Helping Hands

Access our patient education library and view dozens of articles created by our experts.

Helping Hand education materials are a valuable resource for patients and families. Written and illustrated by medical, nursing and allied health professionals at Nationwide Children's Hospital. Helping Hand instructions are intended as a supplement to verbal instructions provided by a medical professional. The information is periodically reviewed and revised to reflect our current practice. However, Nationwide Children's Hospital is not responsible for any consequences resulting from the use or misuse of the information in the Helping Hands.

24 Hour Urine Specimen Collection Guidelines

Learn what to do if your doctor has ordered a 24 hour urine test. 

Abdominal Pain: Hospital Admission

Abdominal pain (belly pain) can happen for many reasons. Learn what to expect if your child is in the hospital for abdominal pain.

Abdominal Pain: Outpatient

In this Helping Hand™ document, we discuss what steps to take if the cause of your child's abdominal pain cannot be determined. It is important that you watch your child closely for the next 24 hours and go back to your child’s doctor or the emergency department if they show more serious symptoms.

Anal Manometry

Anal manometry is a test is to see how well the internal and external sphincters of the anus and the pelvic floor are working.

Bisphosphonate IV Therapy

Learn about Bisphosphonates. These medicines are given directly into a vein through an IV (intravenous) therapy treatment.

Bone Scan: Nuclear Medicine

A bone scan is a test that is done to look for problems in the bones. A tiny amount of radioactive material is injected into your child's vein and goes into the blood. After about 2 to 3 hours, it collects in the bones.

Burn Prevention: Activities

Burns are a common injury to children. Each year thousands of children are treated in the hospital for burns. Most burns can be prevented by learning how to escape a fire and by removing fire hazards from the home.

Burn Prevention: Infant and Toddler

Burns can be serious injuries at any age, but infants and toddlers are at risk for burn injuries because of their innocent curiosity. The most common causes of burns, as well as the steps you can take to prevent them from happening to your infant or toddler, are listed below.

Burn Prevention: Teenage and Adult

Burns can be serious injuries at any age. Teenagers and adults are at risk for many different kinds of serious burn injuries. The following information shows the common causes of burns in teens and adults and the steps that can be taken to prevent the most common types of burns.

Contrast Enema

A contrast enema is a test where contrast solution makes the large intestine (bowel) and part of the small intestine show up on the X-ray picture.

Evaluation for Sepsis - Infant

Sepsis is a serious condition caused by the body’s reaction to infection. This evaluation is standard across the country for babies with these symptoms.

Exercises: Upper Extremities Infant (Passive)

Range of motion exercises help keep your baby's joints and muscles loose and easy to move. An exercise program is planned for each child’s needs.

Hematology/Oncology: Home-Going Instructions

It is important we follow your child's progress and response to chemotherapy. Before going home, you should be given discharge instructions with your follow-up appointment.

Hemophilia Joint and Muscle Bleeds – PRICE Home Care

In persons with hemophilia, joint and muscle bleeds can happen easily. When bleeds happen it is important to recognize them as soon as possible to get the right treatment and limit risk of long-term damage.

HIV Oral Point of Care Test

Learn about the Oral Point of Care Test and HIV infection.

IVIG (Gamma Globulin) Therapy

Gamma globulin (GAM a GLOB u len) is the part of blood that contains antibodies or immunoglobulins. These are proteins in the body that help fight infections. IVIG stands for Intravenous Immunoglobulin.

Ostomy Care: Ordering Supplies

Your child may need different ostomy supplies as he grows and gets older. Learn how to care for your child's ostomy and order supplies.

Rectal Biopsy

Properly prepare for your child's rectal biopsy with this Helping Hand.

Safe Sleep Practices

Sleep-related deaths are the leading cause of infant death between 1 month and 1 year of age. In Ohio, more than three infant deaths each week are sleep-related. Many of these deaths are preventable.

Service Animals at Nationwide Children's Hospital

Nationwide Children’s Hospital allows any patient, family member or visitor to use a service dog in most places. Learn more about bringing service animals to Nationwide Children's.

Sleep Study

Sleep studies are often ordered to find out if a child has problems breathing while asleep. Learn how the tests are done.

Adrenocorticotropin (ACTH) Stimulation Test

An adrenocorticotropin (ACTH) stimulation test is done to check how well the adrenal glands are making a hormone called cortisol.

Acetaminophen (Tylenol®)

Acetaminophen is the generic name for Tylenol.

Advance Directives

“Advance directives” are legal documents about health care choices.

Advice for New Moms and Dads

Many volumes of books have been written to help new parents and their babies thrive. These are some quick tips to get you started.

Aerosol Therapy

Learn how to use aerosol therapy for your child.

Airborne Precautions

Airborne precautions are used when germs, such as the kind that cause tuberculosis and chickenpox, can be spread through the air from one person to another. 

Allergy Skin Testing

If your child is being seen for possible allergies, asthma, frequent infections or stuffy nose, allergy skin testing may be recommended. Testing can help find out what "allergen" causes the symptoms.  It could be something breathed in, touched, or eaten.


Amblyopia is also known as "lazy eye" or “lazy vision.” The vision in the amblyopic eye is weaker than the vision in the "good eye,” and cannot be corrected with glasses.

Alveolar Bone Grafting Surgery

Alveolar bone grafting (ABG) surgery is usually done on children born with a cleft in the alveolus (the ridge of bone that holds the teeth). Grafting replaces the missing bone in the alveolus. This gives enough support for the permanent (adult) teeth, to close any remaining gaps, and to improve the support of the base of the nose.


Learn more about an angiogram, also called an arteriogram, which is a test that is done to study the size and shape of your child's blood vessels.

Dressing Change: Burns

Your child has been treated for a burn. The dressing (bandage) needs to be changed every day. This will help the burn heal faster and prevent infection.

Gynecomastia Surgery

Gynecomastia surgery is usually a same-day procedure. This means you will come to the hospital the day of your surgery and then will go home the same day.

Lamotrigine (Lamictal®)

Lamotrigine, or Lamictal®, is a medication most commonly used to treat seizures and mood disorders.

Medicine Prior Authorization

Certain medicines or services may need to be approved by your insurance plan before they are covered. The approval process is called a prior authorization (PA).

Preparing the Skin Before Surgery

Bathing your child before surgery will help reduce the number of germs on their skin. Fewer germs on the skin means less chance of an infection after surgery.

Protecting Babies and Young Children from Contagious Illnesses Without Masks

It is harder for people to breathe with something covering the nose and mouth. Since babies and children younger than 2 years have smaller airways, breathing through a mask is even harder for them than it is for an older child or an adult.

Speech and Communication Evaluations for Babies with Hearing Loss

Babies begin communication as early as birth. This takes many forms before the actual use of words. Most babies learn non-verbal ways to make their wants and needs known.

Animal Bites

An animal scratch or bite can be very frightening. Your child may need extra comfort and attention in the next few days or weeks to get over the experience.

Antibiotic Resistance

Antibiotic resistance means that bacteria have changed and cannot be killed by the antibiotics. These bacteria are called drug-resistant bacteria. This means that some antibiotics may not work if your child needs them in the future.

Antroduodenal Manometry

An Antroduodenal Manometry records the pressure waves that are produced in the stomach and small intestine, telling the physician how well the stomach and intestine are working.

Appendectomy: Complex Appendicitis

Learn more about a complex appendectomy, which is the surgical removal of the appendix.


Learn more about an appendicostomy, or Malone procedure, which can be done for children who need an enema every day to stay free from stool accidents.

Appendectomy: Simple Appendicitis

Learn more about a simple appendectomy, which is the surgical removal of the appendix.

Applying for WIC

The Special Supplemental Nutrition Program for Women, Infants and Children (WIC) is a food program. Learn more about who qualifies and how to get help.

Arnold-Chiari Malformation (ACM) Surgery

Arnold-Chiari malformation (ACM) is a rare condition of the brain. Learn more about ACM surgery.

Elbow Immobilizers (Welcome Sleeves)

Elbow immobilizers, also known as welcome sleeves, are put on the arms of infants and young children following certain types of surgeries or procedures.

Aromatherapy: Essential Oils

Aromatherapy is the use of pure organic plant extracts called essential oils. Aromatherapy is used for emotional, psychological and physical well-being. Essential oils are usually used on the skin or by breathing in the scent.


Aspirin is a medicine used to decrease pain, fever or swelling (inflammation). It may also help thin the blood and slow down how fast it clots. Store brand, generic or name brand aspirin is equally good. Generic or store brands often cost less.

Assistive Listening Devices (ALDs)

Assistive listening devices (ALDs), also known as hearing assistance technologies (HATs), are extra tools or "accessories" that help a hearing-impaired person hear better.

Infant and Maternity Resource Guide

Learn about what agencies in the Columbus area can help you with things you need to care for your baby.


Learn all about bedbugs and how to treat and prevent them.

Auditory Brainstem Response (ABR) Testing

The auditory brainstem response (ABR) is a test to see how well sound moves from the auditory nerve to the brain stem. It is used to check for hearing loss. 

Behavior Support - Using Extinction at Home

Extinction means to ignore targeted problem behavior in order to decrease that behavior in the future. Only use extinction in the way that your behavior support provider tells you.

Auditory Brainstem Response (ABR) with Sedation or Anesthesia

The auditory brainstem response (ABR) is a test to see how well sound moves from the hearing nerve to the brainstem. The procedure can be done with light sedation or anesthesia.

Bathing Your Baby

Learn how to bathe your baby.

Bike Safety

Helpful hints for bike helmet safety.

Biosimilar Medicines

Some complex diseases are treated with medicines called biologic medicines or ‘biologics.’ Biologics are made from living cells.

Mother and Child

Behavioral Support: Catching Your Child Being Good

Using strategies to stop problem behaviors will set your child up for success.

Birth Control: Contraceptive Patch

Learn about the birth control option for women, the contraceptive patch.

Helping Hands

Behavioral Support: Preventative Strategies

Using strategies to stop problem behaviors will set your child up for success.

Birth Control: Depo Provera®

Learn about the birth control option for women, Depo-Provera.

Behavioral Support - Using a schedule

Using a schedule helps you and your child create expectations.

Birth Control: Emergency Contraception

Emergency Contraception (EC) is birth control that keeps you from getting pregnant after unprotected or inadequately protected sex. It comes in two forms: an intrauterine device (IUD) or a pill.

Birth Control: Hormonal IUD

The hormonal intrauterine device (IUD) is a small, T-shaped plastic device with strings attached. The hormonal IUD works mainly by thickening the cervical mucus to keep the sperm from joining with an egg.

Biofeedback for Constipation and Pelvic Floor Dysfunction

Biofeedback is a therapy used to help children who cannot always have a bowel movement when they need to.

Birth Control Nexplanon Implant

The Nexplanon® contraceptive implant is a thin, matchstick-sized, flexible rod inserted under the skin of your upper arm by your healthcare provider.

Birth Control Non Hormonal IUD

The non-hormonal copper intrauterine device (IUD) is a small, T-shaped plastic device wrapped in copper with two strings attached. The copper IUD slowly releases copper into the uterus preventing sperm from fertilizing an egg. The copper IUD does not have any hormones.

Birth Control Pills

Combination oral contraceptive pills are a form of daily birth control that has the hormones estrogen and progestin.

Birth Control: The Minipill

Progestin-only contraceptive pills, also called the Minipill, are a form of daily birth control that contains the hormone progestin. The Minipill prevents pregnancy by changing the mucus at the cervix to help keep sperm from reaching an egg.

Birth Control - Vaginal Ring

The vaginal ring is a birth control you place in your vagina.

Birth Control (Contraceptive) Options

Birth control is safe, easy to use, and has few side effects. Finding the right method for you can help you prevent pregnancy until you want to become pregnant.

Blood Pressure Measurement

Read your child's blood pressure and keep a log with guidance from this Helping Hand.

Blood Counts: Chemo and Radiation Therapy

Everything you need to know about blood counts for patients receiving chemotherapy or radiation therapy.

Blood Tests for Clotting Disorders

Learn about the following blood tests - APTT (Partial Thromboplastin Time), PT (Prothrombin Time), von Willebrand Antigen Test, Ristocetin Co-Factor, Factor Assays,Platelets, Platelet Aggregation Testing, Multimers, Platelet Function Analysis.

Blood Donation: Autologous

Find the answers to all of your questions about autologous blood donation. 

Blood Donation: Directed

Find the answers to all of your questions about directed blood donation.

Body System: Cardiovascular

The heart is a very strong muscle that pumps oxygen-rich blood through the arteries to all parts of the body. Blood comes back to the heart through the veins. It is pumped to the lungs where it picks up oxygen.

Body System: Gastrointestinal

View a diagram of the Gastrointestinal body system.

Body System: Reproductive - Female

The female reproductive system consists of external parts (outside of the body) and internal organs (inside the body).

Blood Transfusion

A transfusion of red blood cells carries oxygen to the tissues and can relieve symptoms of anemia.

Body System: Reproductive Male

Teach your child about the male reproductive system.

Body System: Skeletal

View a diagram of the skeletal body system. 

Body System: Urinary - Female

Learn more about the female urinary system, which filters the blood and removes liquid waste products from the body in the form of urine.  

Body System: Urinary - Male

Teach your son about his urinary system.

Body System: Respiratory

View a diagram of the respiratory body system. 

Bone Density Scanning (DEXA DXA)

Prepare for your child's bone density scan with this Helping Hand.

Bone Health and Epilepsy

Children who take medicine for seizures due to epilepsy may be at higher risk for weak or breaking bones.

Bone Marrow Transplant Acute Graft vs Host Disease

Graft vs. Host disease (GVHD) often occurs after allogeneic bone marrow transplants (BMT). In GVHD, the donor’s bone marrow attacks the patient’s organs and tissues, making them less able to function well.

Bone Marrow Transplant: Isolation Procedures

There are two types of bone marrow transplant isolation procedures: modified and strict. 

Bone Marrow Aspiration Test

A bone marrow aspiration test is done to see if the blood cells are being made properly. A bone marrow biopsy may be done. In a biopsy, a small amount of tissue is taken to be looked at under a microscope.

Bowel Cleanout

Your child is constipated and needs help to clean out the large amount of stool (poop) in the intestine.

Bottle Feeding

Feeding your baby can be a happy time for you and your baby. If you feel calm and relaxed during the feeding, so will your baby. Newborn infants need to be fed every 2 to 4 hours. As your baby gets older, he or she will be able to go 4 to 6 hours between feedings.

Bottle Feeding Formula Preparation

All infants under 1 year of age should receive breast milk or infant formula, not cow's milk. There are several ways to make formula. The method explained here is the "clean" method. Wash the bottles, nipples, caps and rings after you buy them and after each use.

Helping Hands

Botulinum Toxin Therapy for Spasticity

Botulinum toxin (Botox®, Myobloc®), is a medicine used to reduce unwanted spasticity in a muscle or a group of muscles. It is given by injection into the muscle. It only works to reduce spasticity in the injected muscle and occasionally those next to that muscle.

Bronchoscopy and Laryngoscopy

What to expect and how to prepare for your child's bronchoscopy and laryngoscopy.

Bronchoscopy (Flexible Bronchoscopy and Bronchoalveolar Lavage)

What to expect and how to prepare for your child's flexible bronchoscopy and bronchoalveolar lavage  .

Breast Care and Expressing Milk

There are times when a mother will need to express (remove) milk from her breasts to save for later use. When you need to be away for a few hours or if your baby cannot breastfeed while he or she is in the hospital, you can express milk from your breasts.

Buccal Medicines: Giving Buccal Medicines

A buccal medicine is a medicine given between the gums and the inner lining of the mouth cheek.  

Breast Feeding

There are many rewards to breastfeeding. Breastfeeding helps to develop a close bond between you and your infant and provides your new baby with the best nutrition. Breast milk has nearly a perfect mix of vitamins, proteins and fat.

Brief Resolved Unexplained Event (BRUE)

A Brief Resolved Unexplained Event (BRUE) happens suddenly and can be scary for parents and caregivers. When a BRUE occurs, babies may seem to stop breathing. Their skin color may change to pale or blue.

Breast Milk for Your Hospitalized Infant: Electric Breast Pump

Mothers who need to express milk for many weeks or months while their babies are in the hospital will need to use a “hospital grade” electric breast pump. These pumps have a “closed system.”

Burn Prevention: Preschool and School Age

Burns can be serious injuries at any age, but preschool and school age children are at greater risk for burn injuries because they are curious and like to explore.

Burns: Nutrition

Your child is being treated for a burn and needs good nutrition to help him or her heal. Your child’s body uses a lot of extra energy as it works to heal the skin. His daily nutrition is very important.

Helping Hands

Bullying Information for Parents

Bullying is unwanted aggressive behavior by a person or group that targets another person or group. It involves an imbalance of power and is usually repeated over time. Bullying is not teasing.

Burns: Scar Management

Scars form as a normal part of healing when the skin is damaged from a burn, trauma, or surgery. Everyone forms different scars.

Burns: Split Thickness Skin Grafts

The S.T.S.G. is an operation that involves taking non-burned skin from one area of
your child's body and moving it to his or her burn site.

Burns: Wearing a Pressure Garment

When burns are healing a doctor may prescribe pressure garments to reduce scarring.

Caffeine Citrate (Cafcit®)

Caffeine citrate is the generic name for the medicine, Cafcit®. Caffeine citrate can help to keep a premature infant from having periods of apnea.

Capsule Endoscopy (Pillcam™)

A capsule endoscopy, also known as PillCam™, is a test done to examine the small intestine. This involves swallowing a capsule the size of a large vitamin pill.

Cardiac Catheterization: Care at Home (Adult)

You have had a cardiac catheterization. Learn how to care for the cath site.

Cardiac Catheterization - Care at Home (Pediatric)

Your child has had a cardiac catheterization. Learn how to care for the cath site and when to call your cardiologist.

Button Battery Safety

More and more household items have button batteries. These items include: remote controls, thermometers, games, toys, hearing aids, calculators, bathroom scales, musical greeting cards, key fobs, electronic jewelry, holiday ornaments, cameras, and candles

Calming a Fussy Baby

Your baby’s cry is how he or she communicates with you. All babies cry, especially in the first 6 months of life. During this period most babies can cry for 45 minutes to 2 hours every day.

Cardiopulmonary Resuscitation CPR For Children Who Have Gone Through Puberty

What you need to know for Cardiopulmonary Resuscitation CPR for children who have gone through puberty.

Can You Trust Health Information on the Web?

At Nationwide Children’s Hospital, we think it is important that you know how to find health information you can trust. This checklist can help you know what to look for and how to decide what information is valuable.

Cardiopulmonary Resuscitation (CPR) for Infants

What you need to know for CPR for children 1 to puberty.

Cardiopulmonary Resuscitation (CPR) for Infants

What you need to know for infant CPR.

Care Conferences for Families

Communication with members of the health care team is important when a family member is in the hospital. It can be hard to match schedules in the fast-paced hospital setting. Connecting with the many people on your child’s medical team can be a challenge.

Caregiver Controlled Analgesia (CCA) Inpatient

All the information you need to prepare to be a proxy for your child's caregiver controlled analgesia. 

Catheterization Record: Intermittent

Your doctors and nurses will help you set up your catheterization schedule. Please bring the record with you to your next clinic visit.

Catheterization: Self-Clean Intermittent - Female

Learn how clean intermittent catheterization is done by putting a tube through the urethra into the bladder for females.

Catheterization - Self-Clean Intermittent - Male

Clean intermittent catheterization is done by passing a tube through the urethra into the bladder. Catheterization empties urine from the bladder.

Caudal Block for Pain Control

Learn how a caudal block can help your child after surgery. 

image of a child's leg and foot in a cast

Cast and Splint Care

Your child needs a cast or splint. The cast or splint keeps the injured area from moving while it heals. Movement can cause pain, delay healing or make the injury worse. Some casts are waterproof. Your doctor will tell you the type that has been put on your child.

Chalasia Scan

If your child is spitting up food or vomiting for unknown reasons, a Chalasia scan can be used to determine the cause.


A chalazion is a "lump in the eyelid" that occurs when a small gland in the eyelid becomes plugged, enlarged, and infected.

Chest Physiotherapy - Infants Newborn to 12 Months

Chest physiotherapy, also called postural drainage, is a way for you to help your child get rid of extra mucus in his or her lungs.

Child Care and Illness: Should Your Child Stay Home?

Sometimes it is hard to decide if your child is too ill to go to childcare. Usually, children should stay home if illness keeps them from enjoying the daily activities of childcare.

Cecostomy Tube

A cecostomy tube is also called a C-tube. It is a non-latex tube or catheter placed in the first part of the large intestine, also called the cecum. A procedure called an irrigation is done to provide a comfortable, convenient way to clean out the bowel.

Child Passenger Safety: Car Seats and Booster Seats

Ohio law requires that a child ride in a car seat (and then a booster seat when he has outgrown the car seat) until he is 8 years old, unless the child is 4 feet 9 inches tall. The exceptions are children who are 4 feet 9 inches or taller before they are 8 years old.

Chromosome Analysis Test

Learn more about chromosome analysis tests.

Ciprofloxacin (Cipro)

Learn more about Ciprofloxacin, the antibiotic that helps fight infection caused by bacteria. 

Child Passenger Safety: Infant Car Seat Challenge

Your baby’s doctor has ordered a Car Seat Challenge. This is a test that gives the doctor valuable information about how well your baby might be able to handle sitting in his or her car seat for travel.

Circumcision Gomco

Properly care for you son after his circumcision with this Helping Hand. 

Circumcision: Newborn with a Plastibell

How to prepare for your newborn son's Circumcision with a plastibell.

Circumcision Sutured

Properly care for you son after his sutured circumcision with this Helping Hand. 

Helping Hands

Children at Risk for Self-Harm or Harm to Others: Home Safety Guidelines for Families

Your child has been in the hospital because he or she is at risk of self-harm or harming others. When your child leaves the hospital, there are some things you need to do for safety at home.

Helping Hands

Children at Risk for Self-Harm or Harm to Others: Safety Rules While in the Hospital

Children at risk of harming themselves or others are placed on safety precautions as soon as they enter the hospital. These safety rules remain in place throughout the child’s hospital stay.

Cleft Lip Adhesion

Cleft lip adhesion is the first step in a two-step process to repair your baby's cleft lip. Prepare for the surgery with this Helping Hand.

Circulation Checks

Your child has received a treatment that can affect blood flow (circulation) in the injured arm or leg. You will need to check the circulation in your child’s fingers or toes.

Clean Catch Urine Collection Guidelines for Males and Females

A clean catch urine specimen is collected to find out what kinds of bacteria (germs), if any, are in your child’s urine. Before your child urinates, you must clean around the urinary opening carefully.

Cleft Palate Repair: The Surgery

What to expect if your child is having surgery to repair his or her cleft lip. 


Clobazam (kloe BA zam) is the generic name for Onfi® (ON fee). This medicine is used to control seizures. It works by affecting natural chemicals in the brain. 

Clonidine for Neonatal Abstinence Syndrome (NAS)

Clonidine is a prescription drug used to treat Neonatal Abstinence Syndrome (NAS) in newborn babies. It treats withdrawal symptoms in babies born to mothers who used either illegal drugs or certain prescribed medicines during pregnancy.

Cochlear Implant (CI) Magnet

The purpose of the cochlear (COKE le ar) implant (CI) magnet is to hold the headpiece (coil) in place to transmit sound to the internal device (Picture 1). The entire device has 4 parts: the magnet, headpiece (coil), cable and processor. The CI magnet portion is about the size of a dime.

Cleft Lip Repair

Your baby's cleft lip has been repaired. There are a few things to know about his or her care at home.

Cleft Palate: Feeding Your Baby

Feeding a baby with a cleft of the palate may not be easy at first. Most babies with a cleft of the palate may not be able to breast feed. They are not able to create the suction needed to express the milk from the breast.

Cleft Palate Repair: Instructions After Surgery

Your child's cleft palate has been repaired, and the opening in the roof of the mouth has been closed. There are a few things to know about your child's care at home. Other than these special instructions, your child should be cared for in the same way as any child his or her age.

Colonic Manometry

Gastrointestinal motility is the movement of the food we eat through the entire digestive tract. The length of the digestive tract is about 30 feet from the mouth to the rectum. Digestion occurs when the nerves and muscles in the digestive tract work together to move the food along.


Cleft Palate Repair

Your baby's cleft lip has been repaired. There are a few things to know about his or her care at home. Other than these special instructions, take care of your baby like any other baby the same age.


A colonoscopy is a test that allows the doctor to look directly at the lining of the large intestine (colon) using a long flexible tube that has a light and video chip at the end (colonoscopy). Prior to this test the child must take medication that will clean stool out of the colon.

Colonoscopy with General Anesthesia Adult Patient

A colonoscopy is done to examine the entire colon. A flexible tube (scope) with a bright light on the end is used for the test. The doctor will look for signs of redness, swelling, bleeding ulcers or infections of the bowel wall.

Closed Reduction of a Fracture

Your child has a fracture (break) in a bone. Due to the alignment of the bone after it broke the Orthopedic Team (bone specialists) were consulted to place the bone(s) in a better position so it can heal straight. This procedure is called a closed reduction of the fracture.

Colonoscopy with General Anesthesia Infants and Toddlers

A colonoscopy is done to examine the entire colon. A flexible tube (scope) with a bright light on the end is used for the test. The doctor will look for signs of redness, swelling, bleeding ulcers or infections of the bowel wall.

Colonoscopy with General Anesthesia Pediatric Patient

Prepare for your child's colonoscopy with general anesthesia with this Helping Hand.

Collar and Cuff Sling

A collar and cuff is a type of sling that the Nationwide Children's Hospital staff makes just for your child. This special sling will provide comfort to your child. It also helps keep the arm in the best position for proper healing of the injury and decreases swelling.

Complete Blood Count (CBC)

A blood count is a test that shows the number and types of blood cells in our body. The number and types of blood cells are counted and recorded. The results of the test help your child’s doctor plan medical treatment. Blood Blood is the red fluid that circulates to all parts of the body.

Colonic Marker Study

Many children have problems with bowel movements. This test can provide useful information on how well stool moves through the colon.

Contact Precautions

Your child may be placed on Contact Precautions as a safety measure as certain germs can be spread by contact.

Continuous Renal Replacement Therapy (CRRT)

Continuous Renal Replacement Therapy (CRRT) is a 24-hour non-stop dialysis therapy used to support patients with renal (kidney) failure.

Cystogram: Nuclear Medicine

Learn more about nuclear medicine cystogram, the test that shows the size of your child's bladder and how it is working. 

Child with father

Comfort Hold Techniques

These comfort hold techniques have been developed to help you hold your child during a procedure. The purpose of a hold is for your child to feel safe and to help him or her keep still and calm. 


Using a condom, while having sex, is a fairly effective way to prevent an unwanted pregnancy. A latex condom is also used to prevent sexually transmitted infections (STI’s).

Cystogram: Radiology

Learn more about a radiology cystogram, the test that shows the size of your child's bladder and how it is working. 

Dakin's Solution

Dakin's solution is used to kill germs and prevent germ growth in wounds. Prepare this solution and use it in your wound only if prescribed by your practitioner. Another name for Dakin's solution is diluted sodium hypochlorite solution 0.5%.

Dental Home Care Goals Fact Sheets

Keep your child's teeth healthy and clean with these dental home care goals.

Dental Hygiene with Braces

How to keep your teeth healthy and clean with your new braces.

Dental Injuries: Follow-Up Care

If your child has had a serious dental injury, it is important to follow-up with your child’s dentist.

Dental Injury: Post Treatment Instructions

How to prevent dental injury after treatment. 

Cough And Cold Medicine Over-The-Counter (OTC)

How to properly administer over the counter cough medicine to your child. 

Crutch Walking

Crutches may be used to keep weight off a leg or foot while it is healing. Your doctor, nurse or physical therapist will check one of the weight-bearing instructions below: “NWB” – Non-Weight-Bearing Do not put any weight on the injured foot or leg.

CT Scan

CT (Computed Tomography) Scan is a type of x-ray that takes pictures of your child's body. Here is what to expect if your child is schedule to have a CT scan. 

Dental: Wearing a Palatal Expander

Learn how to properly care for your palatal expander.

Dental: Wearing a Retainer

How to care for your retainer.

Dental: Wearing Braces

Now that you have braces, your mouth will feel very strange and different. You may have some discomfort during the first few days.

Dental: Wearing Elastics

What to expect when you wear elastics. 

Dental: Wearing Headgear

Learn more about wearing headgear. 

Dental: Baby Bottle Tooth Decay

How to prevent baby bottle tooth decay.

Dental: Wearing Separators

What to do and what not to do while wearing separators. 

Dermabond® Incision Care

Your child has an incision that was closed with an adhesive film called Dermabond. The Dermabond will hold your child’s incision together at skin level. It will loosen from the skin and fall off in 5 to 10 days.

Desmopressin Acetate (DDAVP) for Bleeding Disorders

If your child has a mild bleeding disorder, he or she will have lab tests to find out if desmopressin may help. Desmopressin helps platelets stick to injured blood vessels so clots can form. It also helps the body release clotting factors into the blood vessels to make the blood clot faster.

Desmopressin Acetate (DDAVP) for Diabetes Insipidus

 Learn more about Desmopressin acetate, which is used to replace a natural hormone called antidiuretic hormone in children with diabetes insipidus.

Diabetes: When Your Child Should Stay Home from School

This guideline is to help you decide whether your child is too ill to go to school and whether the illness is diabetes-related or could worsen the symptoms of diabetes.


Learn more about dialysis, which is a procedure that is performed routinely on children who suffer from acute or chronic renal failure.

Dental: Teeth and Gum Care

Use these instructions and tips to properly care for your child's gums and teeth. 

Dental: Teeth and Gum Care for Infants and Toddlers

How to practice teeth and gum care before your child's first tooth appears.

Diet: Clear Liquid (Preparation for Procedures)

Review appropriate liquids for your child prior to surgery. 

Digital Blood Pressure Measurement

Blood pressure is the force of the blood against the wall of any blood vessel. The blood pressure measurement is written in numbers. The systolic blood pressure is the top number. The diastolic blood pressure is the bottom number.

Droplet Precautions

The purpose of these precautions is to keep germs from spreading from your child to other patients, family members, visitors or healthcare workers.

Dry Skin Care

How to care for you child's dry skin.

Echocardiogram with Sedation or Anesthesia

An echocardiogram, often called an “echo,” is an ultrasound of the heart. A sedated echo means your child will be asleep while the test is done.

ECMO (Extracorporeal Membrane Oxygenation)

Learn more about Extracorporeal Membrane Oxygenation.

Emergency Phone Numbers and Directions to Nationwide Children's

Keep this information by the phone nearest your child at home.

Diapering Your Hospitalized Infant

You will need to start changing your baby’s diaper while he or she is in the hospital. It is important that you check with the nurse about any special instructions or precautions for diapering, especially if your baby has IV lines or tubes or is on any respiratory support.

EMG and NCV Tests

Prepare for your child's EMG and NCV test with this Helping Hand. 

EMG and NCV Without Sedation Neurology

Prepare for your child's EMG or NCV with this Helping Hand.

Erythromycin Ethylsuccinate for GI Motility (EES)

Properly administer EES to your child with this Helping Hand. 


Every child needs discipline. Use this guide to aid you in teaching your child right from wrong, and good from bad.

Ethanol Lock

Properly Administer Ethanol Lock to your child's catheter with these instructions. 

Divorce and Children

More than a million children are affected by divorce each year. When parents divorce, it can be hard for children to get used to a new way of life. But parents can do many things to protect their children from the emotional harm divorce often brings.

Exercise for Fitness

Your body is like a machine. Exercise helps all the parts of your body work their best. You need to exercise regularly to stay healthy and fit.

Exercise Stress Test

A stress test, sometimes called an exercise test, helps your doctor find out how well your body works when you are active. This test measures how well your heart, lungs and muscles function during physical activity.

Exercises: Arms and Hands (Passive)

Range of motion exercises keep your child's joints and muscles loose and easy to move. Your child should lie on his or her back on a firm surface while doing the exercises. You should be on the same side of his body as the arm you are working with. Motions should be smooth, not bouncy.

Exercises: Breathing, Posture and Chest Mobility

The following exercises will improve your posture (the way you stand). They will also make the muscles of your chest stronger and more flexible so that breathing is easier. Do each exercise 5 times.

Ear Wax

Ear wax protects and moisturizes the skin of the ear canal. This will help to prevent dry, itchy ears. Ear wax contains special chemicals that help to fight infection in the ear canal.

Exercises: Hand (Active)

Hand exercises help keep your joints and muscles from tightening up and becoming weaker.

EEG (Electroencephalogram)

What to expect and how to prepare if your child is having an EEG.

Exercises: Lower Extremities (Active)

Active exercises help keep your joints and muscles from tightening up and becoming weaker. Your exercise program is planned for your specific needs because not all your muscles have the same degree of strength or weakness. The goal of active exercise is to keep your muscles strong and flexible.

Exercises: Lower Extremities - Older Child (Passive)

Range of motion exercises help to keep your child's joints and muscles from tightening up. An exercise program is planned for the individual needs of each child. While doing the exercises, your child should lie on his back on a firm surface.

Exercises: Stretching

Stretching exercises help keep your joints and muscles from tightening up. Your exercise program is planned for your specific needs because not all your muscles have the same degree of strength or weakness.

Exercises: Upper Extremities (Active)

Active exercises help keep your joints and muscles from tightening up and becoming weaker. Your exercise program is planned for your specific needs because not all your muscles have the same degree of strength or weakness. The goal of active exercise is to keep your muscles strong and flexible.

Epinephrine Auto-Injectors for Severe Allergic Reaction (Adrenaclick®, Auvi-Q®, EpiPen®)

When and how to use an EpiPen if your child has a severe allergic reaction. 

Eye Care and Safety

How to care for your child's eyes and keep them safe. 

Eye Care: Reasons for Wearing Glasses

Your child may need to wear glasses for specific reasons, learn how to make sure they are worn properly. 

Eye Medicines

Learn how to properly administer eye medicine for your child. 

Eye Muscle Surgery

Here is what you can expect after your child has eye muscle surgery.

Eye Socket Care

How to keep the eye socket clean after a conformer has been placed in your child's eye socket.

Eye Surgery Under Anesthesia

How to prepare for eye surgery under anesthesia. 

Eye: Tear Duct Massage

Tear duct massage is a way to help to open the duct and let the tears flow into the tear sac.

Eye Test: Vision Screening

How to prepare for your child's eye test vision screening.

Exercises: Left Torticollis Positioning for Play

Left torticollis (tor ti COLL iss) is a tightening of the muscles on the left side of the neck. It results in your child often bending his or her head to the left side and looking to the right side. Your child may not be able to easily turn his or her head to the left due to the muscle tightness.

Fecal Fat Quantitative Test (72-Hour Collection)

How to prepare for a fecal fat quantitative test.

Exercises: Right Torticollis Positioning for Play

Right torticollis is a tightening of the muscles on the right side of the neck. It results in your child frequently bending his or her head to the right side and looking to the left side.

Feeding Your Baby Solid Food

Babies should be fed only breastmilk or formula until about 6 months of age. Solid foods can then be started when your baby is ready.

Fiberoptic Endoscopic Evaluation of Swallowing (FEES)

A fiberoptic endoscopic evaluation of swallowing (FEES) is a test used to see if a child has dysphagia.

Fine Needle Aspiration (FNA) Thyroid Biopsy

The doctor has seen or felt a nodule or bump on your child’s thyroid. The ultrasound confirmed the presence of a nodule. Now it is time to take some fluid from inside the nodule and get it tested.

Fluorescein Angiography

Fluorescein Angiography is a simple diagnostic test. It involves fluorescein dye that is either injected into the bloodstream through a vein in the arm or taken by mouth as a drink.

Foreign Body Removal in Interventional Radiology

What to expect if your child is having a foreign object removed from under the skin with interventional radiology.

Gastrointestinal Test (Upper GI Series)

An upper GI series is a test that is done to see how the stomach fills and empties into the small bowel. The test uses an X-ray to look for things that are not normal in the upper GI tract.

General Anesthesia for Dentistry

General anesthesia is a way of giving medicine so a person is “asleep" through various methods.

Genital Exam - Male (Pre- or Early Puberty)

An exam of your child's genitals is done to check for possible disease, injury or abnormality.

Getting Ready for Surgery Center for Colorectal and Pelvic Reconstruction (CCPR)

Learn more about what to expect when getting ready for surgery at the Center for Colorectal and Pelvic Reconstruction.

Getting Sober: Families

Your child has been admitted to the hospital for opiate detoxification. This treatment, commonly called “detox” is to help free an addict from his or her drug habit.

Getting Supplies and Equipment

When your child needs special supplies, a lot of them, or equipment that is not at your pharmacy, a durable medical equipment (DME) company can fill the prescription.

Gonadotropin Stimulation Test (GnRH)

This test is being done to check how well the pituitary gland is working in children with puberty that is either early or delayed.

Growth Hormone Stimulation Test (Outpatient)

Prepare for your child's growth hormone stimulation test with this Helping Hand. 

Gynecologic Laparoscopy

A gynecologic laparoscopy is a procedure used to examine tissue or perform surgery within a female’s abdomen or pelvis.

Hand Containment

Hand containment is a gentle and active way to help your baby into a tucked or flexed
position. This helps to soothe, console or calm your baby.

Frame and Pin Site - Care at Home

External fixators (frames) are used to hold an arm or leg bone in place so it can heal after surgery for limb-lengthening or reconstruction. 

Helping Children Cope

When a child needs to see the doctor or go to the hospital, parents often want to know how they can make the experience easier for their child.

HiB Vaccine

Everything you need to know about HIB.

HIV/Aids in Childcare

Learn how to manage HIV/AIDS in child care.

Holter Monitor

What to expect if your child is going to wear a Holter Monitor for a 24-hour test. 

Getting Sober: Patients

You have been admitted to the hospital for opiate detoxification. This treatment, commonly called “detox”, is to help free an addict from his or her drug habit.

Glucose Tolerance Test Outpatient Guidelines

Use this Helping Hand to prepare for your child's outpatient glucose tolerance test.

Honda Center for Gait Analysis and Mobility Enhancement

An analysis of your child’s gait (the way a person walks) is done at the Honda Center for Gait Analysis & Mobility Enhancement (GAME Center).

Hormonal Intrauterine Device (IUD) Insertion

An intrauterine device (in tra U ter in de vice), or IUD, is a small T-shaped type of birth control. 

How to Read a 'Drug Facts' Label

Every over-the-counter medicine you can buy at the store must include a ‘drug facts’ label. This label has information about what the medicine does and how to use it safely.

Hydrogen Breath Test

A hydrogen breath test is done to see whether your child is able to digest and absorb certain sugars.

Guided Growth Surgery

Guided growth, or hemi-epiphysiodesis, is a procedure that can be used to gradually correct angular deformities, such as "bowed legs" and "knock knees," in children’s bones. Guided growth slowly straightens the bone by tethering (guiding) the growth plate on one side of the bone.


A hymenectomy is a procedure that is done to remove extra tissue from the hymen that partly or totally covers a female’s vaginal opening.

Hypospadias Repair

Prepare for your child's hypospadias repair with this Helping Hand. 

Ibuprofen Cardiology

Properly administer Ibuprofen to your child with these instructions. 

Hand Hygiene

Learn more about proper hand hygiene to prevent the spread of germs.

Impedance pH Monitoring

Impedance pH Monitoring measures the length of time it takes for your child’s stomach contents (acid or non-acid) come back up into his or her esophagus.

Son Looking Over Mom's Shoulder

Healthy Sleep Habits for Infants and Toddlers

Sleep is important at all ages. Sleep problems are common among infants and toddlers, affecting both the child and the parents. What to Do How much sleep a child needs each day depends on age. Newborns sleep about 16 to 20 hours and are awake about 1 to 2 hours between periods of sleep.

IV: Implanted Port

The implanted port is a device that is placed under the skin. It lessens the need to start an IV for every treatment.

Helping Hands

Healthy Sleep Habits for Older Children and Teens

Sleep is important at all ages. Sleep problems are common among many children and teens and can affect their focus while at school, work or home. Almost one-fourth of all children have some type of sleep problem. The problem can be caused by poor sleep habits or a medical condition.

Infliximab (Remicade®)

Remicade® is the brand name for infliximab. This medicine blocks the action of a protein in the body called TNF-alpha.

Child with Separation Anxiety

Helping Children Feel Safe in Stressful Times

Stress is a common part of every child’s life. Children worry about their appearance, about tests and school projects, being accepted by friends, being separated from family, as well as many other concerns.

Inhaled Corticosteroids for Asthma

Properly administer inhaled corticosteroids for asthma with this Helping Hand. 

Inhalers: Spacers with Mask

Learn how to use and care for inhaler spacers with masks.

Injections IM

Give your child an IM injection with the help of these instructions. 

Injections Subcutaneous

Sometimes medicine is given by injection when it cannot be given by mouth. A subcutaneous, or "sub-Q," injection is given under the skin.

Home Safety for Infants and Toddlers

Here are some things you will need to do to make your home safe for your baby.

Innocent Heart Murmurs in Children

 Innocent heart murmurs are common in children and usually disappear before the child becomes an adult.

Intranasal Midazolam (Versed®) - Prefilled Syringe

Midazolam (mid AZ o lam) is the generic name for Versed®. Midazolam is given through the nose and is absorbed quickly. This medicine is used for both cluster and prolonged seizures. It works in the brain to help stop seizures. Cluster seizures are seizures that happen close together.

Intranasal Midazolam (Versed®) - Vial

Midazolam is given through the nose and is absorbed quickly. This medicine is used for both cluster and prolonged seizures.

Intrauterine Device Removal

An intrauterine device (IUD) is a small, T-shaped device placed in your uterus by your health care provider to prevent pregnancy, to reduce heavy menstrual bleeding or to help reduce painful menstrual cramps or pelvic pain. IUDs must be removed after you have had it in place for from 3 to 10 years.

Intraventricular Hemorrhage (IVH)

Although a diagnosis of IVH is serious, it is possible for damaged areas of the brain to regain function later in life.

How and Why to Thicken Liquids

If your child has dysphagia, you may need to thicken the liquids he or she drinks. Thickened liquids may help to protect the airway.

Hydrocortisone (Solu-Cortef®) Injections

Hydrocortisone is a safe medicine with few side effects when taken in the amount prescribed by the doctor.

IV: Implanted Port Placed in Interventional Radiology

When intravenous (IV) therapy is needed for a long time, your child’s doctor may use an implanted port. The implanted port is a device that is placed under the skin. It lessens the need to start an IV for every treatment.

IV Tunneled Central Venous Catheter Care at Home

The tunneled central venous catheter is a plastic tube that is placed into one of the large veins in the body.

IVP (Intravenous Pyelogram)

Prepare for your child's IVP with this Helping Hand. 

Joint Injection

The joint injection procedure helps relieve pain in joints caused by arthritis.

Little Girl


Hypnosis is a state of increased awareness. It happens when a person intensely focuses his or her attention.

Joint Protection

Following basic rules to protect your joints can lower your pain and make everyday activities more enjoyable.

Kidney (Renal) Biopsy

What to expect if your child is having a kidney biopsy.


Labiaplasty is a surgery done to remove excess labial tissue. Too much of this tissue can cause pain or discomfort to a female because of rubbing or chafing.

Lead Poisoning Prevention

Lead poisoning is the harmful buildup of lead in the body. Children under 6 years old are at highest risk for lead poisoning.

Important Facts to Know when Taking Opioids

Learn how to keep your child safe when they are taking or around opioids. 


Properly administer Levothyroxine to your child with these instructions. 

Infant Vision Birth to One Year

This Helping Hand will describe what your baby sees from birth to one year of age, and how you can help your baby’s vision develop.

Magnetic Resonance Enterography (MR-E)

Prepare for your child's MRE with this Helping Hand. 

Mealtime Success

Learning proper mealtime habits is very important and will benefit your child for the rest of his life.

Medical Identification (ID)

A medical identification is a piece of jewelry that has a medical symbol and states a health condition. It can be a bracelet, necklace or sports band.

IV Central Line Preventing Bloodstream infections

Learn more about a special type of IV to receive medicines or nutrition.

Mepilex Ag Dressing

Mepilex® Ag is a soft spongey grey foam pad that has silver within it. The foam dressing (bandage) shields the wound and the silver helps to kill bacteria. This protects the wound from getting an infection.

IV: Implanted Port Care at Home

The implanted port is a device and catheter (tube) that is surgically placed under the skin in your child's body. It lessens the need to start an IV for every treatment.

Methotrexate Injection for Non-Cancerous Conditions

Methotrexate is a medicine that may be used to treat Crohn’s disease, arthritis, psoriasis, and other skin conditions. This medicine works on the immune system. It prevents the growth of the white blood cells that cause inflammation. It is usually given by injection (shot) once a week.

Metoclopramide (Reglan)

Properly administer metoclopramide to your child with this Helping Hand.


The PICC line is a plastic tube that is inserted into a large vein to give intravenous therapy.

Metronidazole (Flagyl Flagyl ER) GI

Metronidazole® (met roh NID ah zole) is the generic name for Flagyl (FLAH jel). This medicine is an antibiotic that is used to treat illnesses like giardiasis (JEE are DIE ah sis) and inflammatory bowel disease. Symptoms should get better after 3 to 5 days of treatment.

IV (Intravenous) Therapy

IV or intravenous therapy is a way to give fluids, medicine, nutrition, or blood directly into the blood stream through a vein.

Metronidazole (Flagyl) GYN

Metronidazole (Met roh NID ah zole) is the generic name for (Flagyl (FLAH jel®)). Other brand names for this medicine are MetroGel®, MetroGel-Vaginal®, and Flagyl ER® This medicine is an antibiotic that treats certain infections by killing bacteria.

Microarray Test Analysis

Learn more about microarray analysis. 

Moving from Pediatric to Adult Care: Finding a Doctor

Take the big step in moving from Nationwide Children's Hospital to a provider that sees adults with this Helping Hand. 

Moving from Pediatric to Adult Care: Prescription Medicines, Supplies and Equipment

To take care of your own health, you need to know how to fill prescriptions. Most prescriptions for medicines can be filled at a local pharmacy. You may also get them from a mail order pharmacy if your insurance allows. Your prescription insurance will use one specific mail order pharmacy.

Jackson Pratt Drainage Tube

The Jackson Pratt drain is a special tube put in place near the site of surgery to prevent body fluid from collecting. It pulls the fluid into a bulb by suction.

MRSA Decolonization

The removal of MRSA is called “decolonization.” Decolonization may help reduce the risk of spreading the germs to others and help to avoid future infections.

Nail Changes

Nails are hardened skin cells that protect and support the tissues in our fingers and toes.

Nasal Turbinate Reduction

Prepare for your child's nasal turbinate reduction with this Helping Hand. 

Nasoalveolar Molding (NAS)

Learn more about nasoalveolar molding.

Nasogastric Tubes Insertion and Feeding

Insert a nasogastric tube and feed your child with these instructions.

Nephrostomy Tube

Learn more about a nephrostomy tube.

Kangaroo Care for Your Infant

Kangaroo care is a special way for you to hold your infant that gives the baby skin-to-skin contact.

Neurogenic Bowel: Bowel Training

Bowel training is achieved when your child has a bowel movement in the potty at the same time every day and therefore has few bowel accidents.

Levetiracetam (Keppra®)

Levetiracetam (LEV-uh-tir-AS-uh-tam) is the generic name for Keppra® (KEP-ra).   It most frequently is used to control seizures.  It is important to take the medicine every day.

Newborn Screen Blood Test

The Newborn Screen Blood Test checks to see if your baby has certain disorders.

Liver Biopsy

What to expect and how to prepare if your child is having a liver biopsy. 

Nose Spray

If your child is old enough to understand, explain to him what you are going to do. Tell your child he might taste or smell the medicine or feel it run down the back of the throat.

NTrainer® Pacifier System

The NTrainer is a special pacifier used to help premature babies with feeding. Many babies born before 35 weeks have trouble learning to breast or bottle feed and breathe at the same time.

Laparoscopic Surgery

Prepare for your child's laparoscopic surgery with this Helping Hand. 

Nurse Controlled Analgesia (NCA)

Learn more about nurse controlled analgesia at Nationwide Children's Hospital. 

Management and Treatment of Neuromuscular Scoliosis in Spina Bifida

The spine helps keep us upright when we are sitting and walking. When a person who has spina bifida also has scoliosis, or spinal asymmetry, the spine is not straight. It may be because of curvature or twisting of the spine, usually in an "S" or "C" shape. This can progress over time.

Management of Nonspecific Back Pain

Prepare for your child's MRE with this Helping Hand. 

Oral Glucose Suppression Test - Outpatient

An oral glucose suppression test is done to find out if the pituitary gland is releasing too much growth hormone (GH). The pituitary gland is a small gland (about the size of a pea) in the brain. It releases hormones into the bloodstream that affect growth.


Learn more about orchidopexy.

Oxygen Therapy at Home

The cells in our bodies need oxygen to live. Without enough oxygen, growth and development can slow down. This Helping Hand includes helpful information if your child is prescribed oxygen therapy at home.

Mandibular Distraction Osteogenesis

Mandibular Distraction Osteogenesis (MDO) is a surgery done for infants with Pierre Robin sequence. MDO lengthens the jaw to help open the airway so the baby can breathe safely and comfortably on their own.

Parenting and Childbirth Classes

Here is a list of parenting and child birth classes recommended by Nationwide Children's Hospital in the central Ohio area. 

Patch Testing for Skin Allergies

Be prepared for your child's patch testing for skin allergies with this Helping Hand.

Medicine: How to Give by Mouth

Here are some suggestions and safety tips that may make giving medicine easier for both you and your child.

Patient Controlled Analgesia (PCA)

One way to lessen the pain is to use a PCA pump. PCA stands for Patient Controlled Analgesia.

Medicine: Proper Disposal

Dispose of various medications correctly with help from these instructions. 

Mouth Care for Patients Receiving Chemotherapy

Learn how to properly care for your child's mouth if they are receiving chemotherapy. 

Medicine Safety

Many children need medicine from time to time to treat different illnesses or conditions. Some of these medicines are taken for a short time. Others may be taken for years. Here are some tips for the safe use of medicines.

Peripheral Nerve Catheter and Pump for Pain Control (PNC) Inpatient

Prepare for your child's peripheral nerve catheter with this Helping Hand.

Peripheral Nerve Catheter and Pump (PNC) for Pain - Outpatient

Does your child have a peripheral nerve catheter? Care for your child at home properly with this Helping Hand.

Phenytoin (Dilantin®)

Phenytoin is the generic name for Dilantin®. This medicine is used to control seizures. Your child may need to take phenytoin for a long time because it controls seizures but does not cure them.

Phototherapy for Skin Conditions

Phototherapy is a special light therapy prescribed to treat some skin disorders. Phototherapy uses ultraviolet (UV) light. The phototherapy light booth is similar to a standing-up tanning bed. It is operated by a trained nurse.

Prednisone and Prednisolone (Prelone®, Pediapred®, Deltasone®, Orapred®)

Prednisone and prednisolone are like hormones made by the body. The body may not make enough of its own hormones while your child takes prednisone or prednisolone. Never let your child stop taking prednisone or prednisolone or change the dose without first talking to your child’s doctor.

Prescription Medicines

To take care of your child’s health, you need to know how to fill prescriptions.  Most prescriptions for medicines may be filled at a local pharmacy. 

Propranolol for Hemangiomas

Does your child have a Hemangioma? Learn more about how propranolol can be used to treat it.

Rabies Vaccine Treatment

Prevent your child from getting rabies with these helpful hints about the rabies vaccine. 

Radiation Therapy

Learn more about radiation therapy.

MRI (Magnetic Resonance Imaging)

Magnetic Resonance Imaging (MRI) is a method of examining the inside of the body. The MRI machine is a large magnet that surrounds the body. It uses magnetic fields and radio frequencies instead of X-rays to produce images.

Renal Scan: Nuclear Medicine

Prepare for your child's renal scan in nuclear medicine with this Helping Hand.

Neurogenic Bowel Regulation

A child who has a neurogenic bowel cannot control when he or she has a bowel movement. Bowel control may not be possible, but bowel regulation can be done by following a daily schedule.

Respiratory Viral Panel PCR (RVPP) and Film Array Viral Panel PCR (FARVPP)

Prepare for your child's Respiratory Viral Panel PCR and Film Array Viral Panel PCR tests with this Helping Hand.

Multi-View Videofluoroscopic Speech Study (MVSS)

A multi-view videofluoroscopic speech study, or MVSS, is a procedure to see how the palate functions during speech. It is basically an x-ray movie taken while the child talks.

Rifampin (Rifadin®)

Rifampin is a medicine used to treat tuberculosis (TB) and to kill certain bacteria (germs) that are carried in the nose and throat.  

Safe Food Preparation

Eating food that is tainted with germs such as bacteria, viruses or other organisms can cause food-borne illness. This is also known as “food poisoning.” The harmful foods may not taste or smell any different than healthy foods.

Safe Handling of Hazardous Medicines

The risk of danger from handling small amounts of these hazardous medicines is small, but it is a good idea to avoid exposure if possible. Here are suggestions for things you can do at home to limit exposure.

Saliva Cortisol Test Collection Guidelines

This Helping Hand can walk you though the saliva cortisol test collection guidelines.

Nasopharyngoscopic Evaluation of Velopharyngeal Closure During Speech

Nasopharyngoscopy is a test that involves viewing the back of the nose and throat. This test uses a small tube-light camera, called an endoscope, to view this area while the child speaks.

Scopolamine Patch

Use a Scopolamine Patch to reduce nausea after surgery or for motion sickness. 

Secondhand Smoke and Cystic Fibrosis (CF)

Secondhand smoke is very dangerous for children with Cystic Fibrosis.Learn why it is harmful and how to keep your child safe. 

Sharps Containers at Home

A "sharp" is any medical device that could cut or stick a patient, caregiver, or anyone else. There are reasons that your child may have to use sharps while at home. It is very important to know how to throw away (dispose of) syringes, needles and any other sharp device in a safe way.

Osteopathic Manipulative Medicine

Learn more about Osteopathic Manipulative Medicine.

Sibling Rivalry

Sibling rivalry is the competition between brothers and sisters for their parents' attention. All children need love and attention from their parents and parents need to reassure their children that they love each of them.

Sildenafil (Revatio®)

Sildenafil (sil-DEN-a-fil) belongs to a group of medicines called phosphodiesterase (PDE) inhibitors. In your child, sildenafil is being used to manage high blood pressure in the lungs. Sildenafil makes it easier for your child’s heart to pump blood into the lungs.

Obesity and Overweight Prevention

Help your child stay fit and healthy with these tips. 

Palivizumab (Synagis)

Everything you need to know about Synagis.

Social Security Disability Insurance (SSDI)

Social Security Disability is a government program that gives money to people who cannot work because of a medical issue that is expected to last at least one year or result in death.

Pavlik Harness

Does your child wear a pavlik harness? This Helping Hand can aid you in day to day activities with your child in a pavlik harness.


Prepare for your child's splenectomy with this Helping Hand.


Properly care for your child who needs to wear a splint. 

Pain Management: Dealing with Chronic Pain in Children and Teens

Dealing with chronic pain can be challenging for people of any age and their families. Along with good management of pain and stress, the following ideas can help your family break the cycle of chronic pain.

Percutaneous Pinning

What to expect if your child is having a percutaneous pinning. 

Stem Cell Transplant HLA Typing 1

Learn how HLA typing is done.

Pancreatic Enzymes

The pancreas is an organ in the body that makes enzymes. Pancreatic enzymes help the body digest and absorb food. Some medical problems, such as cystic fibrosis and pancreatic insufficiency, keep the enzymes from being made or released the right way

Patient Safety in the Health Care Setting

We are committed to giving quality health care to your child and keeping them safe while here. Parents or legal guardians play a vital role in the effort by being actively involved and informed.

Pinworm Test Collection Guidelines

Pinworms are small white worms about 1/2 inch long and as thin as a thread. These worms can live in a person’s large intestine. The adult female crawls out of the rectal opening at night and lays her eggs on the skin around it.

Suctioning the Nose Human Powered Nasal Suction Tube

This nose sucking tube (nasal aspirator) uses human suction to clear your child’s nose and the back of the throat. It is best used for infants and children who are too young to clear their own noses.

Sunscreen and Sun Protection

Sunscreen and sun protection are very important for children and adolescents. Skin cancer is becoming more common in young people. Protecting your child’s skin from too much exposure to the sun can greatly reduce this risk.

Personal Hygiene

The body performs better when it is clean and healthy. Good personal hygiene should include clean skin and care of the mouth, teeth, hair, hands, feet and nails.

Supplemental Security Income

SSI is a government program that gives money to people who have low income and few resources and who are aged 65 or older, blind or disabled.

Surgery Centers Home Preparation Westerville and Main Campus

Prepare for your child's surgery with this Helping Hand

Poisonings and Poison Prevention

What should you do if you think someone is poisoned? Do NOT make the poisoned person throw up! Call the Poison Center. Direct Phone Line: 1-800-222-1222.

Taking Opioids Safely for Sickle Cell Pain

There are 4 important points to remember when your child is taking opioids: Monitor, Secure, Transition, and Disposal.

Teenage Pregnancy: Labor and Delivery

Prepare for your daughters labor and delivery with this Helping Hand.


Care for your child who is teething. 


Properly administer thalidomide to your child with this Helping Hand. 

Throat Culture

If your doctor suspects your child has strep throat, a throat culture may be done. This test shows whether germs (bacteria) are causing your child's sore throat.

Tissue Expansion

Tissue expansion is a way for doctors to stretch skin and soft tissues.

Tissue Expansion at Home - Instructions for Families

The purpose of tissue expansion is to grow new skin over a period of several weeks to months.

Safe Sleep Practices for Babies

Sleep related deaths are one of the leading causes of death for babies. These deaths used to be called Sudden Infant Death Syndrome (SIDS). Now they are called Sudden Unexplained Infant Deaths (SUIDs).

Tracheostomy Care: Changing Velcro Trach Ties

Learn how to change your child's Velcro trach ties.

Scar Management

Does your child have a scar forming? This Helping Hand can walk you through all of the scar management techniques.

Tracheostomy Care: CPR (Cardiopulmonary Resuscitation) with a Tracheostomy Tube

Be prepared to perform CPR on your child with a tracheostomy tube.

Tracheostomy Care: How to Prevent Trach Infections

Prevent trach infections with tips fro this Helping Hand.

Scoliosis: Wearing a Brace

Scoliosis means an unnatural curve in the spine. Different types of braces are worn to prevent curve changes. If the brace is worn as directed, surgery on the spine can sometimes be avoided.

Tracheostomy Care: How to Suction Your Child's Trach Tube

Learn how to properly suction your child's trach tube.

Tracheostomy Care: Humidity and Hydration

Use hydration and humidification to properly care for your child with a trach. 

Tracheostomy Care: Passy-Muir Speaking Valve For a Tracheostomy Tube

Learn how to care for your child with a passy-muir speaking valve for a tracheostomy tube.

Tracheostomy Care: Stoma Care

Use these instructions to care for and clean your child's stoma.

Tracheostomy Care: Suctioning with a Closed Suction System (Ballard)

Use these instructions to suction your child's trach with a closed suction system. 

Tracheostomy Care with a Cuffless Tracheostomy Tube

Care for your child with a cuffless tracheostomy tube. 

Tracheostomy Care With an Air Filled Cuff

A cuffed trach tube has a balloon cuff around the lower end of the trach tube.  It is often used for children who need to use a ventilator (breathing machine) or BiPAP machine.

Tracheostomy Care With a Water-Filled Cuff

A cuffed trach has a balloon cuff around the lower end of the trach tube.  It is often used for children who need to use a ventilator (breathing machine) or BiPAP machine.

School and Illness: Should Your Child Stay Home?

The following guidelines will help you decide whether your child is too ill to go to school. Your child should stay home from school if they have a fever or a contagious disease like chickenpox, flu, vomiting, diarrhea, colds, strep throat and "pinkeye."

Tracheostomy: How to Protect the Child with a Trach Tube

This Helping Hand will teach you how to protect the air that goes into your child's trach tube.

Tracheostomy Tube Care With a Reusable Inner Cannula

There are several kinds of tracheostomy or “trach” tubes. The type of trach tube your child has depends on the reason he needs the trach. If your child’s trach tube has an inner cannula, it will need to be cleaned at least 2 times every day.

Tracheostomy: What It Is and When It Is Needed

Learn what a trachestomy is and what it is used for. 

Transmission-Based Precautions (Isolation): Antibiotic-Resistant Organisms

Some bacteria can develop resistance when antibiotics are used too often or not used correctly. Resistance can make infections very hard to treat.

Secondhand Smoke

Secondhand smoke is what you breathe in when you are around a smoker. It is what the smoker breathes out and the smoke that comes from the burning end of a cigarette, cigar or pipe. It contains more than 4,000 chemicals. There is no safe level of exposure.

Transtelephonic Monitor - Looping

A transtelephonic monitor is a 30-day looping event monitor. It records and captures irregular heartbeats that happen quickly and last less than a few seconds.

Transtelephonic Monitor - Post Event

A Transtelephonic 30-day post event monitor records irregular heart beats that last a little longer than a few seconds. The recordings are then sent to a monitoring company over a land line telephone to be reviewed by your child’s doctor.

Travel Bag for Trach Care

You will need a travel bag to take along every time you take your child out of the house.

Spinal Fusion

Does your child have scoliosis? Learn more about a spinal fusion to correct the spine. 

Tuberculosis (TB) Medications

Latent tuberculosis infection or active TB disease can almost always be cured with medicine. The medicine should be taken exactly as the doctor or nurse tells you. 

Upper Endoscopy with General Anesthesia

An upper endoscopy is a test done to examine the lining of the esophagus, stomach and duodenum. The doctor will look for signs of redness, swelling, bleeding, ulcers or infections. Small tissue samples (biopsies)will be collected to be studied under a microscope.

Stool Collection Guidelines

Your child’s stool (bowel movement) must be tested so we can plan the treatment for your child. You will need to collect the stool specimen at home. Bring it to a Laboratory Service Center. This stool specimen will be examined and a report will be sent to your doctor.

Urine Dip Tests

Urine dip tests are done to check how the kidneys are working.

Use of Electronic Devices

Cell phones may not be used in areas of the Hospital where they might interfere with patient care equipment. All patients, family members and visitors must turn off cell phones in these areas. Signs will be posted or Nationwide Children’s staff members will tell you where cell phones may not be used.

Spinal Anesthesia

Spinal anesthesia is used to prepare a person for surgery. It numbs the body from about the belly button to the feet. It blocks pain without putting them to sleep. When your child is scheduled for surgery on an area of the lower body, you may be offered the option of spinal anesthesia.

Vagus Nerve Stimulation (VNS)

The Vagus Nerve Stimulator treats epilepsy that is not controlled with medicine. The VNS prevents or lessens the frequency of seizures by sending mild electrical impulses through the vagus nerve to the brain.

Stop Smoking Programs

The following are a list of stop smoking programs (both in-person and online) in central Ohio recommended by Nationwide Children's Hospital. 

Spinal Tap

A spinal tap or lumbar puncture may be done to remove a small amount of spinal fluid for examination, to give medicine into the spinal canal or to measure the pressure in the spinal canal.

Warts: Liquid Nitrogen Treatment

What to expect if your child is having a liquid nitrogen treatment to remove a wart.

All About Surgeries and Procedures

Your child is going to have surgery. To make it as easy as possible for both you and the child, we would like to tell you what to expect before, during, and after surgery.

Water Soluble Fiber

Water soluble fiber is commonly used with CCPR medical regimens. This fiber will help maintain a good balance between stool frequency and consistency to help your child be continent.

Weaning Your Baby: Cup Feeding

Weaning is the time when your baby learns to drink from a cup instead of from a breast or bottle. Infants usually stay on formula until their first birthday. Give formula in the cup instead of cow's milk if you wean your child before one year of age.

Swaddling - Birth to Two Months

Learn how to correctly swaddle your child. 


Stop Smoking

This page provides tips and resources to help you stop smoking.

Suctioning Nose and Mouth at Home

Suctioning your child's nose and mouth to remove mucus (thickened nose and throat secretions) will make it easier for him or her to breathe and eat.

Talking to a Child About Racism

Parents and caregivers may find themselves struggling to talk about the concepts of race, descent and racism with a child.

Suctioning the Nose with a Bulb Syringe

Suctioning mucus out of your baby's nose makes it easier for him or her to breathe and to eat. Suction your baby before feeding. Cleaning out the baby's nose before feeding will help him to suck and eat more easily.

Yoga Exercises and Menstrual Cramps

Many girls and young women have cramps when they have their periods. Cramps usually feel like pain in the abdomen (belly), pelvis (hip area), lower back, and upper legs. The pain usually hurts worst on the day before the period begins and on the first day of the period.

Sweat Chloride Test

Prepare for your child's sweat chloride test with this Helping Hand. 

Toilet Training

Some children are ready to begin toilet training at 18 months. Others are not ready until 3 years of age or older. Some things that might slow down a child's readiness for toilet training are: childhood illnesses, family crisis, language delays, a new baby in the family or fear of the toilet.

Tongue-Lip Adhesion

Tongue-Lip Adhesion (TLA) is a surgery done for infants with Pierre Robin sequence. TLA helps prevent the tongue from falling back into the baby’s throat. If the tongue falls back into the throat, it can block the airway and make it hard for the baby to breathe.

Temperature: Digital and Glass Thermometers

Learn how to use all three kinds of thermometers for your child.

Tonsillectomy and Adenoidectomy

Prepare for your child's tonsillectomy and adenoidectomy.

Treating Pain after Outpatient Surgery

Nationwide Children’s Hospital wants to make your child as comfortable as possible.  Having pain is normal after surgery, but there are ways to ease the pain.


Urodynamics is a series of tests that are done to see how well the urethra and bladder are working. This Helping Hand will teach you everything you need to know to prepare for your child's tests.  

Tummy Time

It is important for babies to sleep on their backs to reduce the risk of Sudden Infant Death Syndrome (SIDS). However, a baby needs time on his or her tummy for stretching and strengthening his back and neck muscles.

Ultrasound Scan

This Helping Hand will prepare you for your child's ultrasound scan. 

Universal Newborn Hearing Screening (UNHS)

Learn more about the universal newborn hearing screening.

Well Baby Visit: Nine Months

Welcome to the 9 month visit! So much is happening with your baby right now. The brain is developing new connections, and language skills are blossoming. He or she is moving around everywhere – crawling and trying to pull up to standing – maybe even trying to walk.

Well Baby Visit: One Month

Your baby is now 1 month old! The purpose of your visit today is to check your baby’s weight and general health. We also want to make sure you have enough support and are not too overwhelmed. Many parents feel this age is more difficult than newborn.

Well Baby Visits: Four Months

Your baby is now 4 months old! This can be a very rewarding time for caregivers, as baby is becoming more interactive by the day and learning to respond to social cues. You may notice your baby trying out new sounds. Some babies may start rolling over.

Well Baby Visits: Newborn

Congratulations on your new baby! Having a child is a large responsibility and can be a lot of work. At times it can seem overwhelming. As you are recovering from delivery, make sure you have enough support at home. Remember, in order to take care of a baby you need to take care of yourself.

Whole Body Cooling

In the NICU, your baby may get a special kind of care, called whole body cooling (also called therapeutic hypothermia). This treatment lowers body temperature so the body slows down and uses less energy.

Well Baby Visits: Six Months

Your baby is now 6 months old! Babies at this age start to move around a lot more (roll, sit, try to crawl), so now is a good time to childproof your home. Many babies will start to settle into a more regular sleep pattern. 

Well Baby Visits: Twelve Months (One Year)

Happy Birthday to your baby! So much has happened in the past year and your baby is becoming a toddler. We will be making sure your baby is healthy and growing well.

Helping Hands

Videofluoroscopic Swallow Study

The oral motor evaluation and videofluoroscopic swallow study (VFSS) is a special test that shows how safely your child can swallow food and liquids.

Well Baby Visits: Two Months

Welcome to the 2-month visit! Your baby has grown so much in the first 2 months of life. He or she is starting to interact more with the world around him and develop his personality. The big event at this visit is your baby’s first round of vaccines. 

Well Child Visit: Eighteen Months

Your child is one and a half years old! Your child is learning to become more independent, and will want to do things on his or her own.


What to expect if your child is having an x-ray.