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For health professionals

Quick links for health care professionals

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The information on this page provides education and resources to health care professionals to adapt into clinical care. The techniques can be adapted to fit any ambulatory and ward setting. The principles of pharmacological, positioning, and divisional/distraction therapies are not restricted to children and adolescents; the concepts can be used in adult health care setting.

The procedural sedation program at the Royal Children's Hospital was tailored for the ambulatory/ward setting based on stakeholder clinical expertise, environment, medication policies and patient demographics. For health care staff outside RCH please use the sedation program material as a guide  and adapt the concepts to meet the needs of your health care service.

Kids information-  surgical preparation book and coping strategies

Information for parents and guardians

Resources: posters, surgical preparation books and nitrous prep book for children

Workshops Procedural Sedation Leader and Procedural Pain Workshop

Please download the following application form from the link below. All RCH staff will need to have approval from the manager to attend the workshops. Contact olivia.hamilton@rch.org.au ( Wed-Fri)

Non RCH staff please contact the Comfort Kids Program Manager if you are interested in attending the workshop: lisa.takacs@rch.org.au

All Comfort Kids Workshops are held at the Royal Children's Hospital, South East Building, Level 7, MacKinnon Nursing Education & Development Centre, in either Room 5 or Room 4.

  1. Pre-reading ( please download the three articles and workbook)

The Procedural Sedation Leader Workshop is designed to train staff memeber to become the nitrous oxide trainer in their clinical area.  Staff who attend this workshop must be accredited to deliver nitrous oxide before attending the workshop. The trainer is the designated staff member who is accountable to accredited staff . Please contact the program educator if you have any questions:olivia.hamilton@rch.org.au( Wed-Fri)

 

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Procedural sedation/ Sucrsoe and topical agents /Referral pathway/Guidelines.

Local AnGel 5g tube

Topical Anaesthetics- AnGel ( RCH brand) /EmlaTM
Quick tips:
Topical cream referred to as "numbing cream" rather than magical cream.
Inform the child,why cream applied to multiple sites e.g "help you pick out the best vein for the event."
Use " plastic straw" to refer to cannula and explain that it, "gives your body a drink or medicine that cannot be eatenen"
Important to let the child know that their body will tell us ( health care team) when its time for the drip to come out. Try not to promise a set number of days.
Explain "why" behind the blood test e.g "measure salts,sugars or count how many red, white cells you have."
Felix

Sucrose - " Be Sweet to Me Baby"-fact sheet

Sucrose Guidelines

Minimises distress and pain -infants  to children up to eighteen months of age.
Give small amount two minutes before start of procedure and small amounts thereafter.
Use in conjunction with swaddling, dummy, distraction, singing and other coping strategies.

childmask_small

Procedural Sedation Guideline
Dose guideline for procedural sedation agents

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Positioning For Comfort pic B

Procedural Pain Managment Policy
Procedural Pain Management Guidelines

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RCH KHI Nitrous Oxide mask

Procedural Sedation Program at RCH
(wards and outpatient)
Procedural Sedation - Emergency Department

Oral/ intranals -quick overview and drugs and doses
Inhaled agents: nitrous oxide - quick overview and drug/dose.
How to become accredited for nitrous oxide
Procedural sedation leaders: education and responsibilities
Location of nitrous oxide units/spare equipment/cylinders

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Comfort kids

Fact sheets for parents

Top five

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Referrals

Educational Play Therapy Department - referral terms
Comfort Kids ( RCH flagship program) -referral terms

Comfort First ( children cancer centre program)
9345 5453

Referral

 Psychology

 

Contact the Comfort Kids Program

 Please contact the Comfort Kids Program if you would like additional information about the website or program or feedback about the website to: lisa.takacs@rch.org.au

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Updated 14-Jan-2010. Authorised by: Ian McKenzie. Enquiries: Lisa Takacs.
webmaster. © RCH.