Original ArticleThe Development of a Pediatric Medication Administration Guideline for Preprocedure Nurse Callers
Section snippets
Background
In the past at the authors' institution, callers contacted caregivers 2 days before the day of surgery or procedure to give hospital arrival times and preanesthesia fasting instructions. Callers did not provide instructions for medication administration; citing they felt this was outside the scope of their practice, and they lacked comfort and familiarity with many of the prescribed medications. As a result, all medication administration questions were directed to a nurse practitioner (NP) in
Discussion
The preprocedure medication administration guideline provides clear, easy to follow, and safe medication administration information for callers. Use of the medication guideline results in fewer calls to other providers, therefore improving callers' efficiency and autonomy. Caregivers are very receptive to receiving medication administration instructions from callers instead of being directed to other providers such as preanesthesia clinic NPs or in-charge anesthesiologist. Although most callers
Conclusions
In conclusion, this article describes the development of a preprocedure medication administration guideline for callers. Prior peer-reviewed literature about pediatric preprocedure medication administration has been very limited and primarily focused on adults. The authors' hope is that sharing the guideline and the development process along with the successes and challenges will be helpful for other institutions developing their own medication administration guidelines.
Acknowledgments
The authors thank Dr Karen Thomas for her manuscript review, guidance, and support.
Michele Acker, MN, ARNP, Seattle Children's Hospital, Seattle, WA
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Cited by (0)
Michele Acker, MN, ARNP, Seattle Children's Hospital, Seattle, WA
Nancy Deem, BSN, RN, Seattle Children's Hospital, Seattle, WA
Conflict of interest: None to report.