Pediatric Care & Medication Administration

PRESENTATION

Pediatric Care & Medication Administration

2026 FY VTHH

Every little patient brings big challenges and even bigger rewards—because for pediatric patients, we don’t just save lives, we shape futures! 🌟👶💉

Pediatric Care & Medication Administration

Index

Click in each box to complete the topic

Peripheral Vascular Access

Weight-Based Dosing

Medication Administration

High Alert Medications

Peripheral Vascular Access

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May be placed by licensed staff after initial training

May be discontinued by licensed or non-licensed staff after demonstration of competency

Licensed staff may attempt line placement twice before escalating to IV clinical staff. After four total attempts, notify a provider to consider alternative medication routes.

Must be assessed by license staff Q1hr for continuoue infusions and Q6hrs for saline locks.

Policytech - Intravenous (IV) Therapy: Peripheral Vascular Access - Regional Hospitals

Peripheral Vascular Access

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Medication Administration

5 Rights of Medication administration:

Barcode-assisted medication administration

• Right patient
• Right medication
• Right dose
• IM,PO,IV,intranasal
• Right route
• Right time
• to adhere to the prescribed frequency & time of administration

• Scan the patient's armband
• Scan the medication
• when available, the manufacturer barcode on the medication package is scanned
• when needed, the patient -specific medication barcode is scanned

Policytech - Medication Administration - Regional Hospitals

Peripheral Vascular Access

Weight-based dosing

Next

Weight & Height REquirements:

• The patient weight is required to be documented in kilograms (kg) in the electronic medical record (EMR) whenever a medication order is placed.
• a. A patient specific dosing weight may be utilized in place of recorded weight based on practitioner discretion.
• b. Exception: A weight may be estimated for trauma patients or other unstable, critically ill patients in which a delay in medication orders may result in patient harm.
• 2. A EMR documented patient height is also required for medication orders based on a body surface area (BSA) calculation.

Policytech - Weight-Based Dosing for Pediatric Patients (SOP)

Weight-based dosing

High Alert Medications

Next

Review each bullet and then click next for the final questions

Insulin

Vasoactive and Inotropic Continuous Infusion

Heparin

Controlled Substance

Paralyzing Agents

IntranasalIntranasal Intraosseous Intravenous Subcutaneous

CisatracuriumRocuronium Succinylcholine Vecuronium

Policytech - Minimal Sedation for Procedures and Diagnostic Imaging (SOP)

Policytech - High Alert Medications - Regional Hospitals High Alert Medications: Pediatric Patients

High Alert Medications

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Heparin subutaneous

IV bolus and infusion(excluding heparin flushes, and heparin containing IV fluids for line patency)

High Alert Medications

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Unsulin IV vs Subcutaneous

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High Alert Medications

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Vasoactive and Inotropic Continuous Infusion

Continuous Cardiac Monitoring

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High Alert Medications

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Continuous cardiac monitoring and pulse oximetry for the duration of treatment and/or as directed by provider order

• Warning: Paralyzing Agent auxiliary label placed on all storage locations and patient specific doses in all locations

• High Alert auxiliary label placed on all patient specific doses

• Storage is segregated
• Limited product availability in pharmacy and automated dispensing systems (e.g., critical care areas only)

• Standardized nomenclature utilized in eStar and Automated Dispensing System: “PARALYZING AGENT” followed by the medication name

• Pop-up warning in Automated Dispensing System and Alaris pump: WARNING: PARALYZING AGENT - Causes Respiratory Arrest – Patient Must Be Ventilated

• Paralyzing Agent label flags affixed to vials
• Independent Double Check prior to administration, where electronic clinical systems prompt dual sign off for bolus doses and upon the following for infusions: Initiation of infusion, Change of container, Handover

Cisatracurium Rocuronium Succinylholine Vecuronium

High Alert Medications

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Controlled Substance

• Automated dispensing cabinets require blind count upon stock and dispense
• First dose - continuous monitoring or visuallyobserve patient for at least 5 minutes and again within an hour
• Subsequent doses - visually observe during administration if not on continuous monitoring
• When administering for minimal sedation, see MM SOP – Minimal Sedation for Procedures and Diagnostic Imaging for monitoring requirements

Intranasal

Intrmuscular

Intraosseous

Intravenous

subcutaneous

High Alert Medications

High Alert Medications

High Alert Medications

Exit

PRESENTATION LOREM IPSUM DOLOR

Great Job!

Congratulations on completing the Pediatric Care and Medication Module—your dedication to learning ensures that every tiny patient in your care receives the safest, most compassionate, and expert treatment they deserve. You are truly making a difference, one little life at a time! 🌈👩‍⚕️🩺