pediatric-pharmacy/Templates/SOP-Template.md

Standard Operating Procedure: [Title]

Document ID	SOP-XXX
Title	[Title]
Revision	1.0
Effective Date	[DATE]
Author	[AUTHOR]
Approved By	[APPROVER]
Department	Pediatric Pharmacy

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1. Purpose

[State the purpose of this pediatric pharmacy procedure]

2. Scope

[Define the scope and applicability - specify age ranges (neonate, infant, child, adolescent) if relevant]

3. Responsibilities

3.1 Pediatric Pharmacist

• [Responsibility specific to pediatric pharmaceutical care]
• [Responsibility]

3.2 Pharmacy Technician (Pediatric-Trained)

• [Responsibility]
• [Responsibility]

3.3 [Other Role]

• [Responsibility]
• [Responsibility]

4. Definitions

Term	Definition
Neonate	Infant from birth to 28 days of age
Infant	Child from 29 days to 12 months of age
Child	Person from 1 year to 12 years of age
Adolescent	Person from 13 years to 18 years of age
Weight-based dosing	Medication dose calculated based on patient weight (mg/kg)
BSA-based dosing	Medication dose calculated based on body surface area (mg/m²)
Off-label use	Use of medication outside FDA-approved age, indication, or dosing
[Add other terms]	[Definition]

5. Procedure

5.1 [Section Title]

[Procedure steps specific to pediatric pharmacy]

5.2 Dosing Verification (if applicable)

1. Verify patient weight and age
2. Calculate dose using appropriate formula
3. Verify dose is within age-appropriate range
4. Verify maximum dose not exceeded
5. Independent verification by second pharmacist

5.3 [Additional Section]

[Procedure steps]

6. Safety Considerations

[Pediatric-specific safety considerations, such as:]

• High-alert medication protocols
• Calculation verification requirements
• Age-appropriate formulation selection
• Dilution requirements for neonatal use

7. Related Documents

• [List related procedures, forms, dosing references, etc.]
• POL-001 Pediatric Pharmacy Quality Policy
• [Pediatric dosing guidelines]

8. References

• USP <795> Pharmaceutical Compounding - Nonsterile Preparations
• USP <797> Pharmaceutical Compounding - Sterile Preparations
• USP <800> Hazardous Drugs - Handling in Healthcare Settings
• ISMP Guidelines for Pediatric Medication Safety
• AAP/PPAG Pediatric Pharmacy Practice Guidelines
• [Facility-specific references]
• [State Board of Pharmacy regulations]

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Revision History

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