93 lines
2.2 KiB
Markdown
93 lines
2.2 KiB
Markdown
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# Work Instruction: [Title]
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| Document ID | WI-001 |
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|-------------|--------|
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| Title | [Title] |
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| Revision | 1.0 |
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| Effective Date | [DATE] |
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| Author | [AUTHOR] |
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| Approved By | [APPROVER] |
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| Department | Pediatric Pharmacy |
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---
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## 1. Purpose
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[Describe the purpose of this pediatric pharmacy work instruction]
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## 2. Scope
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[Define what activities this instruction covers and applicable patient populations]
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## 3. Safety Precautions
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- [List any safety requirements specific to pediatric preparations]
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- [Personal protective equipment needed]
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- [Hazards to be aware of]
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- [Age-specific considerations]
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## 4. Equipment/Materials Required
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| Item | Specification |
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|------|---------------|
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| [Equipment] | [Spec - include pediatric-specific items like oral syringes, small volume supplies] |
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| [Materials] | [Spec] |
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| [References] | Pediatric dosing references, calculation tools |
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## 5. Procedure
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### Step 1: Patient Verification
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- Verify patient name, age, weight
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- Confirm appropriate for pediatric patient
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- [Additional verification steps]
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### Step 2: Calculation/Preparation
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[Detailed instructions including:]
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- Formula or calculation method
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- Units of measurement
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- Independent verification requirement
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- [Additional steps]
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### Step 3: [Title]
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[Detailed instructions]
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### Step 4: Quality Check
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- Visual inspection
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- Volume verification
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- Label verification (patient-specific)
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- Expiration dating appropriate for pediatric use
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### Step 5: [Final Steps]
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[Detailed instructions]
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## 6. Acceptance Criteria
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[Define what constitutes successful completion, including:]
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- Accurate dose calculation within acceptable range
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- Appropriate concentration for patient age
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- Proper labeling with age-appropriate instructions
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- Documentation complete
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## 7. Documentation Requirements
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| Record | Location | Retention |
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|--------|----------|-----------|
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| [Calculation worksheet] | Patient record | [Period] |
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| [Compounding log] | Pharmacy records | [Period] |
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| [Verification signature] | Batch record | [Period] |
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## 8. References
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- [Related SOPs]
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- [Pediatric dosing guidelines]
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- [Manufacturer specifications]
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- [USP standards]
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---
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## Revision History
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| Rev | Date | Description | Author |
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|-----|------|-------------|--------|
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| 1.0 | [DATE] | Initial release | [AUTHOR] |
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