COP 6: Documented procedures guide the care of pediatric patients as
per the scope of services.
1.
The hospital has
defined and displayed the services it can provide for pediatrics by competent
medical staff trained in paediatrics.
2.
All clinical staff
working in the pediatric department shall receive special training in the care
of the new born and pediatrics.
3.
Care of neonatal
patients shall be provided in accordance to IAP / WHO guidelines. Pediatric and
Neonatal patient’s assessments shall include detailed nutritional growth,
psychosocial and immunization assessment.
4.
Parents / Guardians
shall be educated at the time of admission that protection and security of
pediatric patients rest with the parents / guardians who stay with the patient.
Security of Neonates shall rest with the NICU staff as long as they remain in the
NICU and with the ICU in Charge for Pediatric patients during their stay at
that unit.
5.
Children’s family
members are educated about the importance of breast feeding, weaning,
rooming-in, nutrition, immunization, and safe parenting and this shall be documented
in the medical record of the patient.
Clinical
Staff at pediatrics department shall ensure that they maintain pediatric
assessment, diagnosis and treatment skills (as appropriate) in accordance with
their training.
Staff
shall manage pediatric patient appropriate to their skills, training and scope
of practice. If the management of pain for a particular paediatric patient is
beyond them, they should promptly consider seeking advice or the attendance of
a clinician with more advanced skills.
General
Instructions: Recognition of the seriously ill or injured child involves the
identification of a number of key signs affecting the child’s airway,
breathing, circulatory or neurological systems. If these signs are present, the
child must be regarded as critical. Then the staff will follow the assessment,
diagnosis and treatment regimens as per procedures:
1)
Medical Emergencies in Children
2)
High Risk New born babies
3)
Trauma Emergencies in Children
4)
Anaphylaxis and Allergic reactions in
Children
5)
Asthma in Children
6)
Convulsions in Children
7)
Hyperbilirubinemia & Glycaemia
Emergencies in Children
8)
Overdose and Poisoning in Children
9)
Child Basic/advanced Life Support
10) New
born Life Support
11) Foreign
Body Airway Obstruction
12) Dealing
with the Death of Children including sudden infant death syndrome
Management
of Pain in Children:
1)
Analgesia shall be normally introduced
in an incremental way, considering timeliness, effectiveness and potential
adverse events.
2)
Pain management should always include
the non-pharmacological methods of treatment as a starting point and may be
administered by all attending staff.
3)
However it may be apparent from the
assessment that a stronger analgesia is necessary from the outset and,
therefore the appropriately trained staff would need to administer it.
4)
Non pharmacological methods include
psychological, dressings and splintage. (Necessary restraints without any
harm).
5)
Pharmacological methods include
topical analgesia, oral analgesia, and inhalational analgesia, parenteral and
enteral analgesia. These methods are administered by appropriately trained
staff.