Care Guidelines

CHOC is committed to the delivery of the highest quality, evidence-based care for the children and families that we serve.

CHOC is actively developing Care Guidelines for our inpatient high volume, high risk, and high variability diagnoses.

Our evidence-based care guidelines are based on the best available evidence and expert opinion and are developed to help pediatricians provide the best possible care to patients. Electronic order sets (“Power Plans”) are available for all Care Guidelines.

Care Guidelines are overseen by the multidisciplinary Evidence Based Medicine Committee (a medical staff IOP Committee) whose duties are:

1. To provide oversight for the coordination and improvement of highest quality, evidence-based care delivery at CHOC
2. To effect the change in culture of CHOC towards evidence-based practice
3. To develop new care guidelines for diagnoses with the highest volume, risk, and/or variation in care
4. To monitor process and outcome data for targeted populations and disease conditions

For more information, contact:
Brittney Anderson, DNP, CPNP – Director, Clinical Quality – 714-509-9380

Other Evidence-Based Statements and Guidelines:

• Acute Pancreatitis – Nutrition Algorithm
• Acute Ventilator Sedation Management Protocol
• Acyclovir Therapy in Neonates
• Antibiotic Prophylaxis for Surgery
• CVICU Infant Feeding Guideline for Continuous and Bolus Feeds
• Nutrition Support Guidelines
• OPI Management of Allergic Reactions
• Pediatric Blood Use Guidelines
• Pediatric VTE Prophylaxis Guideline
• PICC Optimal Tip Placement Evidence Based Recommendation
• PICU Enteral Feeding Guidelines | Interactive PDF with References
• Postoperative Chylothorax Management Guideline

CHOC Care Guidelines:

• Acne Care Guideline – Outpatient
• Acute Chest Syndrome in Sickle Cell Disease Care Guideline
• Acute Gastroenteritis Care Guideline – Inpatient
• Acute Movement Disorder
• Acute Stroke Care Guideline
• Acute Traumatic Spinal Cord Injury Guideline
• Appendicitis Care Guidelines
• Asthma Care Guideline | References
• Asthma Care Guideline – Outpatient
• 2007 NIH Guidelines for the Diagnosis and Management of Asthma
• Brief Resolved Unexplained Event (BRUE) Care Guideline for Lower Risk Infants Emergency Department and Outpatient Care
• Bronchiolitis Care Guideline – Emergency Department
• Bronchiolitis Care Guideline – Inpatient
• Bronchiolitis Care Guideline – Outpatient
• Bronchiolitis & High Flow Nasal Cannula – FAQs and Answers
• Cellulitis/Skin Abscess Care Guideline | Reference
• Cholelithiasis Care Guideline
• Community Acquired Pneumonia Care Guideline
• Community Acquired Pneumonia Care Guideline – Outpatient
• Constipation Care Guideline – ED
• Critical Care Continuous EEG Guideline
• Croup Care Guideline
• Croup Guideline Outpatient-ED-Inpatient
• CVICU Fontan Clinical Practice Guideline
• CVICU Chest Tube Removal Algorithm with References
• CVICU Pain and Sedation Protocol
  • Neonatal Protocol – < 30 days old
    • Intubated
    • Extubated
  • Pediatric Protocol – 30 days – 18 years
    • Intubated
    • Extubated
  • Adult Protocol – > 18 years or > 50kg
    • Intubated
    • Extubated
• CVICU Tetralogy of Fallot Repair Clinical Practice Guideline
• Deep Brain Stimulation with References
• Diabetic Ketoacidosis Care Guidelines
• Diabetic Ketoacidosis Care Guidelines Emergency Department Management

• Eating Disorders (Medical Stabilization) Care Guidelines
• Eating disorders – What to Expect Parent Handout
• ED/Inpatient Deep Neck Infections

• Empyema Care Guideline
• Evaluation and Management of Well-Appearing Febrile Infants 9 to 60 Days Old

• Febrile Neutropenia Oncology Care Guideline with References
• Outpatient Management of Fever in “Low Risk” Designated Oncology Patients with Central Line Care Guideline with References

• ED Fever without Source Infant < 28 days

• Fragile Skin/Epidermolysis Bullosa
• Fresh Tracheostomy Care Guideline

• Gastroenteritis Care Guideline | References
• Halo Gravity Traction (HGT)
• Headache – Status Migrainosus
• Headache – Outpatient Headache
• Hemangioma Propranolol Care Guideline
• Hirschsprung Disease Clinical Guideline
• Hyperbilirubinemia Care Guideline for Emergency Department Management and Acute Inpatient
• Introduction to Peanut Products and Allergenic Foods at 4-6 Months of Age
• Emergency Department Intussusception Care Guideline
• Junctional Ectopic Tachycardia Guideline

• Ketogenic Diet Initiation Care Guideline
• Ketogenic Diet Readmission Care Guideline
• Low-Dose Ketamine Infusion for Analgesia
• Mandibular Distraction Clinical Guideline (MDO)
• Neonatal Early Onset Sepsis Care Guideline

• Neonatal Necrotizing Enterocolitis Care Guideline

• Neonatal Nosocomial Sepsis Care Guideline
• NICU Congenital Diaphragmatic Hernia (CDH) Care Guideline
• NICU Congenital Diaphragmatic Hernia (CDH) Patient/Family Education with Follow Up Chart
• NICU Gastroschisis Clinical Guideline
• NICU Jejunal or Ileal Atresia
• NICU Pain Management Clinical Guideline
• NICU Omphalocele Clinical Guideline
• Non-Iatrogenic (Recreational) Substance Withdrawal Care Guideline
• Post Cardiac Arrest Care

• Pyelonephritis Care Guideline with References

• Nuss Procedure for Pectus Excavatum
• Pyloric Stenosis Care Guideline

• Seizure (Simple and Complex Febrile) ED and Inpatient Care Guideline with References

• Seizure (First Unprovoked) Care Guideline

• Spinal Fusion for Adolescent Idiopathic Scoliosis Care Guideline

• Spinal Fusion for Neuromuscular Scoliosis Care Guideline | References
• Spontaneous Intestinal Perforation (SIP) Care Guideline
• Spontaneous Pneumothorax Care Guideline
• Preoperative Considerations for Neuromuscular Scoliosis
• Status Epilepticus Care Guideline
• Tracheitis – LRTI with Tracheostomy Care Guideline
• NICU – Tracheoesophageal Fistula / Esophageal Atresia (TEF/EA) Care Guideline
• Traumatic Brain Injury (TBI) Care Guideline – Mild
• Traumatic Brain Injury (TBI) Care Guideline – Moderate/Severe