ALERT: What is recommended in response to the recent home ventilator recall

This QuickHit comes as a practice alert following a voluntary recall by the manufacturer of select ventilators commonly used in paediatric home and community care.

All, Home VentilationAdal BahlibiOctober 8, 2021

What is the best practice for administering subcutaneous injections in children with 'slim limbs'?

This Quick Hit comes from updated best practice guidelines regarding administering subcutaneous injections in the paediatric population.

All, Other Home CareAdal BahlibiSeptember 21, 2021

HINT: What type of water is used to flush an enteral tube?

This QuickHit was developed in response to family caregivers and home and community care providers asking what kind of water source to use when flushing enteral tubes.

All, Enteral Feeding and NutritionAdal BahlibiAugust 5, 2021NG, enteral

HINT: How to care for a child receiving medication via subcutaneous infusion

This QuickHit was informed by Connected Care Live consults from home and community care providers inquiring about care considerations for children receiving medications via subcutaneous infusion.

All, Other Home CareAdal BahlibiJuly 16, 2021

HINT: How do I perform Clean Intermittent Catheterization (CIC) for kids in home and community?

This Quick Hit was informed by education requests from home and community care providers on current best practices for performing Clean Intermittent Catheterization (CIC).

All, Other Home CareAdal BahlibiJune 14, 2021

HINT: How to use a stoma mask for a child with a critical airway

This Quick Hit was informed by a recent discharge of a child with a critical airway that required additional education for home and community care on the use of a stoma mask for manual ventilation in the event of an emergency.

All, Tracheostomy CareAdal BahlibiMay 20, 2021

HINT: How to use a nasal atomizer to safely deliver intranasal medication

This QuickHit was informed by a Connected Care Live consult from a home and community care provider inquiring how to use a nasal atomizer to deliver intranasal medication.

All, Other Home CareAdal BahlibiApril 22, 2021

HINT: What to consider when the pH of gastric aspirates from a nasogastric (NG) tube is >6?

This QuickHit was developed based on a Connected Care Live consult from a Home & Community Care Service Provider asking if the NG tube was safe to use when the child's gastric pH was measured to be >6.

Enteral Feeding and Nutrition, AllAdal BahlibiApril 8, 2021ph, NG, enteral

HINT: How long do I need to scrub the hub of a central venous access device (CVAD) cap?

This QuickHit is informed by family caregivers who report observing that there is a difference in how long they scrub the hub of their child's CVAD cap (top and sides) and allow it to dry compared to their home care providers.

Central Venous Access Devices, AllAdal BahlibiMarch 25, 2021

HINT: How to manage the cuff of a paediatric tracheostomy tube

This QuickHit was informed by a Connected Care Live Consult from a community/home care provider that prompted teaching about cuffed tracheostomy tubes

Tracheostomy Care, AllAdal BahlibiMarch 16, 2021

HINT: Do you know what type of enteral feeding tube the child has?

This QuickHit is informed by the G-tube Team at SickKids. They find that misidentification and inaccurate documentation of enteral tubes can lead to serious safety events or potential harm.

Enteral Feeding and Nutrition, AllAdal BahlibiFebruary 5, 2021

ALERT: Why use single-use supplies when heparin locking a Central Venous Access Device (CVAD)?

This QuickHit! is informed by virtual visits where home care nurses have asked if the same normal saline syringe can be used to flush both lumens of a Central Venous Access Device (CVAD) when heparin locking.

Central Venous Access Devices, AllAdal BahlibiJanuary 22, 2021

HINT: How do I perform a paediatric neurological assessment?

This QuickHit was informed by a Connected Care Live consult from a community/home care provider that asked about a change in an infant's neurological status.

Other Home Care, AllAdal BahlibiJanuary 8, 2021

ALERT: How to recognize early signs of sepsis and what actions to take?

This QuickHit was informed by a Connected Care Live consult from a Community/Home Care Provider seeking assistance with the assessment of a child, who was later diagnosed with sepsis.

All, Other Home CareAdal BahlibiDecember 4, 2020

HINT: How to promote comfort and safely perform a nasopharyngeal (NP) swab on children and youth

This QuickHit! was developed for providers and the children and families they care for, to offer guidance and tips to reduce discomfort and anxiety for the pediatric population when completing nasopharyngeal (NP) swabs.

COVID-19, AllAdal BahlibiNovember 20, 2020

HINT: How do I perform inline suctioning using a closed system?

HINT: How do I perform inline suctioning using a closed system?

Tracheostomy Care, Airway Clearance, AllAdal BahlibiNovember 12, 2020

HINT: How to accurately measure a child’s height and weight at home?

All, Other Home CareAdal BahlibiOctober 23, 2020

HINT: What is the correct catheter size when suctioning a tracheostomy?

Tracheostomy Care, Airway Clearance, AllAdal BahlibiOctober 8, 2020

ALERT: What is best practice for confirming placement of NG tubes?

This QuickHit comes from questions from community/home care providers regarding the most up to date practice for checking the placement of NG tubes.

Enteral Feeding and Nutrition, AllAdal BahlibiAugust 13, 2020

HINT: How to use checklists to promote safety when caring for children on home ventilation

This QuickHit comes from a review of consults made to Connected Care Live and highlights the important use of a Safety Checklist as a resource for everyday practice in home care for children on long-term ventilation.

Tracheostomy Care, Home Ventilation, AllTomasz CzarnyJuly 30, 2020

Connected Care Quick Hits

QUICK HITS ARE UP TO DATE AND EVIDENCE BASED RECOMMENDATIONS FOR THE CARE OF CHILDREN WITH MEDICAL COMPLEXITY & TECHNOLOGY DEPENDENCE, FROM HOSPITAL TO HOME.