Chapter 11. Monitoring the child’s progress

Chapter 11.1 Monitoring procedures

In order for monitoring to be effective, the health worker must know:

  • the correct administration of the treatment
  • the expected progress of the child
  • the possible adverse effects of the treatment
  • the complications that may arise and how they can be identified
  • possible alternative diagnoses in a child who is not responding to treatment.

Children treated in hospital should be checked regularly, so that any deterioration in their condition or complications, adverse effects of treatment or errors in the administration of treatment can be identified promptly. The frequency of monitoring depends on the severity and nature of the illness (see relevant sections in chapters 3–8).

Details of the child’s condition and progress should be recorded, so that they can be reviewed by other members of staff. A senior health worker who is responsible for the care of the child and has the authority to change treatment should supervise the records and examine the child regularly.

Children who are seriously ill should be visited by a doctor (or other senior health professional) soon after admission to hospital. These visits should be seen as an opportunity to encourage communication between the families of sick children and hospital staff.