Every paediatric order is a calculation, and the nurse is the last person who can catch the error before it reaches the child. Three habits prevent most harm: the weight is in kilograms and measured, every dose is checked against the safe range per kilogram, and every dose is then compared with the maximum adult dose — because the adult ceiling always wins. Work the doses, run the 4-2-1 rule, decide who may do what, and match the tool and the words to the child.
Do the arithmetic
Spot the unsafe way of writing it
Click every order below that is written unsafely, then check.
Maintenance fluid volume is calculated by the Holliday-Segar method, expressed hourly as the 4-2-1 rule.
For each task, choose the lowest level of staff who may perform it under delegation.
Delegated correctly0 / 0
Now escalate it
Put these four sentences into SBAR order by clicking them 1, 2, 3, 4.
Then choose the better sentence for the chart.
Safe dose checkWeight, range, then the adult ceiling