# Standard Operating Procedure: [Title] | Document ID | SOP-XXX | |-------------|---------| | Title | [Title] | | Revision | 1.0 | | Effective Date | [DATE] | | Author | [AUTHOR] | | Approved By | [APPROVER] | | Department | [DEPARTMENT] | --- ## 1. Purpose [State the purpose of this procedure] ## 2. Scope [Define the scope and applicability - specify NICU, PICU, or both] ## 3. Responsibilities ### 3.1 [Role 1] - [Responsibility] - [Responsibility] ### 3.2 [Role 2] - [Responsibility] - [Responsibility] ### 3.3 [Role 3] - [Responsibility] - [Responsibility] ## 4. Definitions | Term | Definition | |------|------------| | | | | | | ## 5. Procedure ### 5.1 [Section Title] [Procedure steps] ### 5.2 [Section Title] [Procedure steps] ### 5.3 [Section Title] [Procedure steps] ## 6. Safety Considerations [List any patient safety considerations, high-alert medications, infection control requirements, etc.] ## 7. Documentation Requirements [Specify what must be documented and where] ## 8. Related Documents - [List related procedures, forms, protocols] ## 9. References - [External standards, regulations, clinical guidelines] - Joint Commission Standards - AAP Guidelines - Manufacturer Instructions (if applicable) --- ## Revision History | Rev | Date | Description | Author | |-----|------|-------------|--------| | 1.0 | [DATE] | Initial release | [AUTHOR] |