Pediatric Guidelines & Protocols

• Critical Congenital Heart Disease Pulse Oximetry Screening
• Hearing Screening Algorithm and Information
• Newborn HIV Exposure Management
• Newborn Hypoglycemia
• Newborn Sepsis Guideline
• Hyperbilirubinemia Clinical Practice Guideline
• Newborn Hepatitis B Exposure Management
• Newborn HSV Exposure Management
• Neonatal Narcotic Abstinence Syndrome
• Newborn Hemophilia
• Epic Tip Sheet—NBN to CCN Transfer
• Prenatal Urinary Track Dilation (Prenatal Hydronephrosis)
• Newborn Transfer to CCN: Toolkit for Newborn Attending Providers
• Cleft Lip and Palate Management- MMC 
• Vitamin K Importance for Families
• Protecting You and Your Newborn - Importance of Vitamin K, Hep B, and Erythromycin Eye Ointment at Birth
• Newborn Formula Feeding Guideline and Mixing Instructions

Bronchiolitis

• Bronchiolitis Guideline

Cystic Fibrosis

• Cystic Fibrosis Inpatient Care Pathway
   

Diabetes - New Onset

• New Onset DM Guideline
   
• DM - Insulin Roadmap   

DKA

• DKA Guidelines

Febrile Seizure

• Febrile Seizure Guideline

Lead Toxicity

• Lead Guideline 1 - Outpatient 45-69 ugdl
• Lead Guideline 2 - Inpatient 45-69 ugdl
• Lead Guideline 3 - Inpatient 45-69 ugdl
• Lead Guideline 4 - Inpatient over 70 ugdl

Oncology

• Management of Fever and/or Suspected Infection in Pediatric Oncology Patients

Pediatric Hypoglycemia

• Pediatric Hypoglycemia Guideline
• Pediatric Hypoglycemia Roadmap

Pediatric Stroke

• Pediatric Stroke Guideline

Pediatric Bone & Joint

• Pediatric Bone and Joint Infection

Dehydration & Oral Rehydration

• Dehydration & Oral Rehydration 

Community-Acquired Pneumonia

• Pediatric Community-Acquired Pneumonia Guideline 

COVID-19-Associated Multisystem Inflammatory Syndrome in Children

• Multisystem Inflammatory Syndrome in Children (MIS-C)

General

• Pediatric Head Injury Guideline
• Pediatric Status Epilepticus Guideline
• Pediatric Status Epilepticus Evidentiary Table
• Major Pediatric Traumatic Brain Injury
• Pediatric Diabetic Ketoacidosis 2 Bag Fluid Calculator
• Management of Fever and/or Suspected Infection in Pediatric Oncology Patients
• Bronchiolitis Guideline
• Neonatal Fever Clinical Guideline
• Pediatric Asthma Protocol
• Pediatric Bone and Joint Infection
• Pediatric Diabetic Ketoacidosis 
• Pediatric Oral Rehydration Therapy Guideline
• Pediatric Oral Rehydration Therapy Evidentiary Table
• Pediatric Stroke
• Pediatric Splenic Dysfunction

Pediatric Surgery and Trauma

• Pediatric Surgery Clinical Guidelines & Pathways

Sexual Assault

• Checklist
• Data Collection Form
• Pediatric Sexual Assault Guideline
• Exam & Evidence Collection Technique
• Referral Form 

Sickle Cell Disease

• Acute Chest in Sickle Cell Disease Algorithm
• Acute Chest in Sickle Cell Disease Evidentiary Table
• Fever in Sickle Cell Disease Clinical Algorithm
• Fever in Sickle Cell Disease Evidentiary Table
• Pain in Sickle Cell Disease Clinical Algorithm
• Stroke in Sickle Cell Disease Algorithm
• Stroke in Sickle Cell Disease Evidentiary Table

Making the Referral:

• Epic practices: Submit referral directly through Epic for all pediatric specialties except Allergy & Immunology, Orthopedics and Rheumatology. See referral pathways below.
• Non-Epic practices and to refer to Allergy & Immunology, Orthopedics and Rheumatology: Submit referral via fax.

For EMERGENT questions on potential referrals, all transfers and critical care transports:

1. Call OneCall at 207-662-6632
2. OneCall will page the provider on call

For NON-EMERGENT questions on potential referrals:

Epic Practices – use Epic inbasket message to communicate with Epic sub-specialists:

• Only for non-urgent communications
• Response from specialist typically within 2 business days
• Inbasket messages should go to provider pools. Pool names are listed below.
• Regular email should not be used for these type of referral questions

Non-Epic Practices – call office phone and leave a message:

• Call practice number to leave message for on-call provider
• Do not page or directly contact provider for non-emergent questions

Referral Guidelines

CMEs

• Referral Guidelines

Dental

• Dental Caries Primary Teeth | Video
• Dental Caries Permanent Teeth
• Dental Trauma Primary Teeth
• Dental Trauma Permanent Teeth | Video

Developmental & Behavioral

• ADHD| Video
• Teacher Questionnaire
• Clinical Attention Problem Scale
• Concerns for Autism
• Developmental Delay

Diabetes & Endocrinology

• Concerns for New Diabetes Type 1 or 2 | Video
• Childhood Overweight & Obesity | Video
• Concerns for Early Puberty
• Short Stature | Video
• Elevated TSH

Genetics

• Family History of a Genetic Condition
• Joint Hypermobility

Gastroenterology

• Constipation < 6 Months of Age
• Constipation | Video |Scoop on Poop pdf
• Elevated Liver Enzymes
• GERD < 12 months
• GERD | Video

Hematology/Oncology (Maine Children’s Cancer Program)

• Abnormal Heme Newborn Screen
• Childhood Anemia | Video
• Childhood Polycythemia
• Bleeding
• Generalized or Focal Lymphadenopathy | Video
• Neutropenia
• Thrombocytopenia in Patient >3 Months
• Thrombosis

Infectious Disease

• Clostridium Difficile
• Suspected Tuberculosis

Nephrology

• Enuresis
• Pediatric Hypertension
• Proteinuria
• History of UTI Guidelines | Video on UTI Guidelines

Neurology

• Headache | Video
• Movement Disorders
• Seizures

Palliative Care

• Pediatric Palliative Care | Video

Pulmonology

• Asthma | Video
• Asthma | SMART Therapy Tip Sheet
• Chronic Cough > 4 Weeks Duration | Video
• Cystic Fibrosis | Video
• Infantile Wheezing (<24 Months Old)
• Neuromuscular Weakness
• Recurrent Pneumonia
• Snoring | Video
• Vocal Cord Dysfunction

Sports Medicine

• Pediatric Head Injury/Concussion
• Pediatric Overuse Injuries

Surgery

• Inguinal Hernia vs. Hydrocele | Video
• Umbilical Hernia | Video
• Undescended Testicle | Video