I am a nursing student precepting in a NICU at a hospital where they do not have the nurses draw-up or check medication dosages via weight-based calculations prior to administration. Basically the provider writes the order as mg/dose, pharmacy fills it, and then I am supposed to trust that the medication is what pharmacy says it is and appropriate for the baby's size. When I worked at a different hospital, prior to nursing school
, all pediatric medications the provider ordered were ordered as mg/kg, the dose would be checked by pharmacy and then two nurses on the unit would calculate the dose prior to the nurse drawing up and administering the medication. I feel like having the extra checks would prevent mistakes, and I am constantly worried about medication errors at the hospital I am precepting at. I was wondering how other facilities handle medication administration for pediatric patients.