Who to Refer
Scope of practice

Tertiary paediatric surgery is defined as surgery in children under 13 years of age and confined to the following areas of interest :
  • Neonatal surgery
  • Oncology surgery
  • Correction of major congenital anomalies outside the neonatal period
  • Liver surgery
  • Management of gender ambiguity, both in the neonatal period and beyond

Additional to these will be occasional patients internally referred from other disciplines
Tertiary paediatric surgery is limited to 32 beds

Entry criteria

Paediatric surgery will do or attend to the following :

  • All neonatal surgery
  • All children under two years of age with paediatric surgical pathology other than minor problems that can be managed at a community, district or secondary hospital, eg. abscesses, oesophageal foreign bodies, etc.
  • All oncology (solid organs) will be admitted for investigation and treatment.
  • All genit-urinary problems will be admitted for surgery.
  • Will also treat all patients outside those already catered for which the hospital cannot deal with but by direct discussion within the Department of Paediatric Surgery.

Exit criteria

All patients in the wards who have completed their tertiary paediatric surgical treatment can be discharged from the Unit to the following areas :

  • Those requiring no further medical or nursing care can be sent home.
  • Those requiring continued treatment at regular intervals may be sent -

* home for recall

* back to referral hospital for recall

* CHOC block if an oncology patient

  • Those requiring further nursing care before going home may be returned to the referral hospital.
  • Those that no longer require paediatric surgical care but where the home environment is dangerous to the child will be kept pending investigation.

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