Leading the way to Health Conscious Families is NMDHB’s overarching vision.
Giving children and their parents’ access to services and advice is a good start to
building a healthy life.
The Children & Youth Service combines secondary services, community services, audiology services and prevention & protection facilitation for child abuse management. The purpose of the combined Service to provide focused care to this priority population group. The Service comprised 2 Units at both Nelson and Wairau Hospitals.
Children & Youth Services are for people who have been referred through a
General Practitioner (Doctor), Emergency Department and Specialists.
Need to find a Doctor?
However in an emergency dial 111 for an ambulance. See Emergency Information.
Often there is no charge for children 6 years and under to visit a GP as the
Government subsidises these visits.
Some GPs however do charge for under 6 year old children, so please access the
Find A Doctor link above to also investigate fees for each practise. |
Description: The Nelson Special Care Baby Unit has 10 cot spaces and provides comprehensive care for unwell and/or premature babies from the Nelson region.
We have a modern facility staffed by experienced Neonatal Nurses and specialist Paediatricians.
We have access to on site Child Development Services and a Speech Language Therapist.
Services include:
• Care for unwell and/or premature babies born in Nelson and greater than 30wks gestation
• Transfer to Wellington Neonatal Intensive Care Unit for any baby requiring specialist services and care, that cannot be provided in Nelson
• Care for babies returning from a larger centre, once stable, for ongoing care prior to discharge home
• Specialist Paediatricians are available to provide Antenatal consultation, and attend the birth, for women who have specific risk factors (for example twin pregnancies).
• Assessment of babies in the hospital's post-natal ward
• Follow-up clinics after discharge - in particular for babies who are born prematurely or have other difficulties with growth or development.
• Homecare Nurse visiting after discharge - in particular for babies who are born prematurely or have other difficulties with growth or development.
Contact:
If you have any questions regarding our service please discuss this with you Lead Maternity Carer who can arrange for you to have a tour of the Unit, if that is appropriate, or phone direct on (03) 5461779.
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NMBHB has Paediatric Services delivered in both its two base hospitals.
Both Wairau and Nelson inpatient wards cater for all Paediatric admission, booked and acute, medical and surgical, including day stay, from 0 years to 15 years.
In both hospitals children in these units are cared for by the admitting consultant from any of the secondary care specialities. Children under the care of paediatricians make up approximately half of admissions to these units.
Visiting: Paediatric care is family centered, so parents and primary care-givers can visit 24 hours a day.
Other friends and family may visit between 8am - 8pm.
Stayovers: We encourage parents / caregivers to stay with their child, as it is an important part of the child’s recovery to have a familiar member of the family present and helping to care for them. Some fold down beds chairs are available for one parent/caregiver to sleep beside their child’s bed. Occasionally the ward becomes extremely busy and may run out of beds / chairs. When this happens the nurses will make every attempt to make parents as comfortable as possible.
Meals are supplied for your child and 1 boarder parent only.
Outreach Clinics: Paediatric sub-Specialists not employed directly by Nelson Marlborough District Health Board, deliver Tertiary Paediatric Health Services. Children of the region benefit from these services through Outreach Clinics that occur in the region or by travelling to a tertiary Hospital to receive care.
Nelson Marlborough District Health board is in the unusual position of receiving tertiary services from Christchurch, Wellington and Auckland District Health Boards.
Outreach Clinics occur in Nelson Marlborough for:
Paediatric Oncology
Paediatric Surgery
Paediatric Cardiology
Paediatric Neurology
Clinical Genetics
Paediatric Urology
Paediatric Nephrology
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The Paediatric Department at Wairau Hospital consists of a 5 bed inpatient facility which provides acute and elective paediatric medical and surgical inpatient care and a separate but co-located Outpatient and Paediatric Nursing Outreach service.
Location: Currently the Paediatric Department is physically located alongside the maternity service.
As Wairau hospital undergoes site redevelopment the 3 neonatal beds will also become part of the paediatric inpatient area.
Hours: The Inpatient service is available 24 hours a day, 7 days a week, the Outpatient service is available Monday to Friday between 0900 and 1700. The Outreach Nursing service from 0900 to 1500.
Access to services: Patients are referred to the Paediatric Department by General Practitioners, Senior Consultants, Emergency Department, CAMHS.
A select number of children with complex or chronic medical problems have direct access to care as directed by their Paediatrician.
All patients are assessed by a Registered Nurse on arrival in the Paediatric Department and they are then seen by a Doctor.
Staffing: The Paediatric Department is staffed by Senior Medical staff, including 1 Paediatricians (soon to be 2), with house surgeon support. Nelson based paediatrician support with on call and weekend cover. Specialty clinics by Nelson Paediatrician and Tertiary Specialists occur regularly. Other secondary care Consultants admit patients to the inpatient facility. The nursing staff are senior nurses and are well qualified for their roles. There is 8 hour reception cover.
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The Paediatric Department in Nelson is a purpose built 12 bed Inpatient facility, completed in 2004, which provides acute and elective paediatric medical and surgical inpatient care.
Location: The inpatient department is located on level 2 along from the hospital cafeteria. Attached to this facility is appropriate space for resident parents as well as play and recreation facilities.
Paediatric Outpatient and Paediatric Nursing Outreach services at Nelson Hospital are located in a separate building adjacent to the inpatient area.
Hours: The Inpatient service is available 24 hours a day, 7 days a week, the Outpatient service is available Monday to Friday between 0900 and 1700.
Access to services: Patients are referred to the Paediatric Department by General Practitioners, Senior Consultants, Emergency Department, CAMHS.
A select number of children with complex or chronic medical problems have direct access to care as directed by their Paediatrician.
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The Child Development Service is committed to supporting children achieve their optimum function and wellbeing. It provides therapy, management and information as well as support in the home and community, in partnership with caregivers for babies, children and adolescents (birth – 16 years) who have developmental or ongoing disability needs.
We are a District wide team with therapist based in Nelson and Wairau Hospital.
Referral Expectations:
Referrals are accepted from registered medical practitioners , allied health professions, Group Special Education & Plunket Nurses.
All referrals are sent to the Team Leader at CDS who reviews eligibility and acceptance letters are then forwarded. Each child referred is discussed by the team and a key worker is allocated to the child. Contact is made by the service and appointment details are agreed between the caregiver and the health professional.
What to Expect:
At your child’s first appointment the therapist will carry out a thorough assessment. If appropriate a therapy programme will be developed, in partnership with you, your child and where relevant, your child’s pre school and school. Your therapist will continue to reassess and adapt this programme to suit your child’s changing needs. If your child has a need for specialised equipment our team can help you apply for funding.
The Team:
The team comprises occupational therapists, physiotherapists, visiting neuro-developmental therapist, social worker and a speech language therapist, who are supported by paediatricians and other professionals to meet the developmental needs of children at risk.
The Team Members:
Speech language therapist
Addresses feeding and/or speech and language concerns. Assessment results in the development of an appropriate therapy programme which may include home or clinic based therapy. If your child is referred to the speech language therapist with concerns regarding feeding and/or swallowing, the primary aim of intervention will be to ensure that your child receives adequate nutrition safely.
Social worker
A social worker advises and assists parents and caregivers with day-to-day concerns. Also assesses the environmental factors which may impact upon the family, and, is available to support families from birth to the education interface and beyond, when the need continues.
Occupational therapist
The occupational therapist provides assessment and therapy for children that are experiencing difficulties in activities of daily living (self care, play, productivity). Concerns often addressed by occupational therapy include sensory, motor, perceptual, cognition and social skills. Intervention programmes, which encompass a holistic approach, can be in the form of therapy, consultation/education or the provision of necessary equipment.
Physiotherapist
A physiotherapist will provide assessments of physical skills for those children aged from 0–16 years. Follow up therapy is dependent on the needs identified from the assessment. The Physiotherapist will also provide intensive therapy programmes for those children who have undergone surgery which impacts upon their mobility.
Visiting Neuro-Developmental Therapists
Neuro-Developmental Therapists are registered Occupational Therapists or Physiotherapists who focus on the assessment of a baby’s muscles and movements and how this impacts on the baby’s achievement of developmental skills. They are able to show caregivers handling skills to encourage normal development and provide therapy recommendations to promote learning, skills and independence in tasks of daily living. As they visit the child at home, they will develop a home programme for parents and caregivers to carry out, that maximises everyday opportunities for learning.
Therapy Aims:
• Assist families and caregivers to provide the best care and environmental support to enable their child to reach his/her potential
• Help identify and minimise any neurological, health or social related problems, embracing the 24 hour postural management approach
• Provide physical and developmental assessments, ongoing therapy and individual programmes covering all areas of development
• Assess for and prescribe mobility and daily living aids, seating, therapy equipment, wheelchairs, vehicle adaptions and house alterations to maximise the child’s potential and assist in their management
• Provide therapy services post surgery if related to child’s disability
• Provide information, education and support relating to the child’s needs
• Refer to other support agencies
• Advocate for the child and his/her family
Child Development Service Links:
Contact:
Team Leader
Child Development Services, Nelson Hospital 03 546 1211
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The Home Visiting service provides an extension to hospital based care to family centred care in the home. For example care and support for short-term surgical follow-up care, chronic illnesses, disabilities and complex medication requirements. The service is provided by experienced paediatric nurses who have developed strong links with many primary healthcare providers and community groups. Integration at secondary and community levels is critical for a seamless service and the strengthening of a comprehensive service for the child, and adolescent, population.
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