Clinical guidelines

Clinical guidelines are used by the health professionals at Great Ormond Street Hospital for a wide range of conditions, treatments and tests.

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Clinical guidelines

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Refeeding guidelines for children and young people with feeding and eating disorders admitted to the Mildred Creak Unit at Great Ormond Street Hospital

Clinical guideline from Great Ormond Street Hospital for the recognition, prevention and treatment of the refeeding syndrome in children and young people admitted in the Department of Child and Adolescent Mental Health who have experienced recent starvation. 

Sepsis 6 Protocol

Sepsis is a life-threatening, overwhelming response to an infection.

The purpose of this guideline is to provide guidance on the paediatric Sepsis 6 protocol to support the early identification and treatment of sepsis.

The Sepsis 6 is a set six of interventions which can be delivered by any healthcare professional and must be implemented within the first hour.

GOSH Sepsis 6 protcol for download

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). 

Skin preparation for the insertion of vascular access devices

This guideline details the best practice in preparing the patient's skin before undertaking the specified invasive procedures to minimise the risk of infection. 

This guideline no longer includes skin preparation for lumbar puncture. For information about skin preparation for lumbar punctures, see Intrathecal Cytotoxic Chemotherapy: administration via a lumbar puncture or Ommaya reservoir guideline.