway for paediatric patients with congenital heart disease

New pre-assessment processes

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

V31

Section 2: Instructions to refer to Appendix 1 (new) for guidance on the use of Clinic 3 in Outpatients

Section 3: Update to eye protection guidance

Section 4: Significantly unwell patients do NOT go directly to CDU and are managed in the Resuscitation room; Addition of apron colour chart; Update to Unheralded patients requiring immediate resuscitation section

Section 12: Family self-isolation time changed to 10 days

New: Guideline for audiological investigation in cystic fibrosis patients at RHC Glasgow

New: Scottish Paediatric Consensus Treatment Guideline for Covid-19 and related conditions

New: Paediatric Cardiology Guideline for managing referrals with pediatric multisystem inflammatory syndrome temporally associated with COVID-19 (PIMS-TS)

Updated: Hyperglycemia in the neonate

Updated: Management of the difficult airway, neonates

Updated: Enteral tubes: administration of medication via (PICU)

New: Safety netting and parent information

Updated: Immunisation guideline for children with chronic kidney disease

Post-discharge parent information leaflets. 

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

V30 section 6: Indication for Covid-19 virus sampling: addition of - Green pathway - any patient requiring an AGP and to be repeated twice weekly

Section 10: Transfer and testing of green pathway patients between wards and use of 4 bed bay

Updated: Empirical antibiotic therapy in children

Updated: Glasgow Emergency Paediatric ECG Guideline (GEPEG)

V7

New: Low Weight Eating Disorder Pathway

Updated: Management of the Child with a Non-Blanching Rash (NBR): (i.e. Petechiae, Purpura & Ecchymoses)

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

V29 section 3: eye covering to be worn for all patient care when possible/confirmed Covid-19 infection

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

V28

Section 4: Photograph of required t-circuit filters updated

Section 8: Lab email address in linked SOP updated

Updated: Bronchiolitis pathway

Fixing formatting. No change to content.

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

Updated: How to complete a notification of concern form (ED SOP)

Updated: Raising a Notification of Concern: Child Protection Service guidance for staff

Updated: Acute wheeze: escalation to intravenous therapy for Acute Wheeze Integrated Care Pathway (ICP) for patients over 2 years old

V27. Updates to the list of high risk AGPs in section 3.

Updated email address for reporting NOC 

Updated email address for reporting NOC 

Correction to IV Salbutamol loading dose example

New: Bronchiolitis pathway

Updated: Medical Acute Receiving Unit Guide for Hi-Flo (AIRVO) Use in Bronchiolitis

New: Guidance for families and children who have attended the Emergency Department with symptoms of coronavirus (COVID-19)

Updated: Child Protection pathways where concern for neglect or abuse - RHC ED

New: RHC Peer Support

Updated: Wellbeing

Patient information

v2

Information on the RHC Peer Support Network

Information and links to support staff self-care and wellbeing

New: Sudden unexpected death in infancy and childhood: Multi-agency guidelines for care and investigation

New: Urinary tract infection (UTI) : Diagnosis, treatment and management - RHC Glasgow

Removed:Urinary tract infection, acute management in childhood

Removed: UTI result management in the Emergency Department

Royal College of Pathology guideline

Replaces the two removed UTI guidelines

Updated: Ketogenic diet: inpatient and illness protocol

New: Surfactant Administration via Laryngeal Mask Airway (LMA) Standard Operating Procedure

Updated: Criteria for attendance at delivery by neonatal staff

New: High Frequency Oscillatory Ventilation (HFOV) : a guide to the use of HFOV in the neonate

Removed: Surgery, unscheduled: organisation

Removed: Head injury pathway: patient presenting to DGH

Removed: Head injury pathway: patient presenting to A&E RHSC

Removed: Neurosurgical and craniofacial patient handover form

Updated: Emergency paediatric tracheostomy management

Updated: Paediatric Early Warning Score: PEWS

Updated: COVID-19 Theatre Processes RHC Glasgow

V2

V12

New: Covid-19 swab transit - RHC Standard Operating Procedure

V26. Section 2: Minor amendments to Direct Admissions to CDU. Sections 6,8: Change to procedure for requesting priority testing & link to SOP on Covid-19 swab transit.

Updated: Extra Ventricular Device guideline (EVD)

Minor amendments to formatting

Removed: Prophylaxis of paediatric urinary tract infections

Removed: Empiric treatment of paediatric UTIs

Updated: Extra Ventricular Device guideline (EVD)

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

V25. Section 1: Case definition updated
Section 2: Initial assessment flowchart updated; Minor changes to roles information; New section added on Direct Admissions to CDU, including Clinically Extremely Vulnerable Patient definitions
Sections 4,5,9,10: Minor changes to wording

New: Developmental dysplasia of the hips (DDH) and congenital foot deformities

New: Cooling mattress: Tecotherm Neo instructions

New: Bowel irrigation guidance : neonates

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

New: Cardiac transplant patient - paediatric acute care management pathway

New: Congenital syphilis : management of babies born to mothers with syphilis infection

V24. Case definition updated to comply with current testing criteria.

Updated: Management of infants born to HIV positive mothers

Updated: Renal transplantation (paediatric): management of

New: Disorders of Sex Development (DSD): Management of Atypical Genitalia & Suspected DSD in the Neonate

Updated: Congenital hypothyroidism in Scotland, guidelines for the management of

New: Newborn Blood Spot Screening

Minor update: added RIE telephone number to labs list

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

V23. Several amendments. See "What's New" section at top of guideline for details.

Updated: Support Document for Emergency Assessment + Management of Diabetic Ketoacidosis (DKA) in children & young people who require transfer to: RHSCE or RHCG

New: Postnatal management of fetal arrhythmias

Added link to this document from Intensive Care area

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

V22. Several minor amendments. See "What's New" section at top of guideline for details.

New: Support Document for Emergency Assessment + Management of Diabetic Ketoacidosis (DKA) in children & young people who require transfer to: RHSCE or RHCG

West of Scotland Critical Care Guidelines

Updated: Theatre COVID-19 Processes RHC Glasgow

Summary table updated

Updated: Children and young people exposed prenatally to alcohol (SIGN 156)

Removed: Early management of patients with a head injury (SIGN 110)

Removed: Management of diabetes (SIGN 116)

New: Assessment, diagnosis and interventions for autism spectrum disorders (SIGN 145)

Updated url

Withdrawn by SIGN

Withdrawn by SIGN 

New: Diagnostic Imaging X-ray Reporting Room 

New: Premedication guideline for paediatric patients prior to general anaesthesia

Added to Contacts

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

Updated: How to complete a notification of concern form (ED SOP)

V21. Section 3 PPE guidance updated

Contact email addresses amended 

New: Paediatric ICU Local Infection Prevention & Control Risk Assessment Specific to Covid-19

New: Persistent or refractory hypoglycaemia in the neonate : a guideline for management

New: Hypoglycaemia: preterm infants

New: Hypoglycaemia: term infants

Updated: Major Incident Plan, RHC [Staffnet]

Updated url - no change to content

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

Updated: Henoch-Schonlein Purpura (HSP) - 'New' patient follow-up SOP

Section 3: PPE summary table updated; Section 10: Addition of 'loss of sense of smell' to considerations for Covid-19 testing of Green Pathway patients

Added follow-up information for patients with addresses in Cambuslang/Rutherglen

Updated: Acute wheeze in children 2 years and older: assessment and management

Review date updated - no change to content

New: Apnoea of Prematurity

Updated: Dexmedetomidine for continuous IV infusion in Cardiac Theatres, Paediatric

Review date updated - no change to content

New: Emergency 2222 calls

Added entry in Contacts & 2222 list for making 2222 emergency calls.

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

Section 3: Changes to the list of aerosol generating procedures: 'open suctioning' changed to 'respiratory tract suctioning'; addition of: dental procedures using high speed devices; upper ENT procedures involving suctioning; upper gastrointestinal endoscopy where there is open suctioning of the upper respiratory tract

Updated: Determining a child’s readiness for oral feeding, advice for staff: when to refer to Speech & Language Therapy

Amendments to referral diagram.

Updated: Covid-19 patient pathway 2020 – RHCG clinical policy

Updated: RHC Practical Fracture Management Guidance for use during COVID-19 crisis

Updated: RHC Fracture Clinic Pathway & how to arrange follow up (Ortho & Physiotherapy)

Updated: Virtual Fracture Clinic – Parent information leaflet

Addition of 'loss of smell (anosmia)' to case definition and initial assessment flowchart.

Revised to include new Virtual Fracture Clinic (VFC) pathway

New: Determining a child’s readiness for oral feeding, advice for staff: when to refer to Speech & Language Therapy