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<p>This learning hub is intended for community health-care providers and the Connected Care Paediatric Education Program. You will be able to access handouts on tracheostomy care, feeding tubes, vascular access devices, and subcutaneous injections.</p>

<p>This learning hub is intended as a resource for community health-care providers and the Connected Care Paediatric Education Program. You will be able to access multilingual handouts on tracheostomy care, G and GJ tubes, NG tubes and vascular access devices.</p>

<div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">G and GJ tubes</h2></div><div class="panel-body list-group" style="display:none;"><p>G and GJ tubes are feeding devices that give liquid nutrition, medications and other fluids directly into a child's stomach or small intestine. Learn more about this feeding method and why a child may need a feeding tube in this section.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Making the decision to get a feeding tube</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2822&language=English">G/GJ tubes: Making the decision to get a feeding tube</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3825&language=English">G/GJ tubes: Frequently asked questions</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>ENFit</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=4098&language=English">ENFit: The new global standard for feeding tube supplies and accessories</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=4099&language=English">Caring for your child with an ENFit tube or supplies</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/_Ycfft_cTnM">Giving medications with an ENFit feeding tube (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/IQ1x6rabafM">Giving medication with a non-ENFit syringe (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/hDpwgz3GKNY">Giving feeds with an ENFit feeding tube (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/WurJsuvpDKc">Cleaning an ENFit feeding tube (video)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Types of G and GJ tubes</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2536&language=English">G/GJ tubes: Corflo PEG tube</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3387&language=English">G/GJ tubes: Corflo PEG J tube</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2908&language=English">G/GJ tubes: Balloon G tubes</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2535&language=English">G/GJ tubes: Mic-Key low-profile GJ tube</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3886&language=English">Surgically inserted G tubes</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3887&language=English">Surgically inserted J tubes</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Primary tube insertion</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3818&language=English">Primary tube insertion by image guidance</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>G and GJ tube management</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3824&language=English">Equipment and supplies for feeding tube care</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3039&language=English">G/GJ tubes: What to do if your child's feeding tube is blocked</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2910&language=English">G/GJ tubes: What to do if your child's feeding tube is pulled out</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3041&language=English">G/GJ tubes: What to do if your child's feeding tube moves</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3827&language=English">Venting a G tube to manage fullness and bloating</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3398&language=English">Peritonitis related to G and GJ tubes</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3036&language=English">G/GJ tubes: Permanent feeding tube removal</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3826&language=English">G/GJ tubes: Troubleshooting tube feeding</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Stoma and skin care</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2906&language=English">G/GJ tubes: Preventing and managing infection</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3018&language=English">G/GJ tubes: Sensitivity and irritation</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3019&language=English">G/GJ tubes: Granulation tissue</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3020&language=English">G/GJ tubes: Managing a leaking stoma</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2907&language=English">G/GJ tubes: Hypertonic salt water soaks</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2909&language=English">G/GJ tubes: Using silver nitrate to treat granulation tissue</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Nasogastric tubes (NG tubes)</h2></div><div class="panel-body list-group" style="display:none;"><p>Nasogastric tubes (NG tubes) are inserted into a nostril and go down to the stomach. Liquid feeds are then able to go directly into the stomach through the tube.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=984&language=English">How to insert your child's NG tube</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2457&language=English">NG tube: Feeding your child</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2456&language=English">NG tube: Common problems</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Anaesthesia and pain management</h2></div><div class="panel-body list-group" style="display:none;"><p>Many procedures require some form of anaesthesia, whether it is used to numb a specific part of the body or used to help your child fall into a deep sleep so they do not feel anything. Learn about the different types of anaesthesia and how they are used.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3001&language=English">Local anaesthesia</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1260&language=English">Sedation</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1251&language=English">Sedation: Caring for your child at home</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1261&language=English">General anaesthesia</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Vascular access devices</h2></div><div class="panel-body list-group" style="display:none;"><p>Vascular access devices are special intravenous lines that let children receive medicines without frequent needle insertions. Learn how central venous lines, peripherally inserted central catheters and ports help children who need IV therapy for a long time.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Central venous line (CVL)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=52&language=English">Central venous line (CVL): Internal jugular vein</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3819&language=English">Central venous line (CVL): Femoral vein</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1236&language=English">CVL insertion into the internal jugular vein: Caring for your child at home after the procedure</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1232&language=English">CVL removal: Caring for your child at home after the procedure</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Peripherally inserted central catheter (PICC)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1012&language=English">Peripherally inserted central catheter (PICC)</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1244&language=English">PICC insertion: Caring for your child at home after the procedure</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1240&language=English">PICC removal: Caring for your child at home after the procedure</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Port</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1014&language=English">Port</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1231&language=English">Port insertion: Caring for your child at home after the procedure</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1230&language=English">Port removal: Caring for your child at home after the procedure </a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Vascular access device management </h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3394&language=English">CVL/PICC dressing change procedure</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3395&language=English">CVL/PICC cap change</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3391&language=English">Aseptic non-touch technique (ANTT)</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3392&language=English">Sterlie gloving procedure</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3404&language=English">Heparin locking the CVL or PICC</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/K4Zxvb1wdIY">Setting up your environment (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/rZW9ezjTGSI">CVAD procedures: Cap change (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/oozvH61j0q0">CVAD procedures: Dressing change (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/B5hYzaCpOwo">Emergency CVAD procedures (video)</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Subcutaneous injections</h2></div><div class="panel-body list-group" style="display:none;"><p>Subcutaneous injections are injections given into the fatty layer below the skin. Learn more about subcutaneous injections including how to give at home and the medications enoxaparin and tinzaparin.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Overview</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=998&language=English">Subcutaneous injections: Injecting at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Enoxaparin</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=129&language=English">Enoxaparin</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=993&language=English">Enoxaparin: Injecting at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Tinzaparin</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=253&language=English">Tinzaparin</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=994&language=English">Tinzaparin: Injecting at home</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Pulmonary clearance</h2></div><div class="panel-body list-group" style="display:none;"><p>Pulmonary clearance is used to clear mucus from the airways. Find out about the different types of pulmonary clearance and how to safely perform each type on your child.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Cardiopulmonary physiotherapy treatment (CPT)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3876&language=English">Cardiopulmonary physiotherapy treatment in a baby (0-12 months)</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3877&language=English">Cardiopulmonary physiotherapy treatment for children older than 1 year old</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Cough assist</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2447&language=English">Cough assist machine: How it helps to clear mucus from the lungs</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Suctioning and secretions</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3850&language=English">Suctioning and secretions: General knowledge</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3851&language=English">Suction machines, catheters and depths</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3852&language=English">Preparing suctioning equipment and supplies</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3858&language=English">Cleaning suctioning equipment and troubleshooting problems</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3855&language=English">How to perform nasal suctioning</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3856&language=English">How to perform oral suctioning</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3857&language=English">How to perform nasopharyngeal and oropharyngeal suctioning</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Tracheostomy care</h2></div><div class="panel-body list-group" style="display:none;"><p>A tracheostomy is a surgical procedure to make an opening into the trachea. Learn about the different parts of a tracheostomy tube, how to safely care for and properly change your child’s tube and clean their equipment.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/trachvent">Tracheostomy and ventilation manual for family caregivers</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3264&language=English">Tracheostomy and tracheostomy tube: How they help your child</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2466&language=English">Tracheostomy: How to care for your child's stoma</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2469&language=English">Tracheostomy: How to suction your child's tracheostomy tube</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2467&language=English">Tracheostomy: How to change your child's tracheostomy tube</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2470&language=English">Tracheostomy: What to do in an emergency</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2468&language=English">Tracheostomy: How to prepare for safe travel</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"> <i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Virtual care<br></h2></div><div class="panel-body list-group" style="display:none;"><p>Find information about virtual care visits and what to expect.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3889&language=English">Virtual care at SickKids</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3910&language=English">Virtual care: How to accurately measure your child’s height and weight at home</a></li></ol></div>

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