Peds Med calculations during a code

With all admissions our charge nurse printed a "code sheet" - had patients admit weight and all medications dosages used in a code calculated out - we would tape it to wall above head of bed. I want to say it was a spreadsheet that either pharmacy made up for us or one of the nurses made it.

Our hospital (in the UK) uses a mnemonic called WETFLAG. Each child has a sign behind their bed with these letters and the admitting nurse or bedside nurse will complete the relevant information next to the letters. W = Weight, E = Energy (joules), T = Tube, Fl = Fluids, A = Adrenaline, G = Glucose. Any clinician/nurse that attends the code or resus can immediately see this information.

When I worked in the hospital, there was a book of drug cards on our code cart that included the dose of various code drugs for patient's weights by kg.

I worked in peds neuro and our most common cause for codes was status epilepticus. The standard dose of ativan for prolonged seizures is 0.1 mg/kg which is easy enough math to do in one's head. I did catch an error during a code once though where an MD called for "0.1 of ativan." He meants 0.1 mg/kg and the child weighed 13 kg. I was handed a syringe drawn up with 0.2 mL of ativan. IV ativan is 2 mg/mL so what I was handed was 0.4 mg. It was the wrong dose based on what the nurse heard/thought she was drawing up (0.1 mg) and what the MD intended (0.1 mg/kg= 1.3 mg).

During my clinical rotations in Peds I noticed that they had a typed paper attached to the vitals

Monitor. It has weight listed. And a list of dosages for some of medications typical in codes.

Each baby has a code sheet on their bed and in their chart. They are reprinted every Sunday with their updated weight. There is no calculating during a code.

Thank you NotReadyforprimetime!