Topical Anaesthetics

Quick tips:

Topical cream referred to as "numbing cream" rather than magical cream
Inform the child,why cream applied to multiple sites e.g "help you pick out the best vein for the event."
Use word " plastic straw" to refer to cannula and explain that it, "gives your body a drink or medicine that cannot be eaten"
Important to let the child know that their body will tell us ( health care team) when its time for the drip to come out. Try not to promise a set number of days.
Explain "why" behind the blood test e.g "measure salts,sugars or count how many red, white cells you have."

 AnGel ( RCH brand)

Made by Orion Laboratories

www.orion.net.au

AnGel is a  RCH brand of topical anaesthetic 5g or 30g tubes of Amethocaine 4% in a white, opalescent gel base.

Refrigerate unopened tubes to maintain shelf life (up to 6 months) Discard 30 days after opening

Applied for a minimum of 45 minutes for venous cannulation or blood sampling

Removed at 60 minutes and anaesthesia persists for 4-6 hours after the gel is removed

EmlaTM

 Emla is a topical anaesthetic agent in tubes of 2.5% Lidoocaine/ Prilocaine in a 5% emulsion ( oil in water)

 Stored at room temperature. For venous cannulation or blood sampling apply for a minimum of 60 minutes and remove.

 Procedural sedation agents

• Procedural Sedation Program for wards and outpateints( under devlopment)

• Procedural Sedation - Emergency Department

Quick facts:Dose guideline for procedural sedation agents

 Nitrous oxide equipment

Location of nitrous oxide units: Ambulatory, outpatient and  wards ( 8th, 6th, 5th, 4 main, 3 east) are equipped with portable units ( trolley and gas cylinders). Medical Imaging, Dentistry and Emergency Department are equipped with piped nitrous oxide units.  

Spare units: if you require a second unit please make arrangements to borrow one from an ambulatory or ward area.

Reporting faulty unit: Remove the unit from the clinical area for patient safety. Send nitrous oxide unit to Biomedical Engineering and contact Comfort Kids Program x7933 to obtain a spare unit during business hours ( 0800-1700 hours) or  borrow one from an ambulatory or ward area.

 Imprest items: all disposable equipment for nitrous oxide should be part of ward and ambulatory Imprest system this includes disposable circuit and masks ( various size)

Reservoir bag: the green reservoir bag on the nitrous oxide unit should be intact without tears or holes. Replacement reservoir bags are avaialble from the emergency equipment box ( black toolbox) located PICU x-ray viewing room.  

Requesting Gas cylinders: All requests for the delivery of Medical Gases (depts.. not on the Gas Impress Delivery Schedule) can be requested by filling in a Requisition For Gas and faxing the requisition to stores on ext 7904. .Note - Allow 48hrs for Delivery. Also, Urgent requirements after 3.00pm weekdays, can be arranged via Security.

Requisition For Gas

Gas Imprest Delivery Schedule

Sucrose

• Clinical Practice Guidelines- Sucrose

• Sucrose Fact Sheet- Be sweet to me baby.

RCH bottled Sucrose obtained from RCH pharmacy. 

Stored in refrigerator, one month expiry date.

Pre packaged Sucrose @ RCH -Toot sweet

Pre packaged Sucrose - send a  Purchase Requisition Form to Materail Resources wiht the item number  1040027-100, Supplier name: JLM Acute Health Care. (100 vials per box) 

• Pre packaged Sucrose - manufactuers details 

  Guidelines

Procedural Pain Management Guidelines
Procedural Sedation Guideline

Clinical Practice Guidelines- Sucrose

Fact sheets for parents

• Midazolam/Chloral Hydrate
• Nitrous oxide prep book
• Nitrous oxide
• Reducing children's distress
• Medical Imaging information