SCH Emergency Department
- Highlight the patient’s name on the FirstNet Tracking Board
- Click the Add Order icon
- Click the SCH folder
- Click the Nurse initiated medications/Standing Orders folder
- Click SCH-ED Nurse Initiated medication /standing orders folder
- Select required Laceraine topical solution Standing order, either less than 50 kg or, greater than or equal to 50 kg (the order will turn blue once selected)
- Click Done
- In the ordering physician pop-up, select Protocol
- 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.
- A patient’s weight is appropriate for age
- A patient is above expected weight for age and height is known or can be obtained
- A patient is above expected weight for age and height is unknown and cannot be obtained
- If patient’s weight is appropriate for age:
- Enter patient’s weight in Actual weight field
- Do not make any modifications to adjusted weight
- 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
- 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 patients weight, confirm or modify the final dose to reflect the amount to be administered. The usual dose is 0.1 mL/kg (max 5mL) or 1 mL per cm of laceration
- Click Apply Dose
- Click Sign
