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# pediatric-pharmacy
# Pediatric Pharmacy Quality Management System
A comprehensive QMS template designed for pediatric pharmacy operations including hospital pediatric services, neonatal intensive care, pediatric oncology, and specialized pediatric compounding.
A comprehensive QMS template designed for pediatric pharmacy operations including hospital pediatric services, neonatal intensive care, pediatric oncology, and specialized pediatric compounding.
## πŸ‘Ά Designed For
- **Pediatric Hospital Pharmacies** - Inpatient and outpatient pediatric services
- **Neonatal Intensive Care (NICU)** - Specialized neonatal medication preparation
- **Pediatric Oncology Pharmacies** - Chemotherapy preparation for children
- **Pediatric Compounding Pharmacies** - Age-appropriate formulations and flavoring
- **Children's Hospital Central Pharmacies** - Comprehensive pediatric medication services
- **Pediatric Specialty Clinics** - Outpatient pediatric medication management
- **Pediatric Home Infusion** - Home-based pediatric therapy
## πŸ“‹ Regulatory Framework
This template supports compliance with:
- **State Board of Pharmacy** regulations for pediatric services
- **DEA** (Drug Enforcement Administration) requirements for controlled substances in minors
- **FDA** regulations for pediatric drug handling and off-label use
- **USP <795>** - Non-Sterile Compounding (pediatric formulations)
- **USP <797>** - Sterile Compounding (NICU, TPN, chemotherapy)
- **USP <800>** - Hazardous Drug Handling (pediatric oncology)
- **Joint Commission** - Pediatric medication safety standards
- **ISMP** (Institute for Safe Medication Practices) - Pediatric medication safety guidelines
- **AAP** (American Academy of Pediatrics) - Pediatric pharmacy practice standards
- **PPAG** (Pediatric Pharmacy Association) - Best practices
- **HIPAA** - Patient privacy and data protection for minors
- **ACIP** - Vaccine storage and administration guidelines
## Repository Structure
```
β”œβ”€β”€ SOPs/
β”‚ β”œβ”€β”€ Dosing-Verification/ # Weight/BSA-based dosing verification
β”‚ β”œβ”€β”€ Compounding/ # Pediatric formulations & flavoring
β”‚ β”œβ”€β”€ Chemotherapy/ # Pediatric oncology preparations
β”‚ β”œβ”€β”€ Patient-Safety/ # Pediatric-specific error prevention
β”‚ β”œβ”€β”€ Controlled-Substances/ # DEA compliance for minors
β”‚ β”œβ”€β”€ Inventory/ # Pediatric drug procurement
β”‚ └── General/ # General pharmacy operations
β”œβ”€β”€ Forms/
β”‚ β”œβ”€β”€ Dose-Calculation/ # Weight/BSA dosing worksheets
β”‚ β”œβ”€β”€ Compounding-Records/ # Pediatric formulation logs
β”‚ β”œβ”€β”€ Temperature-Logs/ # Vaccine & medication storage
β”‚ β”œβ”€β”€ Controlled-Substance/ # DEA forms for pediatric patients
β”‚ └── Training/ # Competency assessments
β”œβ”€β”€ Policies/ # Pediatric pharmacy policies
β”œβ”€β”€ Work-Instructions/ # Step-by-step procedures
└── Templates/ # Document templates
```
## πŸ€– AI-Powered Assistance
This repository includes **AtomicAI**, your pediatric pharmacy QMS assistant. Mention `@atomicai` in any issue or pull request to:
- Draft pediatric pharmacy SOPs following best practices
- Create weight-based and BSA-based dosing protocols
- Generate pediatric compounding formulation records
- Develop neonatal medication safety procedures
- Create pediatric chemotherapy preparation protocols
- Review documents for pediatric medication safety compliance
### Example Prompts
- "@atomicai create an SOP for neonatal TPN compounding per USP 797"
- "@atomicai draft a weight-based dosing verification procedure"
- "@atomicai write a policy for pediatric high-alert medications"
- "@atomicai create a pediatric chemotherapy preparation checklist"
- "@atomicai develop an off-label medication documentation form"
- "@atomicai create a neonatal medication error prevention protocol"
## Getting Started
1. **Customize Policies** - Update policies in `/Policies` for your pediatric service
2. **Adapt SOPs** - Modify SOPs to match your pediatric workflow
3. **Set Up Dosing Tools** - Configure weight/BSA-based dosing verification forms
4. **Train Staff** - Use pediatric-specific competency forms
5. **Establish Safety Protocols** - Implement high-alert medication procedures for children
## Key Documents to Create First
1. **Weight-Based Dosing SOP** - Core pediatric dosing verification workflow
2. **Neonatal Medication Safety Policy** - Foundation for NICU safety
3. **Pediatric High-Alert Medications** - Critical safety protocols
4. **Compounding for Pediatrics SOP** - Age-appropriate formulations
5. **Off-Label Use Documentation** - Required for pediatric practice
6. **Chemotherapy Preparation SOP** - If providing pediatric oncology services
7. **TPN Compounding SOP** - If providing neonatal/pediatric nutrition support
## Special Considerations for Pediatric Pharmacy
### Dosing Calculations
- Weight-based dosing (mg/kg)
- Body surface area (BSA) calculations
- Age-appropriate dose ranges
- Maximum dose verification
- Renal/hepatic adjustments for children
### Compounding
- Suspension preparation from tablets/capsules
- Flavoring for palatability
- Low-concentration preparations
- Unit-dose packaging for accuracy
- Stability considerations for pediatric formulations
### Safety
- Double-check verification systems
- High-alert medications (concentrated electrolytes, insulin, etc.)
- Look-alike/sound-alike medications in pediatrics
- Calculation error prevention
- Transition of care (NICU to pediatric to adult)
### Documentation
- Off-label use (>50% of pediatric medications)
- Age/weight at time of dispensing
- Parent/guardian counseling
- Developmental appropriateness
---
*This template is maintained by AtomicQMS. For questions, open an issue in this repository.*