Intussusception (PIC)
Disclaimer
These guidelines have been adopted to guide clinical decision making for the medical, nursing and allied health staff of Perth Children’s Hospital. They are not strict protocols, and they do not replace the judgement of a senior clinician. Clinical common-sense should be applied at all times. These clinical guidelines should never be relied on as a substitute for proper assessment with respect to the particular circumstances of each case and the needs of each patient. Clinicians should also consider the local skill level available and their local area policies before following any guideline.
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Paediatric Improvement Collaborative Clinical Practice Guideline
The following guideline has been endorsed by the National Paediatric Improvement Collaborative and should be used in conjunction with the relevant local guidelines.
The above link will take you to an external website.
Management of intussusception at Perth Children’s Hospital follows the evidence-based guidelines from the National Paediatric Improvement Collaborative (PIC).
The guideline should be used in conjunction with local policies and guidelines pertinent to the management of intussusception in your health service.
For a list of medicines that are available for prescribing in WA Public Hospitals refer to Formulary One. Refer to ChAMP.
Refer to nursing considerations below:
- Complete and record a full set of observations on the observation and response tool and record additional information on the Clinical Comments Chart.
- Complete a full set of neurological observations if clinically indicated.
- Minimum of 1 hourly observation should be recorded whilst in the ED.
- Any significant changes should be reported immediately to the medical team.
- Ensure appropriate medication, monitoring, observations, suction, oxygen and emergency equipment is available for patient transfer and the reduction procedure.
- Fluid input / output is to be monitored and documented.
Please refer to the PIC Guidelines disclaimer.
Should you have any suggestions around improving the PIC CPGs, please complete the feedback form on the CPG website.