Children’s Hospital Inpatient Code Dosing ??s Hospital Inpatient Code Dosing Sheet . Major Changes...

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Transcript of Children’s Hospital Inpatient Code Dosing ??s Hospital Inpatient Code Dosing Sheet . Major Changes...

  • Childrens Hospital Inpatient Code Dosing Sheet

  • Major Changes Added Rapid Sequence Intubation (RSI) Section. Added Anaphylaxis section (supports anaphylaxis protocol that was

    initiated last year).

    Updated all comments (comments are Evidence Based, and per pharmacy recommendations). Consistent language: ex. Slow or Rapid,

    Added Brand drug names Added

    Discussion brought these changes: Added to crash cart magnesium sulfate bag (2gm/50ml). Updated comments Pharmacy consolidation of concentrations

  • Thank you

    Note: All changes have been approved by Resuscitation Committee, MUSIC Committee,

    Pharmacy, Pharmacy & Therapeutics Committee, Unit Educators, and front-line staff.

    A special thank you to: Fred Hargrove Pharmacy Informatics

  • Why did we update the code dosing sheet?

    Because it needed it!!!!!! Some medications no longer being used (It has been over 6 years since last update)

  • Removed General Medications

    Pancuronium no longer available from manufacture. Thiopental - no longer available from manufacture.

    Custom Drips rationale: not considered immediate first line medications/gtts.

    Deleted ET tube sizes section

    Lidocaine Nitroglycerin Nitroprusside Norepinephrine Phenylephrine Isoproterenol Dobutamine

  • Added General Medications

    Calcium Gluconate 10% Dextrose 25%

    Magnesium Sulfate Midazolam (Versed) Intranasal

    Etomidate Ketamine

    Rocuronium Albuterol

    Diphenhydramine Famotidine

    Hydrocortisone

  • Old

    New

  • Old

    NEW New

  • Old

    New

  • Old

    New

  • Old

    New

  • Old

    New

  • old

  • Removed

  • Rapid Sequence Intubation

  • Anaphylaxis

  • What you see is what you get!

    The Pediatric Code Dosing sheet now matches medications stocked in the Pediatric Code Carts.

  • Try it out!

    The process to printing a Code Dosing Sheet hasnt changed.

    Same place (Wiz), different look!

  • How do I print a Code Dosing Sheet? Two Different Ways

    In the Wiz Order system, click on other.

    The Peds Emergency

    Medication Dosing displays at the bottom of the list.

    Click on the Peds

    Emergency dosing button and follow the prompts.

  • How do I print one continued..

    In the Wiz Order system, double click patient name.

    The Peds Emergency

    Medication Dosing displays at the bottom right of the list.

    Click on the Peds

    Emergency Dosing button and follow the prompts.

    Childrens Hospital Inpatient Code Dosing SheetMajor ChangesThank youWhy did we update the code dosing sheet?RemovedAddedOldSlide Number 8Slide Number 9Slide Number 10Slide Number 11Slide Number 12oldRemovedRapid Sequence IntubationAnaphylaxisWhat you see is what you get!Try it out!How do I print a Code Dosing Sheet?Two Different WaysHow do I print one continued..