pediatric policies and procedures

[juliekrn]

I am trying to update policies and procedures for our general peds floor. I need information on blood sampling(ie how much waste from lines), antibiotic therapy (ie dilution and method of administration) and any other information you find especially helpful.

[lkubin]

When we draw labs from central lines, our policy is to waste 5 cc. We no longer have a policy regarding IV medication administration, we use the recommendations provided by drug references. We use the IV medication book by Gehart, it's a great reference.

[sus_rn]

Hi,

What a time consuming undertaking. I wish ya luck! We usually discard 1-2cc of blood with blood draws. As far as dilution of medications, our pediatric hospital has it's own formulary with guidelines for dilution and administration time, along with dosages. Prior to that we used the Harriet Lane Handbook. I think they still print those every year...does anyone else know? They have a ton of useful information.

[juliekrn]

Originally posted by sus_rn:

Hi,

What a time consuming undertaking. I wish ya luck! We usually discard 1-2cc of blood with blood draws. As far as dilution of medications, our pediatric hospital has it's own formulary with guidelines for dilution and administration time, along with dosages. Prior to that we used the Harriet Lane Handbook. I think they still print those every year...does anyone else know? They have a ton of useful information.

[juliekrn]

sus-rn, would it be possible to send a copy of your formulary to me or my pharmacy? Or if you have a good reference, that would be helpful!

[Ramona]

The Harriet Lane Handbook is still published and is the bible on our unit. We use it for calculating meds, checking doses when MD orders ___cc per kg, checking tests R/T diseases, our Pediatricians use it also. We love it.

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[sus_rn]

Hi Julie,

very sorry for not getting back to you sooner. It probably would be a looooonggg drawn out process to get a copy of the formulary we use. I would suggest using the Harriet Lane Handbook, we used it for years. Our formulary is actually a book, about the same size as the Harriet Lane, with a lot of the same information. :)

[hage6]

Need to write new policies/procedures for general pediatric unit regarding falls and suicide. Can anyone HELP!