# Work Instruction: [Title]

| Document ID | WI-001 |
|-------------|--------|
| Title | [Title] |
| Revision | 1.0 |
| Effective Date | [DATE] |
| Author | [AUTHOR] |
| Approved By | [APPROVER] |
| Department | [DEPARTMENT] |

---

## 1. Purpose

[Describe the purpose of this work instruction]

## 2. Scope

[Define what activities this instruction covers - specify NICU, PICU, or both]

## 3. Safety Precautions

- [List any safety requirements]
- [Personal protective equipment needed]
- [Hazards to be aware of]
- [Patient safety considerations]
- [Infection control requirements]

## 4. Equipment/Materials Required

| Item | Specification |
|------|---------------|
| | |
| | |
| | |

## 5. Prerequisites

[Any required competencies, training, or conditions that must be met before performing this procedure]

## 6. Procedure

### Step 1: [Title]
[Detailed instructions]

### Step 2: [Title]
[Detailed instructions]

### Step 3: [Title]
[Detailed instructions]

### Step 4: [Title]
[Detailed instructions]

### Step 5: [Title]
[Detailed instructions]

## 7. Acceptance Criteria

[Define what constitutes successful completion]

## 8. Troubleshooting

| Problem | Possible Cause | Solution |
|---------|----------------|----------|
| | | |
| | | |

## 9. Documentation Requirements

[What must be documented and where]

## 10. Records

| Record | Location | Retention |
|--------|----------|-----------|
| | | |

## 11. References

- [Related SOPs]
- [Protocols]
- [Manufacturer Instructions]
- [Clinical Guidelines]

---

## Revision History

| Rev | Date | Description | Author |
|-----|------|-------------|--------|
| 1.0 | [DATE] | Initial release | [AUTHOR] |