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Breast feeding: Guidance for staff assisting the
mother
NOTE: We review our guidelines regularly and this guideline is now past its review date.
The content of the guideline below may not reflect the most recent evidence-based
practice. Please use with caution.

Read more about Breast feeding: Guidance for staff assisting the mother
Arterial lines
The purpose of this guideline is to provide guidance in the use of arterial lines at Great
Ormond Street Hospital (GOSH).

Read more about Arterial lines
Spinal surgery at GOSH
At Great Ormond Street Hospital (GOSH), we have developed a pathway for children
and young people having spinal surgery. Spinal surgery is a complex procedure, so we
want you to understand the benefits and risks of the operation so you can make an
informed decision about whether to go ahead. This page explains what will happen from
your child’s initial clinic appointment through to discharge, which clinicians you may
meet and what to expect.

Read more about Spinal surgery at GOSH
Nasojejunal (NJ) and orojejunal (OJ) management
The purpose of this guideline is to provide guidance about nasojejunal and orojejunal
tube management at Great Ormond Street Hospital (GOSH).

Read more about Nasojejunal (NJ) and orojejunal (OJ) management
Continuous Local Anaesthetic Infusion via
Transversus Abdominis Plane (TAP); Insertion and
Management
The purpose of this document is to provide guidance for the insertion and management
of Continuous Local Anaesthetic Infusion via Transversus Abdominis Plane (TAP) at
Great Ormond Street Hospital (GOSH).

Read more about Continuous Local Anaesthetic Infusion via Transversus
Abdominis Plane (TAP); Insertion and Management
Glomerular filtration rate measurement: Iohexol(TM)
method
The purpose of this guideline is to provide guidance about the glomerular filtration rate
measurement: IohexolTM method at Great Ormond Street Hospital.
NOTE: We review our guidelines regularly and this guideline is now past its
review date. The content of the guideline below may not reflect the most recent
evidence based practice. Please use with caution.

Read more about Glomerular filtration rate measurement: Iohexol(TM) method
Suprapubic urinary catheter
The purpose of this guideline is to provide guidance about suprapubic catheterisation at
Great Ormond Street Hospital (GOSH).

Read more about Suprapubic urinary catheter
Mouth care
The purpose of this guideline is to provide guidance about mouth care at Great Ormond
Street Hospital (GOSH).
NOTE: We review our guidelines regularly and this guideline is now past its
review date. The content of the guideline below may not reflect the most recent
evidence based practice. Please use with caution.

Read more about Mouth care
Meticillin-resistant Staphylococcus aureus (MRSA):
control and management
The purpose of this document is to provide guidance about the control of MRSA at
Great Ormond Street Hospital (GOSH).
Please note that this is a GOSH clinical guideline and may vary from other external
hospital MRSA policies or guidelines.

Read more about Meticillin-resistant Staphylococcus aureus (MRSA): control and
management
When a child dies
This guideline is intended to supplement the resources found in the 'When a Child Dies'
(WACD) purple box located in every ward, which gives detailed information on the care
of a child after death and, additionally, the ongoing care and attention that the child's
family will require (Rationale 1).

Read more about When a child dies
Skin biopsy: punch method
The skin is complex with an array of functions. It is the body’s largest organ, protecting
the deeper tissues and organs from mechanical damage, chemical damage, bacterial
damage, ultraviolet radiation and thermal damage. The skin aids in regulating body
temperature, in excretion of urea and uric acid and also synthesis of vitamin D (Marieb
2012).

Read more about Skin biopsy: punch method
Epidural analgesia
The purpose of this guideline is to provide guidance about epidural analgesia at Great
Ormond Street Hospital (GOSH).

Read more about Epidural analgesia
Liver biopsy
The purpose of this guideline is to provide guidance about liver biopsy at Great Ormond
Street Hospital (GOSH).

Read more about Liver biopsy
Extravasation and infiltration
This guideline covers the recognition, management and prevention of infiltration and
extravasation injury.
NOTE: We review our guidelines regularly and this guideline is now past its
review date. The content of the guideline below may not reflect the most recent
evidence based practice. Please use with caution.

Read more about Extravasation and infiltration
Eating disorders treatment
This page explains about treatments for eating disorders and what to expect when your
child comes to Great Ormond Street Hospital (GOSH).

Read more about Eating disorders treatment
Central venous access (temporary) for extracorporeal
therapies
The catheter is a dual lumen uncuffed central venous access device that is inserted
percutaneously.

Read more about Central venous access (temporary) for extracorporeal
therapies
Gastrostomy management
A gastrostomy is a feeding tube that is inserted directly into the stomach either
surgically under direct vision (open or laproscopic), endoscopically (with a camera), or
radiologically (x-ray guidance). A gastrostomy tube allows the delivery of supplemental
nutrition and medications directly into the stomach. It also provides a mechanism to
drain gastric contents if required. In order for gastrostomy feeding to be successful the
child or young person must have a functioning gastrointestinal tract.

Read more about Gastrostomy management
Central venous access devices (long term)
The purpose of this guideline is to provide guidance on the care and use of long term
Central Venous Access Devices (CVAD) including advice on dealing with any problems
encountered. For the purpose of this guideline, devices that are required to remain
insitu greater than a month will be considered a long term CVAD.
Note: While this guideline refers to the 'child' throughout, all activities are applicable to
young people

Read more about Central venous access devices (long term)
Tuberculosis (TB): care of the child and protection of
staff and patients
This guideline describes the procedure which must be followed whenever a diagnosis of
Mycobacterium Tuberculosis (M.TB) infection is suspected or confirmed, to optimally
protect staff, patients and other visitors from risk of infection and assist in the care of the
child with M.TB (not including Occupational Health policy).

Read more about Tuberculosis (TB): care of the child and protection of staff and
patients
Great Ormond Street Hospital
Tel: 020 7405 9200
Great Ormond Street Hospital for Children NHS Foundation Trust
Great Ormond Street
London WC1N 3JH
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© 2017, Great Ormond Street Hospital for Children NHS Foundation Trust
Great Ormond Street Hospital Children's Charity. A company limited by guarantee
(company number 09338724) and a registered charity (charity number 1160024).
Registered office: 40 Bernard Street, London WC1N 1LE.
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