pediatric-pharmacy/Work Instructions/WI-001-Template.md

Work Instruction: [Title]

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

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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]

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Revision History

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