2025 PBCFR Standing Orders and BLS
Protocol
6 rights of medication administration - answer drug, dose, route, time, patient,
documentation
______is the preferred route for medication administration - answerIV
If PICC line is present in an emergent situation
*___
*______of fluid must be withdrawn prior to any administration
*confirm patency by ______ line with 10 mL.
*do not use syringe smaller than ______for any administration
*If PICC line does not flush, ______ and start IV/IO - answer*BSI
*10 ml of fluid must be withdrawn prior to any administration
*confirm patency by flushing line with 10 mL.
*do not use syringe smaller than 10mL for any administration
*If PICC line does not flush, ABORT and start IV/IO
Adult IO sites
*P________ _______
*P______ _____
*D____ ______
*D_____ ______ - answerProximal humerus
Proximal tibia
Distal femur
Distal tibia
Pediatric IO sites
- D_____ ______
- P_______ ________
- D_____ ______
- P________ _______ (only if the_______ ______can be palpated) - answer- Distal
Femur
- Proximal Tibia
- Distal Tibia
- Proximal Humerus (only if the surgical neck can be palpated)
Adult IM injection - answer21-23 gauge 1.5 inch needle
Max 4 ml per site
Pediatric IM Injection - answer23 gauge 1 inch
, Max 1 ml per site ( if > 1 ml , split dose between both thighs)
Medications that can be Atomized & Amount - answer*versed
*narcan
*fentanyl
*ketamine
0.3-0.5mL/Nostril
Max 1mL/Nostril
Push Dose Epi dilution 1:100,000 - answerDiscard 9mL of epi 1:10,000 and draw up
9mL of NS. will yield 10mcg/ml
Push dose Epi dilution 1:1,000 - answerDraw up 0.5mL of epi 1:1,000 with a 1mL
syringe and add it to a 50mL bag of NS. will yield 10mcg/mL
Benadryl dilution - answerDilute w/9mL of NS
Med Infusion Instructions - answer*Add med to a 50mL bag of NS FIRST and then
spike the bag
*Ensure all 50 mLs are administered
Med infusions administered as "Rapid Infusions" - answer*Add med to a 50mL bag of
NS, administer IV/IO using a 60 gtt set "run wide open"
Med infusions administered over 10 mins - answer*Add med to a 50mL bad of NS
administer IV/IO using a 15 gtt set delivering 75gtts/min
Med infusions administered over 25 mins - answer*Add med to a 50mL bad of NS,
administer IV/IO using a 15 gtt set delivering 30ftts/min
ALL med diluted into NS should be what? - answerLabeled
Preferred method of vascular access during pediatric cardiac arrest - answerIO
Neonate age classification - answerBirth to 1 month
Infant age classification - answer1 month to 1 year
Children age classification - answer1 year to puberty
Puberty in females is defined as - answerbreast development
Puberty in males is defined as - answerUnderarm, chest or facial hair
Mental status AVPU - answerA- alert x4 (person, place, time, event)
Protocol
6 rights of medication administration - answer drug, dose, route, time, patient,
documentation
______is the preferred route for medication administration - answerIV
If PICC line is present in an emergent situation
*___
*______of fluid must be withdrawn prior to any administration
*confirm patency by ______ line with 10 mL.
*do not use syringe smaller than ______for any administration
*If PICC line does not flush, ______ and start IV/IO - answer*BSI
*10 ml of fluid must be withdrawn prior to any administration
*confirm patency by flushing line with 10 mL.
*do not use syringe smaller than 10mL for any administration
*If PICC line does not flush, ABORT and start IV/IO
Adult IO sites
*P________ _______
*P______ _____
*D____ ______
*D_____ ______ - answerProximal humerus
Proximal tibia
Distal femur
Distal tibia
Pediatric IO sites
- D_____ ______
- P_______ ________
- D_____ ______
- P________ _______ (only if the_______ ______can be palpated) - answer- Distal
Femur
- Proximal Tibia
- Distal Tibia
- Proximal Humerus (only if the surgical neck can be palpated)
Adult IM injection - answer21-23 gauge 1.5 inch needle
Max 4 ml per site
Pediatric IM Injection - answer23 gauge 1 inch
, Max 1 ml per site ( if > 1 ml , split dose between both thighs)
Medications that can be Atomized & Amount - answer*versed
*narcan
*fentanyl
*ketamine
0.3-0.5mL/Nostril
Max 1mL/Nostril
Push Dose Epi dilution 1:100,000 - answerDiscard 9mL of epi 1:10,000 and draw up
9mL of NS. will yield 10mcg/ml
Push dose Epi dilution 1:1,000 - answerDraw up 0.5mL of epi 1:1,000 with a 1mL
syringe and add it to a 50mL bag of NS. will yield 10mcg/mL
Benadryl dilution - answerDilute w/9mL of NS
Med Infusion Instructions - answer*Add med to a 50mL bag of NS FIRST and then
spike the bag
*Ensure all 50 mLs are administered
Med infusions administered as "Rapid Infusions" - answer*Add med to a 50mL bag of
NS, administer IV/IO using a 60 gtt set "run wide open"
Med infusions administered over 10 mins - answer*Add med to a 50mL bad of NS
administer IV/IO using a 15 gtt set delivering 75gtts/min
Med infusions administered over 25 mins - answer*Add med to a 50mL bad of NS,
administer IV/IO using a 15 gtt set delivering 30ftts/min
ALL med diluted into NS should be what? - answerLabeled
Preferred method of vascular access during pediatric cardiac arrest - answerIO
Neonate age classification - answerBirth to 1 month
Infant age classification - answer1 month to 1 year
Children age classification - answer1 year to puberty
Puberty in females is defined as - answerbreast development
Puberty in males is defined as - answerUnderarm, chest or facial hair
Mental status AVPU - answerA- alert x4 (person, place, time, event)
