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

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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]