In this section, you will find clinical information (guidelines, protocols and toolkits) relevant to Paediatric care. 

The information is in alphabetical order, in two sections covering Clinical and Nursing. 

If you have any suggestions for further documents to be added, please email: 


QR code posters

QR code poster for CHD teenagers - understanding your heart: a series of booklets from the British Heart Foundation

QR code poster for CHD parents - understanding your child's heart: a series of booklets from the British Heart Foundation  




Hypercyanotic Spell Emergency Management ('Spelling') (Updated 2018)

Influenza guidance 2019-20 (from Bristol Royal Hospital for Children Lead Pharmacist for Cardiology)

PDA: Patent Ductus Arteriosus - Guidance for Referral for Cardiological Assessment and Possible Ligation for Preterm Infants

Physical Activity: A Guide for Young People with a Congenital Heart Condition and their Families

Time Critical Transfers - Wales & West Acute Transport for Children (WATCh) (External Link) 

Warfarin Management for Paediatric Cardiac Patients


Clinic Information

Cove Point Foundation John Hopkins University - Congenital Heart Disease

High Dependency Care for Children - Time to Move on

High Dependency Care for Children - Time to Move On (Appendices)

RCN Competencies - Children and Young People's Cardiac Nursing

Royal College of Paediatric and Child Health. Situation Awareness for Everyone. S.A.F.E.

Paediatric Intensive Care Society

Level 1, Bristol Royal Hospital for Children, protocols (required for peer review) 

Dental Care Pathways for Children with Congenital Heart Disease 

Elective referral and consent pathway for paediatric cardiac surgery 

Pathway for interventional paediatric cardiac catheterisation 

Pathway for paediatric electrophysiology procedures 

PDA guidance for ferral for cardiological assessment and possible ligation for preterm infants 

Assessment of patients with CHD requiring anaesthesia 

Management of patients who self refer out of hours

Access to second opinion and referals to other centres/services

Collaborative arrangements to facilitate joint operating, and mentorship in operating on children

Referral to advanced heart failure and cardiac transplant services

Referral to national pulmonary hypertension service

Clinician's guide to image sharing

Transfer of echocardiography data to other hospitals

Fetal cardiology service - arrangements for the early (pre natal) diagnosis of CHD

Fetal cardiology handbook 

Bristol congenital heart centre transition process