NHSGGC Paediatrics

NHSGGC Guidelines

Anaesthetics
- Acute pain relief services protocol (APRS)
- Adrenal insufficiency, protocol for children who require surgery, procedure or dental extractions
- Antibiotic prophylaxis for paediatric cardiothoracic surgery
- Antibiotic prophylaxis for paediatric surgery
- COVID-19 Theatre Processes RHC Glasgow
- Dexmedetomidine for continuous IV infusion in Cardiac Theatres, Paediatric
- Diabetes mellitus, management during surgery
- Endotracheal tubes, cuffed
- Fibreoptic guided tracheal intubation through supraglottic airway device (SAD): using an airway exchange catheter in children
- Fibreoptic intubation: a guide to scopes, equipment and where to find everything
- Intravenous fluid guidance for previously well children aged >7 days to 16 years
- IV fluid monograph: adding potassium or dextrose to plasmalyte
- Jehovah's Witness management, paediatric patients
- Management of the difficult airway, neonates
- MRI under general anaesthetic: pathway for paediatric patients with congenital heart disease
- Near Infrared Spectroscopy (NIRS) user guide
- Neurosurgical pre-operative investigations
- One lung ventilation & bronchial blocker guideline
- Paediatric IV to oral antibiotic switch therapy (IVOST) guideline
- Premedication guideline for paediatric patients prior to general anaesthesia
- Preoperative fasting of elective patients, Royal Hospital for Children
- Rapid sequence induction of anaesthesia for intubation: checklist
- Rapid sequence induction of anaesthesia for intubation: intubation drugs
- Sedation for diagnostic and therapeutic procedures on children with cardiac conditions
- Setting up the 4.0mm Digital Storz™ Fibrescope with the Storz™ C-MAC
- Size compatibility of airway equipment in children, ETT and LMA
- Tranexamic acid in paediatric surgery and trauma
Author Guidance
Biochemistry
- Blood culture collection
- Intravenous fluid guidance for previously well children aged >7 days to 16 years
- Management of symptomatic hyponatraemia
Burns
- Airway burns and smoke inhalation in children
- Burn, looking after your child's (ED parent advice sheet)
- Burns – admission & follow up guidance
Cardiovascular Diseases
- Antibiotic prophylaxis for paediatric cardiothoracic surgery
- Cardiac genetics pathway for infants with congenital heart disease and the appropriate utilisation of irradiated blood
- Cardiac patient pathway, RHC Glasgow
- Cardiac patients in PICU: weaning Alfentanil and Remifentanil in ventilated post-operative cardiac patients in PICU
- Cardiac post-op patients: anti-coagulation therapy in PICU
- Cardiac transplant patient - paediatric acute care management pathway
- Cardiomyopathy and myocarditis investigations protocol
- Dexmedetomidine for continuous IV infusion in Cardiac Theatres, Paediatric
- Hypercyanotic episodes in tetralogy of fallot
- Incidental murmer
- Inpatient echocardiograms not requiring Cardiology consultation
- Junctional Ectopic Tachycardia (JET), post operative
- Modified Blalock-Taussig Shunt (MBTS), immediate post-operative management
- MRI under general anaesthetic: pathway for paediatric patients with congenital heart disease
- Paediatric cardiac & thoracic surgery and cardiology ordering schedule for blood & blood products
- Paediatric Cardiology Guideline for managing referrals with pediatric multisystem inflammatory syndrome temporally associated with COVID-19 (PIMS-TS)
- Postnatal management of fetal arrhythmias
- Pre-operative management of anticoagulation therapy pathway for paediatric patients with congenital heart disease
- Restrictive right heart SOP
- Sedation for diagnostic and therapeutic procedures on children with cardiac conditions
- Temporary epicardial pacing after cardiac surgery
- Temporary epicardial pacing wire removal for patients on Ward 1E, RHC
- Tranexamic acid in paediatric surgery and trauma
Child Protection
- Alcohol and/or drugs: Guideline for Emergency Departments, Minor Injury Units and Receiving Units where a child or young person presents under the influence of
- Child protection bundle: Emergency Department & Minor Injury Unit (adult & children)
- Child Protection pathways where concern for neglect or abuse - RHC ED
- Child Protection Policies & Procedures [Staffnet]
- Child sexual exploitation, recognition and response: guidance for health staff
- Children with orthopaedic injuries raising child protection concerns, a best practice guide
- Digital camera policy: ED & SSW
- Domestic abuse, identifying and responding to within NHSGGC Children's Services
- Maltreatment in children under the age of 1: injury proforma [Staffnet]
- Pregnancy testing guidelines for girls aged 12 yrs & over (RHC)
- Raising a Notification of Concern: Child Protection Service guidance for staff
- Recognition and management of maltreatment in infants (children under the age of 1)
- Sexually active young people, managing
Dentistry
- Adrenal insufficiency, protocol for children who require surgery, procedure or dental extractions
- Antibiotic prophylaxis for paediatric surgery
- Diabetes mellitus, management during surgery
- Mucositis - diagnosis and treatment
Dermatology
- Atopic eczema (management)
- Atopic eczema, infected (management)
Diabetes
- Coeliac disease: flowcharts for diagnosis and follow-up
- Diabetes insipidus diagnosis and management (Including fluid management in children following suprasellar tumour surgery)
- Diabetes mellitus, management during surgery
- Diabetes, newly diagnosed: “walking wounded”
- Diabetic ketoacidosis including fluid calculation sheet
- Hypoglycaemia, hospital treatment of
- Insulin pump therapy guideline
- Timed overnight urine collections: instructions for parents
- Vitamin D pathway for coeliac disease
Emergency Medicine
- Acute asthma in children aged < 2 years in the Emergency Department (management of)
- Acute neonatal referral pathways
- Acute otitis externa in children, Emergency Department
- Acute pain relief services protocol (APRS)
- Acute replacement of gastrostomy tubes (Emergency Department SOP)
- Acute Sore Throat
- Acute wheeze in children 2 years and older: assessment and management
- Acute wheeze: escalation to intravenous therapy for Acute Wheeze Integrated Care Pathway (ICP) for patients over 2 years old
- Acutely disturbed or challenging behaviour in children with learning disabilities & / or ASD (aged 5-18 years)
- Adrenal insufficiency in children, emergency management protocol
- Adrenal suppression secondary to exogenous glucocorticoid - guidance for children on long term steroid therapy
- Adrenaline auto injector prescription guideline
- Alcohol and/or drugs: Guideline for Emergency Departments, Minor Injury Units and Receiving Units where a child or young person presents under the influence of
- Antibiotic prophylaxis for paediatric surgery
- Antidote locations for RHCG
- Aspiration of a foreign body
- Atopic eczema (management)
- Atopic eczema, infected (management)
- Atraumatic painful limb
- Bell's Palsy
- Bomb blast injuries in children: antibiotic management
- Brief Resolved Unexplained Event or BRUE (ALTE guideline update)
- Bronchiolitis admission pathway
- Bronchiolitis parent information leaflet
- Buckle fracture
- Burn, looking after your child's (ED parent advice sheet)
- Burns – admission & follow up guidance
- Burns, airway and smoke inhalation in children
- Cardiac transplant patient - paediatric acute care management pathway
- Chickenpox
- Child protection bundle: Emergency Department & Minor Injury Unit (adult & children)
- Child Protection pathways where concern for neglect or abuse - RHC ED
- Child Protection Policies & Procedures [Staffnet]
- Child sexual exploitation, recognition and response: guidance for health staff
- Clinical operation policy for ALL CT imaging requests from the Emergency Department Royal Hospital for Children, Glasgow
- Community Nursing Teams - Scotland, contact numbers
- Conjunctivitis: management in children
- Constipation in children
- Covid-19 patient pathway 2020 – RHCG clinical policy
- Covid-19 swab transit - RHC Standard Operating Procedure
- Croup
- Decreased consciousness level in children: management of
- Diabetes mellitus, management during surgery
- Diabetes, newly diagnosed: “walking wounded”
- Diabetic ketoacidosis including fluid calculation sheet
- Digital camera policy: ED & SSW
- Discarded needles, managing injuries from needles discarded in the community
- Domestic abuse, identifying and responding to within NHSGGC Children's Services
- ED triage to CDU - direct transfer criteria
- Emergency blood management arrangements, NHSGGC policy
- Emergency contraception
- Emergency paediatric tracheostomy management
- Empirical antibiotic therapy in children
- Epistaxis management in children
- Epstein-Barr virus (EBV) guidance
- Escalation policy to maintain safety - RHC Standard Operating Procedure
- Febrile convulsion parent information leaflet
- Febrile neutropenia, out of hours pathway for RHC
- Fever in the returning paediatric traveller
- Feverish Illness in Children (< 5 years) Paediatric Emergency Department, RHC
- First afebrile seizure, management
- Gastroenteritis in children (management)
- Glasgow Emergency Paediatric ECG Guideline (GEPEG)
- Guidance for families and children who have attended the Emergency Department with symptoms of coronavirus (COVID-19)
- Guidance for patients with suspected plague (Yersinia pestis infection): RHC ED
- Guideline for contacting the ED consultant on call between Midnight and 9am
- Haematuria, management and investigation in Paediatrics
- Haemophilia protocol
- Hand and finger fractures
- Head injury / concussion advice leaflet for parents/guardians
- Head injury guideline (Emergency Department)
- Headaches in children
- Henoch-Schonlein Purpura (HSP) – ‘New’ patient follow-up SOP
- How to complete a notification of concern form (ED SOP)
- Hypercyanotic episodes in tetralogy of fallot
- Hypoglycaemia management, Paediatric Emergency Department
- Incidental murmur
- Ingested foreign bodies, Emergency Department
- Intoxicated child/adolescent flow chart
- Intravenous fluid guidance for previously well children aged >7 days to 16 years
- Jehovah's Witness management, paediatric patients
- Juvenile idiopathic arthritis (JIA), management in children
- Laboratory Chain of Evidence form & notes for use in the ED
- Macrophage Activation Syndrome in children with rheumatic disease
- Major haemorrhage protocol
- Major Incident Plan, RHC [Staffnet]
- Malaria treatment guidelines, paediatrics
- Maltreatment in children under the age of 1 year, recognition and management
- Maltreatment in children under the age of 1: injury proforma [Staffnet]
- Management of acutely disturbed or challenging behaviour in children aged 5-12 years
- Management of inter-hospital transfers by RHC Emergency Department
- Management of the Child with a Non-Blanching Rash (NBR): (i.e. Petechiae, Purpura & Ecchymoses)
- Medical Acute Receiving Unit Guide for Hi-Flo (AIRVO) Use in Bronchiolitis
- MERS - Middle East Respiratory Syndrome - RHC ED patient pathway guidance
- Moving and handling the child with suspected/diagnosed spinal injury: application of Miami-Jr and Miami J collar, Standard Operating Procedure
- Moving and handling the child with suspected/diagnosed spinal injury: log rolling, Standard Operating Procedure
- N-Acetylcysteine infusion calculator
- Nasal injuries
- Nasal injury advice sheet (parent information)
- Needlestick injuries and exposure to blood and high risk body fluids: initial action plan
- New psychoactive substances (NPS): Emergency Department guidance
- Next Day Surgical Procedures (fasting guidance) – parent information leaflet
- Notification of diseases to Public Health
- Omalizumab: difficult asthma advice note
- Orbital cellulitis protocol, ENT department
- Paediatric neck lumps (diagnosis and management)
- Paediatric Transfer Traffic Light : risk assessment
- Pain in children, management in the ED
- Pneumonia, community acquired: guideline in children
- Poisoning & overdose - requesting information
- Pregnancy testing guidelines for girls aged 12 yrs & over (RHC)
- Procedure for notification of child deaths [Staffnet]
- Protocol for managing Child & Adolescent Mental Health (CAMHS) out-of-hours referrals in Greater Glasgow & Clyde
- Pulled elbow
- Rabies risk assessment and treatment following bat exposure
- Radiological imaging transfer / viewing guidance
- Rapid access (unscheduled) outpatient clinic: guidelines for referral
- Rapid sequence induction of anaesthesia for intubation: checklist
- Rapid sequence induction of anaesthesia for intubation: intubation drugs
- Rapid tranquilisation of young people aged 12-17 years, algorithm
- Referral Criteria for Paediatric Continence Service
- Referral Pathway for Paediatric Continence Service
- RHC ED debriefing proforma
- RHC Fracture Clinic Pathway & how to arrange follow up (Ortho & Physiotherapy)
- RHC Practical Fracture Management Guidance for use during COVID-19 crisis
- RHCG Major Trauma Team Emergency Department Activation and Response - Standard Operating Procedure
- Sexually active young people, managing
- Sudden unexpected death in infancy and childhood: Multi-agency guidelines for care and investigation
- Surgical and Urological Advice for RHCG ED
- Tetanus vaccination in Children
- Tissue adhesives (management of accidental injury)
- Torticollis (congenital and acquired) in children
- Tranexamic acid in paediatric surgery and trauma
- Trauma team roles and responsibilities
- Unidentified Foods/Vegetables/Plants and Fungi etc
- Unplanned return patient checklist, ED RHC
- Upper limb injuries: assessment of neurological status
- Urinary tract infection (UTI) : Diagnosis, treatment and management - RHC Glasgow
- Urticaria not associated with anaphylaxis: management in children
- Viral Haemorrhagic Fever (VHF) RHC initial assessment & patient pathway guidance
- Virtual Fracture Clinic – Parent information leaflet
Endocrinology
- Adrenal insufficiency, protocol for children
- Adrenal insufficiency, protocol for children who require surgery, procedure or dental extractions
- Adrenal suppression secondary to exogenous glucocorticoid - guidance for children on long term steroid therapy
- Congenital hypothyroidism in Scotland, guidelines for the management of
- Diabetes insipidus diagnosis and management (Including fluid management in children following suprasellar tumour surgery)
- Nutritional Vitamin D deficiency in children & adolescents, management of
ENT
- Acute otitis externa in children, Emergency Department
- Acute sore throat
- Antibiotic prophylaxis for paediatric surgery
- Aspiration of a foreign body
- Empirical antibiotic therapy in children
- Epistaxis management in children
- Mucositis - diagnosis and treatment
- Nasal injuries
- Nasal injury advice sheet (parent information)
- Orbital cellulitis protocol
- Paediatric neck lumps (diagnosis and management)
Gastroenterology
- Cholangitis pathway
- Determining a child’s readiness for oral feeding, advice for staff: when to refer to Speech & Language Therapy
- Distal Intestinal Obstruction Syndrome and Severe Constipation, Children with Cystic Fibrosis
- Gastrostomy tubes: information for parents, carers, and health professionals
- Guidance and application of En-Plugs-S (ENP-S) 4cm in gastrostomy care, SOP
- WoSPGHAN enteral tube feeding information pack for healthcare professionals
Genetics
- Cardiac genetics pathway for infants with congenital heart disease and the appropriate utilisation of irradiated blood products
- Congenital hypothyroidism in Scotland, management of
- Guideline for audiological investigation in cystic fibrosis patients at RHC Glasgow
Haematology/Oncology
- Acute pain relief services protocol (APRS)
- Adrenal suppression secondary to exogenous glucocorticoid: guidance for children on long term steroid therapy
- Antibiotic prophylaxis for paediatric surgery
- Anti-emetics in haemato-oncology patients with chemotherapy induced nausea and vomiting (CINV)
- Anti-fungal policy (hamatology/oncology)
- Anti-thrombotic protocol
- Anti-viral policy (haematology/oncology)
- Blood transfusion in children with haematological / oncological disease and following haemopoietic stem cell transplant
- Chemotherapy-induced hypersensitivity
- Emergency blood management arrangements, NHSGGC policy
- Fluid and electrolytes (Haemato-oncology patients, Schiehallion)
- Haemophilia protocol
- Intrathecal SACT assessment questions
- Investigation & Management of chemotherapy & radiotherapy induced diarrhoea & constipation in Haematology/Oncology (non-HSCT) patients
- Management of neutropenia & fever: antibiotic policy
- Mucositis - diagnosis and treatment
- Paediatric IV to oral antibiotic switch therapy (IVOST) guideline
- Palliative care resource folder (Neonatal & Children's Services) [Staffnet]
- Policy & Guidelines for the Safe Prescribing, Dispensing & Administration of Systemic Anti-Cancer Therapy (SACT) for Children, Teenagers and Young Adults (Ward 6A and Ward 4B at QEUH – Adult Hospital)
- Policy for administration of intrathecal chemotherapy
- Prevention, treatment & follow-up of extravasation with SACT
- Procedure for performing a diagnostic lumbar puncture & administration of intrathecal therapy
- Prophylaxis against gram negative and fungal infections in immunocompromised babies, children & young people with a Central Venous Access Device (CVAD)
- Role of Phlebotomists
- Sickle cell protocol
- Spillage procedures for chemotherapy
- Vascular access procedure and practice guideline
- Venesection for iron overload
Imaging, Radiology, X-Ray
Infectious Disease
- 2019-nCoV Patient pathway 2020 – RHCG clinical policy
- Booster immunisation of patients treated for leukaemia, Hodgkin’s Disease, a solid tumour, or recipients of an autologous stem cell transplant
- Chickenpox
- Clostridium Difficile Infection (CDI) in children: diagnosis and management
- Determining a child’s readiness for oral feeding, advice for staff: when to refer to Speech & Language Therapy
- Empiric infection management guidelines, paediatrics, Primary Care
- Immunisation best practice guideline
- Infection prevention and control homepage (NHSGGC website)
- Malaria treatment guidelines, paediatrics
- Management of neutropenia & fever: antibiotic policy
- MERS - Middle East Respiratory Syndrome - RHC ED patient pathway guidance
- Paediatric IV to oral antibiotic switch therapy (IVOST) guideline
- Rabies risk assessment and treatment following bat exposure
- Scottish Paediatric Consensus Treatment Guideline for Covid-19 and related conditions
- Viral Haemorrhagic Fever (VHF) RHC initial assessment & patient pathway guidance
Intensive and critical care
- Abdominal pressure, measurement of
- AIRVO 2 High-Flow Standard Operating Procedure
- Airway burns and smoke inhalation in children
- Anti-fungal prophylaxis in PICU: summary of recommendations
- Blind broncho-alveolar lavage (Blind BAL) (PICU)
- Blood culture collection
- Cardiac genetics pathway for infants with congenital heart disease and the appropriate utilisation of irradiated blood products
- Cardiac patient pathway, RHC Glasgow
- Cardiac patients in PICU: weaning Alfentanil and Remifentanil in ventilated post-operative cardiac patients in PICU
- Cardiac post-op patients: anti-coagulation therapy in PICU
- Cardiomyopathy and myocarditis investigations protocol
- Covid-19 : Paediatric Intensive Care Unit Contingency Plan
- Covid-19 Intubation Checklist
- Covid-19 ventilator circuit and t-piece setup
- Craniofacial SOP- PICU
- Diabetes insipidus diagnosis and management (Including fluid management in children following suprasellar tumour surgery)
- Emergency blood management arrangements, NHSGGC policy
- Emergency paediatric tracheostomy management
- Endotracheal tubes, cuffed
- Enoxaparin use in neonatal and paediatric critical care
- Enteral tubes: administration of medication via (PICU)
- EVD, transfer of child with: checklist
- Extra Ventricular Device guideline (EVD)
- Extracorporeal Life Support (ECLS) programme guidelines version 3
- Eye care
- Fasting Guidance for Procedures on PICU Patients in PICU or Theatre
- General care issues for Paediatric Critical Care: nursing procedure
- Hamilton T1 transport ventilator set-up guide & pre-use checks
- Hand washing: PICU policy
- Hyperkalaemia, emergency management of, PICU
- ICP monitoring SOP
- Intravenous fluid guidance for previously well children aged >7 days to 16 years
- Intubation checklist, RHC PICU
- Junctional Ectopic Tachycardia (JET), post operative
- Large bore veno-venous lines (e.g. "GamCaths") - SOP for first usage and troubleshooting
- Managing body temperature: using a forced air warming device – 3M Bair Hugger® 775
- Manual Acute Peritoneal Dialysis in PICU (using the UTAH Medical / Femcare-Nikomed Dialy-Nate® closed peritoneal dialysis set)
- Modified Blalock-Taussig Shunt (MBTS), immediate post-operative management
- Moving and handling the child with suspected/diagnosed spinal injury: cervical spine immobilisation – application of a two piece collar
- Moving and handling the child with suspected/diagnosed spinal injury: cervical spine log rolling
- Nasal tracheal tube taping - PICU SOP
- Near Infrared Spectroscopy (NIRS) user guide
- Neurosurgical patients fluid management
- Neurosurgical patients with shunts (admission pathway)
- Neurosurgical pre-operative investigations
- Neurosurgical shunt pathway
- Nurse Led blind Insertion of naso jejunal tube in PICU
- Nutrition, enteral: introducing and establishing (PICU) & management of "High Risk Abdomen" patients
- Oral hygiene for the highly dependent or critically ill infant or child
- Oral tracheal tube taping - PICU SOP
- Paediatric Early Warning Score: PEWS
- Paediatric ICU Local Infection Prevention & Control Risk Assessment Specific to Covid-19
- Palliative care resource folder (Neonatal & Children's Services) [Staffnet]
- PICU intra-hospital transfer guideline
- PICU respiratory samples - Trakcare
- Prescribing and Preparing Intravenous Fluids in PICU
- Restrictive right heart SOP
- Skin anti-sepsis: Chloraprep guideline
- SpO2 monitoring in the highly dependent or critically ill infant or child
- Sudden unexpected death in infancy and childhood: Multi-agency guidelines for care and investigation
- Support Document for Emergency Assessment + Management of Diabetic Ketoacidosis (DKA) in children & young people who require transfer to: RHSCE or RHCG
- Temperature management : axilla temperature (Tempa.DOT) (PCCU)
- Temperature management : bladder temperature (PCCU)
- Temperature management : rectal temperature (PCCU)
- Temperature management : tympanic temperature (PCCU)
- Temporary epicardial pacing after cardiac surgery
- Therapeutic hypothermia: managment in the highly dependent or critically ill infant or child: using a cooling blanket system (CSZ Blanketrol III)
- Tranexamic acid in paediatric surgery and trauma
- Trans-oral surgery: post-operative management of patients
- Transthoracic line removal in PICU
- Traumatic Brain Injury
- Tumour craniotomy: standard operating procedure (SOP)
- Underwater seal chest drainage in the highly dependent or critically ill infant or child: nurse role: chest drain insertion
- Underwater seal chest drainage in the highly dependent or critically ill infant or child: nurse role: chest drain removal
- Underwater seal chest drainage in the highly dependent or critically ill infant or child: nurse role: ongoing chest drain management
Kidney Diseases
- Acute renal failure in paediatrics (management and investigation)
- Anaemia in children with chronic kidney disease
- Guideline on the classification and management of glomerulonephritis in general Paediatrics
- Henoch-Schonlein Purpura (HSP), renal management on presentation with (1)
- Hypertension in paediatrics, Renal Unit RHC
- Idiopathic nephrotic syndrome in children, management
- Immunisation guideline for children with chronic kidney disease
- Management and investigation of bloody diarrhoea and haemolytic uraemic syndrome [DRAFT]
- Manual Acute Peritoneal Dialysis in PICU (using the UTAH Medical / Femcare-Nikomed Dialy-Nate® closed peritoneal dialysis set)
- Nephrolithiasis and/or nephrocalcinosis (management and evaluation)
- Renal anomalies detected or suspected antenatally
- Renal transplantation (paediatric): management of
- Renal tubular disease, investigation and management
- Urinary tract infection (UTI) : Diagnosis, treatment and management - RHC Glasgow
Maxillofacial and oral surgery
- Craniofacial and neurosurgical surgery, crossmatching for
- Craniofacial SOP- PICU
- Craniosynostosis postoperative care pathway
- Tranexamic acid in paediatric surgery and trauma
Mental health
- Acutely disturbed or challenging behaviour in children with learning disabilities & / or ASD (aged 5-18 years)
- Low Weight Eating Disorder Pathway
- Management of acutely disturbed or challenging behaviour in children aged 5-12 years
- Protocol for managing Child & Adolescent Mental Health (CAMHS) out-of-hours referrals in Greater Glasgow & Clyde
- Rapid tranquilisation of young people aged 12-17 years, algorithm
Microbiology
- Anti-fungal prophylaxis in PICU: summary of recommendations
- Bomb blast injuries in children: antibiotic management
- Bronchoalveolar (blind) lavage (PICU)
- Clostridium Difficile Infection (CDI) in children: diagnosis and management
- Infection prevention and control homepage (NHSGGC website)
- Management of neutropenia & fever: antibiotic policy
- Microbiology classification in cystic fibrosis - recommendations for practice RHC, Paediatrics
- MRSA in Paediatric Cystic Fibrosis patients, Eradication and Treatment
Musculoskeletal diseases
Neonatology
- Acute neonatal referral pathways
- Admission criteria: Neonatal Unit & Transitional Care
- Antibiotic guidelines for the neonatal unit
- Anti-Ro & Anti-La antibodies : Guideline for the management of babies born to mothers with systemic lupus erythematosus (SLE) and other autoimmune disorders
- Apnoea of Prematurity
- Arterial lines: priming & calibration using the Kids Kit ™ closed blood sampling system : neonatal guideline
- Bowel irrigation guidance : neonates
- Capilliary blood sampling
- Cardiac genetics pathway for infants with congenital heart disease and the appropriate utilisation of irradiated blood products
- Confirming the position of a naso-gastric / oro-gastric tube in neonates
- Congenital hypothyroidism in Scotland, guidelines for the management of
- Congenital syphilis : management of babies born to mothers with syphilis infection
- Cooling mattress : Tecotherm Neo Instructions
- Cord clamping guidelines
- COVID 19 Neonatal Pathway GGC
- Cranial ultrasound: a guideline for the performance of routine cranial USS for preterm infants
- Criteria for attendance at delivery by neonatal staff
- Cytomegalovirus (CMV) - congenital infection
- Developmental dysplasia of the hips (DDH) and congenital foot deformities
- Disorders of Sex Development (DSD): Management of Atypical Genitalia & Suspected DSD in the Neonate
- Early onset sepsis in the neonate: prevention and treatment
- Enoxaparin use in neonatal and paediatric critical care
- Enteral feeding of preterm infants
- Epidermolysis Bullosa (EB) Care of Neonates
- Evaluation of the floppy infant
- Expressed breast milk (maternal and donor)
- Extravasation injuries: prevention and management (neonatal guideline)
- Eye infections in the neonate: Ophthalmia Neonatorum and the management of systemic Gonococcal and Chlamydial infections
- Heart murmurs in the neonate: an approach to the neonate with a heart murmur
- High Frequency Oscillatory Ventilation (HFOV) : a guide to the use of HFOV in the neonate
- Humidified High Flow Nasal Cannulae (HHFNC)
- Hyperglycemia in the neonate
- Hypoglycaemia : preterm infants
- Hypoglycaemia : term infants
- Immunisation guideline for neonates
- Intubation and premedication for neonates
- Jaundice : neonatal guideline
- Jaundice management on the postnatal wards
- Less Invasive Surfactant Administration (LISA), neonatal guideline
- Management of infants born to HIV positive mothers
- Management of infants born to mothers with Hepatitis C
- Management of the difficult airway, neonates
- Napkin care guidelines, neonates
- Neonatal abstinence syndrome (NAS)
- Neonatal pain guideline
- Neonatal transfusion guideline
- Newborn Blood Spot Screening
- Oesophageal atresia and tracheo-oesophageal fistula
- Oral sucrose for procedural pain
- Palliative care resource folder (Neonatal & Children's Services) [Staffnet]
- Passage of a nasogastric or orogastric feeding tube (neonatal guideline)
- Patent ductus arteriosus (PDA) : medical treatment and indications for surgical closure
- Perinatal management of extreme preterm birth before 27 weeks of gestation: a framework for practice
- Peripheral arterial lines: insertion and care
- Peripherally inserted central catheters (PICC Lines) - Neonatology guideline
- Persistent or refractory hypoglycaemia in the neonate : a guideline for management
- Postnatal Handbook
- Postnatal management of fetal arrhythmias
- Renal anomalies detected or suspected antenatally
- Respiratory management of preterm infants: primary respiratory therapy with CPAP or intubation and surfactant
- Sampling from arterial peripheral / umbilical lines : neonatal guideline
- Seizures in the neonate
- Seldinger chest drain insertion and management
- Surfactant Administration via Laryngeal Mask Airway (LMA) Standard Operating Procedure
- Transcutaneous bilirubinometry in the Community
- Trisomy 21 - Care Pathway
- Umbilical catheters
- Virological assessment of fetuses and neonates
- Vitamin K prophylaxis for neonates
- Volume Targeted Ventilation: indication and use in the Neonatal Unit
- West of Scotland Neonatal Drug Formulary
- WoSPGHAN enteral tube feeding information pack for healthcare professionals
Neurology
- Ketogenic diet: inpatient and illness protocol
- Spasticity management guideline
Neurosurgery
- Craniofacial and neurosurgical surgery, crossmatching for
- EVD, transfer of child with: checklist
- Extra ventricular device (EVD)
- ICP monitoring SOP
- Neurosurgical patients fluid management
- Neurosurgical patients with shunts (admission pathway)
- Neurosurgical shunt pathway
- Trans-oral surgery: post-operative management of patients
- Traumatic Brain Injury
- Tumour craniotomy: standard operating procedure (SOP)
Ophthalmology
- Antibiotic prophylaxis for paediatric surgery
- Conjunctivitis: management in children
- Eye care
- Orbital cellulitis protocol
Orthopaedics
- Antibiotic prophylaxis for paediatric surgery
- Buckle fracture
- Children with orthopaedic injuries raising child protection concerns, a best practice guide
- Developmental dysplasia of the hips (DDH) and congenital foot deformities
- Empirical antibiotic therapy in children
- Fracture and soft tissue injury management guidance
- Fracture and soft tissue injury management guidance (1)
- Hand and finger fractures
- Paediatric IV to oral antibiotic switch therapy (IVOST) guideline
- Pulled elbow
- Spasticity management guideline
- Tranexamic acid in paediatric surgery and trauma
- Upper limb injuries: assessment of neurological status
Paediatrics
- Bronchiolitis admission pathway
- Diagnosis and management of cow's milk protein allergy in infants
- Emergency blood management arrangements, NHSGGC policy
- Gastrostomy tubes: information for parents, carers, and health professionals
- Guidance and application of En-Plugs-S (ENP-S) 4cm in gastrostomy care, SOP
- Malaria treatment guidelines, paediatrics
- Medical Acute Receiving Unit Guide for Hi-Flo (AIRVO) Use in Bronchiolitis
- Microbiology classification in cystic fibrosis - recommendations for practice RHC, Paediatrics
- Paediatric Early Warning Score: PEWS
- Sudden unexpected death in infancy and childhood: Multi-agency guidelines for care and investigation
- Urinary tract infection (UTI) : Diagnosis, treatment and management - RHC Glasgow
- Vascular access procedure and practice guideline
- WoSPGHAN enteral tube feeding information pack for healthcare professionals
Pain
- Acute pain relief services protocol (APRS)
- Oral sucrose for procedural pain
- Pain in children, management in the ED
- Palliative care resource folder (Neonatal & Children's Services) [Staffnet]
Patient Information
- Bronchiolitis parent information leaflet
- Febrile convulsion parent information leaflet
- Head injury / concussion advice leaflet for parents/guardians
- Monitoring pain at home after tonsil surgery (parent information)
- Nasal injury advice sheet (parent information)
Pharmacy
- Empirical antibiotic therapy in children
- NHSGGC adult therapeutics handbook [link]
- NHSGGC Paediatric Formulary
- Paediatric Intravenous Medicines Monographs
Plastic Surgery
Public Health
- Empiric infection management guidelines, paediatrics, Primary Care
- Immunisation best practice guideline
Respiratory
- ABPA and aspergillus lung infection, cystic fibrosis patients RHC
- Acute asthma in children aged < 2 years in the Emergency Department (management of)
- Acute wheeze in children 2 years and older: assessment and management
- Acute wheeze: escalation to intravenous therapy for acute wheeze Integrated Care Pathway (ICP) - for patients ≥ 2 years old
- Bronchoalveolar (blind) lavage (PICU)
- Distal Intestinal Obstruction Syndrome and Severe Constipation, Children with Cystic Fibrosis
- Eradication of Burkholderia Species in Children with Cystic Fibrosis
- Eradication of Haemophilus Influenza in Children with Cystic Fibrosis
- Eradication of Pseudomonas Aeruginosa in Children with Cystic Fibrosis
- Eradication of Staphyloccus Aureus in Children with Cystic Fibrosis
- Guideline for audiological investigation in cystic fibrosis patients at RHC Glasgow
- Microbiology classification in cystic fibrosis - recommendations for practice RHC, Paediatrics
- MRSA in Paediatric Cystic Fibrosis patients, Eradication and Treatment
- Non-tuberculous mycobacterial pulmonary disease, cystic fibrosis patients RHC
- Omalizumab: difficult asthma advice note
- Oral antibiotics for children with Cystic Fibrosis
- Oxygen: prescription and administration in children
- Paediatric IV to oral antibiotic switch therapy (IVOST) guideline
- Segregation in cystic fibrosis: recommendations for practice, RHC
Rheumatology
- Acute pain relief services protocol (APRS)
- Methotrexate for non oncology conditions subcutaneously or intravenously (SOP for adminstration)
Specialist Children's Services
Surgery
- Antibiotic prophylaxis for paediatric surgery
- Cardiac genetics pathway for infants with congenital heart disease and the appropriate utilisation of irradiated blood products
- Emergency blood management arrangements, NHSGGC policy
- Hypospadias repair, post-op pharmaceutical management
- Paediatric Early Warning Score: PEWS
- Paediatric IV to oral antibiotic switch therapy (IVOST) guideline
- Post-operative gastrostomy feeding
- Preoperative fasting of patients for theatre, Royal Hospital for Children
- Tranexamic acid in paediatric surgery and trauma
- Vascular access procedure and practice guideline
Urology
- Hypospadias repair, post-op pharmaceutical management
- Nephrolithiasis and/or nephrocalcinosis (management and evaluation)
- Referral Criteria for Paediatric Continence Service
- Referral Pathway for Paediatric Continence Service
West of Scotland Critical Care Guidelines
- AIRVO 2 High-Flow Standard Operating Procedure
- HDU checklist: in preparation for retrieval (West of Scotland Critical Care Guidelines)
- HiFlo guide (West of Scotland Critical Care Guidelines)
- High Dependency Criteria (West of Scotland Critical Care Guidelines)
- Support Document for Emergency Assessment + Management of Diabetic Ketoacidosis (DKA) in children & young people who require transfer to: RHSCE or RHCG

NHSGGC Paediatric Clinical Guidelines