Prompt for the preparation and administration of intravenous Ibuprofen Please use this prompt each time a dose of Ibuprofen is prepared and administered. Both members of staff are to use the prompt. Clinical baby-checks pre-administration. Please check all these factors before Dose Dose Dose commencing and/or continuing with the babies course of Ibuprofen One Two Three Date: Please check the following and if not observed document reason in the comments box: 1. Is infection (including NEC) confirmed or suspected? If YES please discuss with Y / N consultant prior to giving. 2. The platelets have been checked and are >50? If <50 is the baby to have a Y / N platelet transfusion? 3. Renal Function has been checked. Is the creatinine <120? Y / N 4. Has the baby been put NBM and IV fluids prescribed and volume restricted to at Y / N least 120ml/kg/day? Prescription charts details and administration of Ibuprofen 5. Has it been prescribed correctly following the 5 R’s: Y / N Right Drug, Right Time, Right Dose, Right Route, Right Patient? Is the the prescription chart? 6. patient’s current working weight recorded on Y / N 7. Has the correct dose been prescribed based on the weight? Y / N Each checker to calculate dose separately. 8. Has the prescription been signed by the prescriber? Y / N This is a Consultant decision to commence Ibuprofen 9. Has Ranitidine been prescribed (1mg/kg BD IV)? Y / N During administration/the course of Ibuprofen please remember Neonatal Formulary for Ibuprofen
Prompt for the preparation and administration of intravenous Ibuprofen Please use this prompt each time a dose of Ibuprofen is prepared and administered. Both members of staff are to use the prompt. Clinical baby-checks pre-administration. Please check all these factors before commencing and/or continuing with the babies course of Ibuprofen Dose One Dose Two Dose Three Date: Please check the following and if not observed document reason in the comments box: 1. Is infection (including NEC) confirmed or suspected? If YES please discuss with consultant prior to giving. Y / N 2. The platelets have been checked and are >50? If <50 is the baby to have a platelet transfusion? Y / N 3. Renal Function has been checked. Is the creatinine <120? Y / N 4. Has the baby been put NBM and IV fluids prescribed and volume restricted to at least 120ml/kg/day? Y / N Prescription charts details and administration of Ibuprofen 5. Has it been prescribed correctly following the 5 R’s: Right Drug, Right Time, Right Dose, Right Route, Right Patient? Y / N 6. Is the patient’s current working weight recorded on the prescription chart? Y / N 7. Has the correct dose been prescribed based on the weight? Each checker to calculate dose separately. Y / N 8. Has the prescription been signed by the prescriber? This is a Consultant decision to commence Ibuprofen Y / N 9. Has Ranitidine been prescribed (1mg/kg BD IV)? Y / N During administration/the course of Ibuprofen please remember Neonatal Formulary for Ibuprofen
ibuprofen_care_bundle.docx