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Paediatric Admissions

11

Post-surgical procedures

IV therapy

Multiple diagnoses needs – e.g., tube feeds – when the patient's

parents are present to provide care 24/7

Continuous monitoring of heart rate, respiratory rate, oxygen

saturation

Special Care Nurseries will admit babies needing phototherapy when:

There is space available in the SCN

The baby is under 6 weeks of age

There has been no known contact with a communicable disease within

the incubation period for that disease

Pediatric patients needing treatment with or for the following should be admitted to BC

Children's Hospital:

Cardiac monitoring

Tube feeding

IVIG infusions

Blood transfusions

Suspected CNS infections

Diabetic ketoacidosis

Newly diagnosed seizures

Medically unstable babies less than 6 months of age.

TPN

Toronto Sick Kid’s Hospital

The Toronto Sick Kid’s Hospital is the other tertiary care center where a collaborative re-population strategy is the current practice. Initially, the hospital developed a diagnosis based criteria for Level 2 community hospitals. Before implementing, the decision was made NOT to use the criteria as it was too restrictive or too much of a “recipe approach”. This approach, while acceptable at the management/director levels did not filter down to the frontlines well and had little meaning for frontline staff/physicians

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