# Work Instruction: [Title]

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

---

## 1. Purpose

[Describe the purpose of this pediatric pharmacy work instruction]

## 2. Scope

[Define what activities this instruction covers and applicable patient populations]

## 3. Safety Precautions

- [List any safety requirements specific to pediatric preparations]
- [Personal protective equipment needed]
- [Hazards to be aware of]
- [Age-specific considerations]

## 4. Equipment/Materials Required

| Item | Specification |
|------|---------------|
| [Equipment] | [Spec - include pediatric-specific items like oral syringes, small volume supplies] |
| [Materials] | [Spec] |
| [References] | Pediatric dosing references, calculation tools |

## 5. Procedure

### Step 1: Patient Verification
- Verify patient name, age, weight
- Confirm appropriate for pediatric patient
- [Additional verification steps]

### Step 2: Calculation/Preparation
[Detailed instructions including:]
- Formula or calculation method
- Units of measurement
- Independent verification requirement
- [Additional steps]

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

### Step 4: Quality Check
- Visual inspection
- Volume verification
- Label verification (patient-specific)
- Expiration dating appropriate for pediatric use

### Step 5: [Final Steps]
[Detailed instructions]

## 6. Acceptance Criteria

[Define what constitutes successful completion, including:]
- Accurate dose calculation within acceptable range
- Appropriate concentration for patient age
- Proper labeling with age-appropriate instructions
- Documentation complete

## 7. Documentation Requirements

| Record | Location | Retention |
|--------|----------|-----------|
| [Calculation worksheet] | Patient record | [Period] |
| [Compounding log] | Pharmacy records | [Period] |
| [Verification signature] | Batch record | [Period] |

## 8. References

- [Related SOPs]
- [Pediatric dosing guidelines]
- [Manufacturer specifications]
- [USP standards]

---

## Revision History

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