Nurse Initiated Medications - Paracetamol and Ibuprofen (SCH Only)

SCH Emergency Department

• Highlight the patient’s name on the FirstNet Tracking Board
• Click the Add Order icon
  
  
   
• Select the Nurse initiated medications/Standing Orders folder
  
  
   
• Click SCH-ED Nurse Initiated medication /standing orders folder
  
  
   
• Select required medication/s (the order will turn blue once selected)
• Click Done
  
  
   
• In the ordering physician pop-up, select Nurse Initiated Medication
• Select OK
  
  
   
• The Dosage Calculator pop-up window will appear.

There are three different scenarios where specific fields need to be completed or adjusted based on the patient’s weight.

1. A patient’s weight is appropriate for age
2. A patient is above expected weight for age and height is known or can be obtained
3. A patient is above expected weight for age and height is unknown and cannot be obtained

1. If patient’s weight is appropriate for age:

• Enter patient’s weight in Actual weight field
• Do not make any modifications to adjusted weight
  
  

2. If patient is above expected weight for age and height is known or can be obtained:

• Enter patient’s height into the Height field
• Enter patient’s weight into the Actual weight field
• Change Adjustment to Ideal Body weight in the drop down box
• The adjusted weight will automatically change to reflect the patients Ideal Body Weight
  
  

3. If patient is above expected weight for age and height is unknown and cannot be obtained:

• Enter patient’s weight in Actual weight field
• Modify Adjusted weight to reflect appropriate weight for age  - As per SCH emergency drug dose calculator
  
  
   
• After accurately calculating the patient’s weight, check Final dose against Standard dose
  
  
   
• Select one of the following:
  
  
   
• Apply Dose: Will be precise in most cases (steps 1-4) and can sometimes result in doses up to 4 decimal points (e.g. 206.98)
• Apply Standard Dose: Will round the dose (step 5-8)
  
  
   
• Click Sign