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guidelines & Tools

Regional Guidelines

The PIER tools and guidelines have been created to reduce the variation of care for paediatric conditions throughout the region. They have been created by multidisciplinary clinicians from throughout the region, with input from tertiary consultants, regional speciality networks and accepted national guidance. Our resources also include useful signposting websites for children and young people with chronic health conditions.
New & Updated Guidelines - October/November
​​​
  • Management of Paediatric Influenza
  • Anticonvulsant use when Nil by Mouth

Current number of
​PIER Guidelines
A-Z
To search for a specific guideline:
On a computer:
  1. Click the Ctrl and F keys on your keyboard
  2. Enter your search terms in the search box​
On a phone or tablet:
  1. Click the ⋮ or share icon in your browser
  2. Click 'Find on Page'
  3. ​Enter your search terms

A

Abdominal Pain
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Acute Kidney Injury - Prevention & Recognition 
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • NICE Guideline
  • ​Flow Chart
Adrenal Crisis (new presentation or pre-existing adrenal insufficiency)
  • Full Guideline
Ambiguous Genitalia (Initial Management of a Baby)
  • Full Guideline
Anaphylaxis
  • Anaphylaxis Management Proforma
  • Acute Anaphylaxis Guideline (Resuscitation Council 2021)
  • Refractory Anaphylaxis Guideline (Resuscitation Council 2021)
​​​Antibiotic Therapy for Specific Childhood Infections
  • Full antibiotic guidance can also be found on the MicroGuide app or on the internet by clicking here​
Anticonvulsant use when Nil by Mouth
  • Full Guideline
Antenatally Detected Uropathy Guidelines
  • Full Guideline
Arrhythmia - Tachyarrhythmia with a Pulse
  • SORT Guideline​​
​​Asthma (Acute)
  • PIER Guideline
  • SORT Guideline​
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​​Asthma (Chronic)
  • Maintenance and Reliever Therapy (MART) for Chronic Asthma in Young People >12 years of age
Autosomal Dominant Poly-cystic Kidney Disease
  • National Guideline​

B

Blocked Ventricular Shunt/Hydrocephalus
  • Full Guideline ​
​​Burns
  • ​SORT Guideline
​​Bronchiolitis
  • SORT Guideline
  • ​Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

C

Ceftriaxone Administration in Children
  • Statement on Ceftriaxone Prescribing and Administration
Central Venous Access Devices
  • Full Guideline​​
​Cellulitis
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Chemotherapy Induced Nausea and Vomiting
  • Full Guideline​
Chicken Pox Contacts in Immunosuppressed Children on Methotrexate, Biologics or Steroids
  • Full Guideline
Child Protection Policies and Procedures (Hampshire, Isle of Wight, Portsmouth and Southampton)
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Guideline
​Child Protection Companion
  • RCPCH Child Protection Companion
  • RCPCH Child Protection Evidence
​​Child Death
  • (Hampshire, Portsmouth and IoW) ​Child Death electronic reporting form
  • (Dorset) ​Child Death electronic reporting form
  • Government Statutory Guidance on Child Deaths
CMV (Congenital)
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline ​​
Conjunctivitis in Children
  • Healthier Together Safety Netting Documents
Constipation 
  • Healthier Together Safety Netting Documents
Coughs and Colds
  • Healthier Together Safety Netting Documents
Croup
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Cyanosed Infant with Systemic to Pulmonary Shunt (Blalock-Taussig or Sano shunt)
  • Full Guideline

D

​​Decreased Conscious Level RCPCH Guidelines
  • Flow Chart​
Dermatology
  • See Dermatology section
​​Dextrocardia
  • Full Guideline
Diabetes
  • Care of the Well Child with Newly Diagnosed Diabetes (ACDC Guideline)
  • Care of Children Under 18 Undergoing Surgery (ACDC Guideline)
  • Management of Hypoglycaemia in Children with Type 1 Diabetes (ACDC Guideline)​​
  • Sick Day Rules for Children with Type 1 Diabetes (ACDC Guideline)
  • Guidelines For High HbA1c in Type 1 Diabetes 
    in Children and Young People (Wessex Diabetes Network Guideline)
  • ​Transition Guideline (NICE Guideline)
Diabetic Ketoacidosis
  • ​Integrated Care Pathway/DKA Calculator (2021 update)
  • Full Guideline (2021 update)
​​Diarrhoea and Vomiting
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Drowning
  • SORT Guideline

E

​Eczema
  • Healthier Together Pathway​
Electrolyte Replacement
  • SORT Guideline​
  • Hypokalaemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Hypomagnesaemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Hyponatraemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Hypercalcaemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Hypophosphataemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
Empyema
  • ​SORT Guideline
Encephalitis
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Extravasation
  • ​SORT Guideline​​
  • Chemotherapy Extravasation Guideline

F

Fabricated and Induced Illness
  • Hampshire, IoW, Portsmouth and Southampton (HIPS) Protocol
​​​Facial Nerve Palsy
  • ​Full Guideline
Febrile Neutropaenia
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline​ and ​Nursing Care Plan
  • Vancomycin Dosing​
  • Other Antibiotic Dosing
​Femoral Fracture
  • ​Full Guideline
Fever
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
First Afebrile Seizure
  • Full Guideline​
  • Healthier Together Safety Netting and Parent Information​
​​Foreign Body Ingestion
  • Full Guideline

G

Gastroesophageal Reflux
  • Healthier Together Pathway​
Gastrostomy Interactive Toolkit
  • Full Guideline
  • ​Gastrostomy Videos
Gentamicin Dosing in Children
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
​GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline

H

Haematuria in Children
  • Full Guideline
Head Injury
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
HSP in Children
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
HSV (Neonatal)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Humidified High Flow
  • Full Guideline​
Hydrocephalus/Blocked Ventricular Shunt
  • Full Guideline
Hypercyanotic Spells in Tetralogy of Fallot
  • Full Guideline
​Hyperinsulinaemic Hypoglycaemia in Neonates
  • ​Full Guideline
Hypertension (Oncology)
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Hypertension (Non-Oncology)
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
Hypocalcaemia
  • Full Guideline
Hypoglycaemia
  • Full Guideline
Hypothyroidism (congenital) and raised neonatal bloodspot TSH
  • Full Guideline

I

Infant Feeding Guidelines​
  • See full section for complete guideline
  • Healthier Together Pathway
  • Healthier Together Safety Netting Documents
​​Influenza
  • ​Full Guideline
Infectious Disease Screening for Refugees and Asylum-Seekers
  • Link to Healthier Together
Investigation of New Oncology Patients
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline

J

Jaundice in Babies
  • Healthier Together Safety Netting and Parent Information

K

Kawasaki Disease
  • Full Guideline​

L

Limp
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​Lymphadenopathy
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Lymphadenitis
  • Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline​

M

Malaria in Children
  • Full Guideline
Mastoiditis
  • ​Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline​
Meningitis
  • Full Guideline
Metabolic Emergencies
  • British Inherited Metabolic Diseases Group
Mucositis
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline

N

Nasal Bridle Insertion and Management
  • Full Guideline
Nasal Humidified Oxygen (High Flow)
  • Flow Chart
  • Full Guideline
Nasojejunal Tube Placement and Basic Care​
  • Full Guideline​
​Nausea and Vomiting Management (Oncology)
  • Full Guideline
Neonatal Collapse
  • ​SORT Guideline
​Neonatal Guidelines
  • Neonatal Network Guidelines
Nephrotic Syndrome
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline 
  • ​Patient Record Book
Nutrition (Oncology)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline​

O

Obesity
  • Full Guideline
Off Treatment Oncology Surveillance 
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Acute Lymphoblastic Leukaemia (ALL) Full Guideline
Oncology Emergencies
  • Anaphylaxis
  • Tumour Lysis Syndrome Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Hyperleucocytosis Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Typhlitis Flow Chart​
  • Spinal Cord Compression Flow Chart
Oral Steroids - Sick Day Telephone Advice
  • Full Guideline
Otitis Media
  • ​Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline​
​Pharmacological Management of Non-Neuropathic Overactive Bladder
  • Full Guideline

P

​​​Paediatric Inflammatory Multisystem Syndrome - Temporarily Associated with SARS-CoV2 (PIMS-TS)
  • Full Guideline
Parent Held Oncology Records
  • Full Resources
Palliative Care and Symptom Management
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Preorbital Cellulitis
  • Healthier Together Safety Netting and Parent Information
Perioperative Fasting Guidelines
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
  • ​Advice for Parents/Patients
Pneumonia
  • Healthier Together Safety Netting and Parent Information
Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses
  • Children's HIV Association Guideline
​​Pseudomonas Treatment
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart​
Pyelonephritis
  • ​Healthier Together Safety Netting and Parent Information
Pyloric Stenosis
  • Full Guideline

R

​​Rapid Tranquillisation & the Management of Aggressive and Violent Paediatric Patients
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Rash with a Fever
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Return of Spontaneous Circulation (ROSC) Management in Children
  • SORT Guideline

S

Sedation (Procedural) in the Emergency Department
  • Full Guideline
Sepsis
  • ​SORT Guideline​
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Sickle Cell Crisis
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Painful Crisis Flow Chart​
    • ​SORT flow chart
Sickle Cell Disease
  • ​Full Guideline
​​​Seizure
  • ​SORT Guideline
Spinal Cord Compression
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
​Starting TPN (Oncology)
  • Flow Chart
​​​Steroids in Surgery for Children with Adrenal Suppression
  • Full Guideline
Stones (Nephrolithiasis & Nephrocalcinosis)
​​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Stroke
  • RCPCH Guideline
Swollen Joints in Children
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
​Syphilis​ (Congenital)
  • Full Guideline

T

​​TB Testing in Children on Biologics
  • Full Guideline
Tonsillitis
  • ​Healthier Together Safety Netting and Parent Information​
  • BSAC National Guideline
Neonates Born to Mothers with Thyroid Disease
  • Full Guideline
Transfusion and Coagulation (Oncology)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Trauma Guideline
  • Full Guideline
Traumatic Brain Injury
  • ​SORT Guideline
​Raised TSH on Neonatal Bloodspot (and initial management of congenital hypothyroidism)
  • Full Guideline
Typhilitis (Oncology)
​​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart

U

​Undescended Testes
  • ​Full Guideline - Temporarily Unavailable pending review
Unsettled Baby
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Urinary Incontinence
  • Full Guideline
Uropathy (Antenatally Detected) Guidelines
  • Full Guideline
UTI
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

V

Vaccinations For Paediatric Patients Treated With Standard-Dose Chemotherapy And Haemopoietic Stem Cell Transplantation Recipients
  • CCLG Guideline
Re-Vaccination Schedule for Patients After Completion of Standard Dose Chemotherapy
  • Full Guideline
Vancomycin Dosing in Children
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guidelines
Veno-Occlusive Disease (Oncology)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Ventricular Shunt Problems
  • Full Guideline
Viral Infections, Viral Prophylaxis and Vaccinations (Oncology)
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Full Guideline​
  • Varicella Contact Flow Chart​
Vitamin D
  • National Osteoporosis Society Guideline (scroll down the page to find guideline 'Vitamin D & Bone Health in Children')

W

Viral Induced Wheeze and Acute Asthma Treatment
  • Full Guideline
​Recurrent Wheeze in <5 year old
  • Healthier Together Guideline
Allergy
New Anaphylaxis
  • Anaphylaxis Management Proforma
Food Labeling and 'May Contain' Products
  • ​Patient Information Leaflet 
​National Links
  • ​​​Anaphylaxis Campaign
  • ​The British Society for Allergy and Clinical Immunology Guidelines
    • BSACI patient Information Leaflets​​
  • Food Allergy Research & Education
  • Itchy Sneezy Wheezy
  • ​MediBand - Medical Alert Bracelets
  • MedicAlert - Medical Alert Bracelets
  • Spare Pens in Schools
  • Preventing Food Allergy in Higher Risk Infants - BSACI Early Feeding Guidance
​The Wessex Allergy Network
Cardiology
Arrhythmia - Tachyarrhythmia with a Pulse
  • SORT Guideline
Dextrocardia
  • Full Guideline
Management of a cyanosed Infant with systemic- to- pulmonary shunt (Blalock-Taussig or Sano shunt)
  • Full Guideline
Hypercyanotic Spells in Tetralogy of Fallot
  • Full Guideline
Kawasaki Disease
  • Full Guideline​

​National Links
  • Caring for a Child with a Heart Condition Information Leaflet
  • Discharge Advice for Babies with Uncorrected Tetralogy of Fallot (TOF) Information Leaflet
  • Endocardial Pacemaker Information Leaflet
  • ​Having an Ablation Information Leaflet
  • Hearts4Teens
  • Ocean Ward (Paediatric Cardiology Ward at Southampton Children's Hospital)
  • Support for Families with a Cardiac Diagnosis Information Leaflet
  • ​Your Child's Cardiac Reveal Device Information Leaflet
Child Safeguarding & Child Protection
  • ​Child Protection Policies and Procedures (Hampshire, Isle of Wight, Portsmouth and Southampton)
  • Child Protection Leaflets for Parents and Children
    • Medical Examination (Parents and Children)
    • CSA Examination (Parents and Children)
  • ​​Fabricated and Induced Illness Protocol
  • RCPCH Child Protection Companion
  • RCPCH Child Protection Evidence
  • GMC Protecting Children and Young People
  • Competency and Training Documents
    • RCPCH
    • Intercollegiate
Child Death
  • Government Statutory Guidance on Child Deaths​
  • Child Death Electronic Reporting Form (CDOP)
    • ​Hampshire, Portsmouth and IoW
    • Dorset​
Dermatology
British Association of Dermatology Adult & Paediatric Handbook for Junior Doctors
  • Essential Skills
  • Background Knowledge
  • Emergency Dermatology
  • ​Skin Infections & Infestations
  • Skin Cancer
  • Inflammatory Skin Conditions
  • Blistering Disorders
  • Common Important Problems
  • Management
  • Practical Skills​
Cellulitis
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​​Rash with a Fever
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

​National Links
  • Health Talk - Eczema
  • ​Itchy Sneezy Wheezy
  • The Birth Mark Support Group
Diabetes
Diabetes
  • Care of the Well Child with Newly Diagnosed Diabetes (ACDC Guideline)
  • Care of Children Under 18 Undergoing Surgery (ACDC Guideline)
  • Management of Hypoglycaemia in Children with Type 1 Diabetes (ACDC Guideline)​​
  • Sick Day Rules for Children with Type 1 Diabetes (ACDC Guideline)
  • Guidelines For High HbA1c in Type 1 Diabetes 
    in Children and Young People (Wessex Diabetes Network Guideline)
  • ​Transition Guideline (NICE Guideline)​
Diabetic Ketoacidosis
  • ​Integrated Care Pathway/DKA Calculator (2021 update)
  • Full Guideline (BSPED 2021 update)​

​National Links
  • Health Talk - Type 1 Diabetes
Emergency Medicine
​Burns
  • ​SORT Guideline
​Drowning
  • SORT Guideline
Extravasation
  • ​SORT Guideline​​
​​Femoral Fracture
  • ​Full Guideline
Foreign Body Ingestion
  • Full Guideline
Head Injury
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Humidified High Flow in Children
  • Full Guideline
Procedural Sedation
  • Full Guideline
Return of Spontaneous Circulation (ROSC) Management in Children
  • SORT Guideline
Traumatic Brain Injury
  • ​SORT Guideline
Wessex Children's Major Trauma Guideline
  • Full Guideline​ ​
National Links
  • Paediatric Blast Injury Field Manual
Endocrinology
Steroids in Surgery for Children with Adrenal Suppression
  • Full Guideline
Adrenal Crisis (new presentation or pre-existing adrenal insufficiency)
  • Full Guideline
Acute Hypocalcaemia
  • Full Guideline
Atypical or Ambiguous Genitalia
  • Full Guideline​
Congenital Hypothyroidism (and raised neonatal bloodspot TSH)
  • Full Guideline
Diabetes
  • Care of the Well Child with Newly Diagnosed Diabetes (ACDC Guideline)
  • Care of Children Under 18 Undergoing Surgery (ACDC Guideline)
  • Management of Hypoglycaemia in Children with Type 1 Diabetes (ACDC Guideline)​​
  • Sick Day Rules for Children with Type 1 Diabetes (ACDC Guideline)
  • Guidelines For High HbA1c in Type 1 Diabetes 
    in Children and Young People (Wessex Diabetes Network Guideline)
  • ​Transition Guideline (NICE Guideline)​
Diabetic Ketoacidosis​
  • ​Integrated Care Pathway/DKA Calculator (2021 update)
  • Full Guideline (BSPED 2021 update)
​ ​Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Hypoglycaemia
  • Full Guideline
​Hyperinsulinaemic Hypoglycaemia in Neonates
  • ​Full Guideline
Low Vitamin D
  • National Osteoporosis Society Guideline (scroll down the page to find guideline 'Vitamin D & Bone Health in Children')
Obesity in Children and Young People
  • Full Guideline
Sick Day Telephone Advice for Children Taking Regular Oral Steroids
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
​​Management of Neonates Born to Mothers with Thyroid Disease
  • Full Guideline

​National Links
  • Health Talk - Type 1 Diabetes
  • British Society for Paediatric Endocrinology and Diabetes​
ENT
​Lymphadenopathy
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Lymphadenitis
  • Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline
Mastoiditis
  • ​Healthier Together Safety Netting and Parent Information​
  • BSAC National Guideline
​Otitis Media
  • ​Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline
​Tonsillitis
  • ​Healthier Together Safety Netting and Parent Information
  • BSAC National Guideline
Gastroenterology
Constipation 
  • Healthier Together Safety Netting Documents
​​​Diarrhoea and Vomiting
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
Gastroesophageal Reflux
  • Healthier Together Pathway​
Gastrostomy Interactive Toolkit
  • Full Guideline
  • ​Gastrostomy Videos
Nasal Bridle Insertion and Management
  • Full Guideline
Nasojejunal Tube Placement and Basic Care​
  • Full Guideline​​
​National Links
  • Coeliac UK - Information for Teenagers & Young Adults
  • Crohns & Colitis UK​​
Haematology
Sickle Cell Crisis
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Sickle Cell Crisis Flowchart
  • SORT Guideline
Sickle Cell Disease
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Full Guideline
​
​
National Links
  • ​The Haemophilia Society
  • ​Sickle Cell Society
  • ​UK Thalassaemia Society
  • ​The Haemophilia Society
  • Southern Haemophillia Network
Infant Feeding Guidelines
Wessex Infant Feeding Guidelines​
  • Introduction
  • Dietitians' Contacts in Wessex
  • Notes on Breast Feeding
  • Infant Formula Prescribing Guide
  • Managing the Unsettled Baby
  • References and Acknowledgements
​Infant Pathways
  • Cow's Milk Protein Allergy
  • ​Allergy-Focused History
  • Gastro-Oesophageal Reflux in Infancy
  • Preterm Infants
  • Faltering Growth in Infants
  • Secondary Lactose Intolerance
  • Infant Colic
Appendices​
  • Milk-Free Diet for Breast Feeding Mothers
  • Milk-Free Diet for Babies
  • Milk and Soya-Free Diet for Babies
  • Lactose-Free Diet for Babies
  • ​Milk-Free Recipes
  • Home Milk Challenge to Confirm CMPA
  • The Milk Ladder
  • What Can I Do If My Child Won't Eat?
  • High Energy Diet For Babies​
Infectious Disease
Antibiotic Therapy for Specific Childhood Infections
  • Full antibiotic guidance can also be found on the MicroGuide app or on the internet by clicking here​​
Ceftriaxone Administration in Children
  • Statement on Ceftriaxone Prescribing and Administration
Management of Congenital CMV
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Chicken Pox Contacts in Immunosuppressed Children on Methotrexate, Biologics or Steroids
  • Full Guideline
Gentamicin Dosing in Children
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Infectious Disease Screening for Refugees and Asylum-Seekers
  • Link to Healthier Together
Kawasaki Disease
  • Full Guideline​
​​​Management of Neonatal HSV
​​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Management of Paediatric Influenza
  • ​Full Guideline
Malaria in Children
  • Full Guideline​
​Management of Suspected Meningitis
  • Full Guideline​
​Management of Infants at Risk of Congenital Syphilis
  • Full Guideline
Management of Sepsis
  • ​SORT Guideline​
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information
​​​Paediatric Inflammatory Multisystem Syndrome - Temporarily Associated with SARS-CoV2 (PIMS-TS)
  • Full Guideline
Post-exposure prophylaxis (PEP) guidelines for children and adolescents potentially exposed to blood-borne viruses
  • Children's HIV Association Guideline
TB Testing in Children on Biologics
  • Full Guideline
Vancomycin Dosing in Children
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guidelines​ ​​

British Society for Antimicrobial Chemotherapy (BSAC) Paediatric Pathways
  • ​Cellulitis
  • Febrile Infant aged <90 days
  • Lymphadenitis/Lymph Node Abscess
  • ​Meningitis
  • ​Otitis Media/Mastoiditis
  • Petechial/Pupuric Rash
  • ​Pneumoina/Empyema
  • ​Pre-Septal and Orbital Cellulitis
  • ​Pyelonephritis
  • ​Tonsillitis and Quinsy

​​National Links​
  • Body & Soul - HIV Support
  • PID UK - Primary Immunodeficiency Support​
  • Meningitis Research Foundation
LTV
Guides to LTV Ventilators
Nippy 4
Trilogy
Mental Health
Rapid Tranquillisation & the Management of Aggressive and Violent Paediatric Patients
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline​
​​​
​National Links
  • Young Minds​
Metabolic Disorders
Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Metabolic Emergencies
  • British Inherited Metabolic Diseases Group
​
​
National Links
  • Climb
Neonatology
Neonatal Collapse
  • ​SORT Guideline
​Nursing Guidelines (from Neonatal ODN website)
  • Care of Chest Drains
  • Nasal HFT - under review
  • Suction
  • Nursing care of CPAP/BiPhasic CPAP - under review
  • Prostaglandin Infusion
  • Therapeutic Cooling Nursing - under review
  • Wound Care - under review
  • Skin Integrity
  • Non-nutritive Sucking
  • Treating neonatal jaundice with phototherapy, including guidance on exchange transfusion
  • Insulin Infusion
  • Care of a PVL
  • Care of Central lines - CVL
  • Care of Umbilical Cord - under review
  • Behavioural Cues - under review
  • Consideration of Light
  • Mouth care - under review
  • Noise
  • Pain assessment, minimisation and management on the Neonatal Unit guideline / parent leaflet
  • Positioning and Handling - under review
  • Positive Touch - under review
  • Taste and Smell guideline / parent information booklet
  • Environmental Humidification
  • Palliative Care
  • Spiritual Care
  • Privacy, Dignity and Respect 
  • Neonatal Discharge Planning - under review
  • Repatriation framework
  • Documentation guidance

​​Clinical Guidelines (from Neonatal ODN website)
  • Targeting Oxygen Saturations - under review
  • TV Surfactant
  • TV PDA in Preterm Infants - under review
  • Pulse Oximetry Screening
  • Cardiac Care Pathway - under review
  • Cerebral Function Monitor (CFM) practical guideline
  • Therapeutic Cooling Medical - under review
  • TV NAS - under review
  • ROP Care Pathway - under review
  • Surgical Care Pathway - under review
  • Wessex Bilious Vomiting Pathway - Malrotation - under review
  • Wessex Nutritional Care of Infants - under review
  • Extremes of Prematurity
  • Parent Info booklet extremely high risk or 20-21 wks gestation
  • Parent Info. Booklet high risk or 22-24wks gestation
  • Parent info booklet moderate risk or 25wks gestation
  • TV Stabilisation and Resus of Baby <32 weeks
  • Wessex Postnatal Ward​
  • Transfers Infection Control

​Congenital Hypothyroidism (and raised neonatal bloodspot TSH)
  • Full Guideline
​Initial Management of a Baby with Atypical or Ambiguous Genitalia
  • Full Guideline
​Management of Congenital CMV
  • See Infectious Disease
Nephrology
Acute Kidney Injury - Prevention & Recognition
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
  • ​NICE Guideline
​​Antenatally Detected Uropathy Guidelines
  • Full Guideline
Autosomal Dominant Poly Cystic Kidney Disease
  • National Guideline
Electrolyte Replacement
  • SORT Guideline
  • ​Also see Electrolyte Replacement section of Oncology Guidelines
Haematuria in Children
  • Full Guideline
Management of HSP in Children
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Nephrotic Syndrome
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
  • ​Patient Record Book
​Pharmacological Management of Non-Neuropathic Overactive Bladder
  • Full Guideline
Pyelonephritis
  • ​Healthier Together Safety Netting and Parent Information
Recognition & Follow up of Hypertension
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
Stones (Nephrolithiasis & Nephrocalcinosis)
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
​Assessment of Daytime Urinary Incontinence
  • Full Guideline
UTI
  • Healthier Together Pathway
  • Healthier Together Safety Netting and Parent Information

​National Links
  • InfoKid
Neurology & Neurosurgery
Anticonvulsant use when Nil by Mouth
  • Full Guideline
Facial Nerve Palsy
  • ​Full Guideline
First Afebrile Seizure
  • Full Guideline​
  • Healthier Together Safety Netting and Parent Information​
The Management of Children & Young People with Acute Decreased Conscious Level RCPCH Guidelines
  • Flow Chart​
Management of Hydrocephalus or Blocked Ventricular Shunt
  • Full Guideline
​Management of Suspected Encephalitis
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Prolonged Seizure
  • ​SORT Guideline
​Stroke
  • RCPCH Guideline

​National Links
  • Young Epilepsy
  • ​Epilepsy Action
  • ​Syncope Trust And Reflex Anoxic Seizures (STARS)
  • ​Spina Bifida
  • ​Hydrocephalus
  • ​Neurofibromatosis
  • Tuberous Sclerosis
  • ​Muscular Dystrophy
Oncology
COVID-19 Specialty Information
  • ​Children's Cancer and Leukaemia Group - Guidance for Children and Young People Undergoing Cancer Treatment

​Care and Management of Central Venous Access Devices
  • ​Full Guideline
  • ​Management of Central lines video
​Chemotherapy Induced Nausea and Vomiting
  • Full Guideline
Electrolyte Replacement
  • Hypokalaemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Hypomagnesaemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Hyponatraemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Hypercalcaemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Hypophosphataemia Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
Extravasation of Chemotherapy
  • Full Guideline​
Febrile Neutropaenia
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline and ​​Nursing Care Plan
  • Vancomycin Dosing​
  • Other Antibiotic Dosing
​GCSF: The Use of Haematopoietic Growth Factors in Paediatric Oncology and Haematology Patients
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Hypertension
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Investigation of New Patients
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Mucositis
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Nausea and Vomiting Management
  • Full Guideline
Nutrition
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline​
Off Treatment Surveillance
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Acute Lymphoblastic Leukaemia (ALL) Full Guideline
Oncology Emergencies
  • Anaphylaxis
  • Tumour Lysis Syndrome Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Hyperleucocytosis Flow Chart ​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Typhlitis Flow Chart​
  • Spinal Cord Compression Flow Chart
Parent Held Oncology Records
  • Full Resources
Palliative Care and Symptom Management
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
​Spinal Cord Compression
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
​Starting TPN
  • Flow Chart
Transfusion and Coagulation
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
Typhilitis
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Flow Chart
Vaccinations For Paediatric Patients Treated With Standard-Dose Chemotherapy And Haemopoietic Stem Cell Transplantation Recipients
  • CCLG Guideline
Viral Infections, Viral Prophylaxis and Vaccinations
​
This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • ​Full Guideline
  • Re-Vaccination Schedule for Patients Beginning 6 months After Completion of Standard-Dose Chemotherapy
  • Varicella Contact Flow Chart ​​
  • Post Exposure Prophylaxis for Varicella and Shingles
​Veno-Occlusive Disease
​
​This guideline is due for review. Please check national guidance and use at your own clinical discretion.
  • Full Guideline
​
​
National Links
  • ​Macmillan Teen & Young Adult Support
  • Teenage Cancer Trust
  • ​The Brain Tumour Charity
  • CLIC Sargent
  • Children's Cancer & Leukaemia Group
Ophthalmology
Preorbital Cellulitis
  • Healthier Together Safety Netting and Parent Information