Unified Referral and Intake System (URIS)

Glossary of Terms

Anaphylaxis – severe allergic reaction that can lead to rapid death if untreated.

Applicant – community program that applies to URIS for funding to support a child with special health care needs in a community program.

Central or peripheral venous line intervention – an intravenous tube inserted in a large or small vein that provides continuous access for administering fluids and medication. A nurse is required only if the line needs to be accessed in the community setting.

Clean intermittent catheterization – insertion of a tube into the bladder in order that urine may be drained.

Community program – The community programs eligible to receive URIS support are school divisions, funded independent schools, licensed child-care facilities and agencies providing respite service.

Complex administration of medication – complexity of the delivery system requires the specialized skills, knowledge and judgment of a nurse.

Gastrostomy Care – a gastrostomy tube is a plastic tube, surgically placed in the stomach through the abdomen, in order to supplement or provide nutrition and fluids.

Individual Health Care Plan (IHCP) – written plan of care for a child with special health care needs. It is required for all children who require assistance with URIS Group A or B health care procedures/needs in a community setting.

Nasogastric tube care/feeding – plastic feeding tube inserted in the nose to the stomach to deliver fluids, nutrition and medication. A nurse is required to ensure appropriate placement of the tube (in the stomach and not in the lungs) prior to initiating any feeding.

Ostomy care – an ostomy is an artificial opening, usually into the urinary or bowel tract, that diverts urine of fecal matter to provide an outlet. An ostomy bag covers and collects body waste.

Pre-set oxygen – requires a prescribed dose or rate of flow.

Suctioning (Oral/Nasal) – cleaning of secretions from the mouth and nose using a mechanical device.

Suctioning (Tracheal/Pharyngeal) – Some children lack the ability to clear normal respiratory secretions (e.g., mucus) on their own. Suctioning is the mechanical removal of secretions. The skills of a nurse are required to safely suction the back of the throat (pharynx) and the windpipe (trachea).

Tracheostomy – surgical procedure in which an opening is made through the neck to the trachea, where a plastic tube is inserted to create an airway. A child with tracheostomy requires careful observation to ensure that the airway remains clear.

Ventilator – mechanical device used to assist a person to breathe. Ventilators come in several forms and can be used in different ways, depending on the child's health condition.