- Use the oral route whenever possible.
- Verbal consent should be obtained from the child and/or parent if the rectal route is to be used. Also if the child has had bowel surgery, check with the surgeon that the rectal route may be used.
- Prescriptions for regular opioids should be reviewed by anaesthetic/pain team / medical staff daily.
- When changing from one route of administration to another, use “step-over” doses (equipotent) until you can assess the effect. Later you can change to “step-down” drugs (less potent) when appropriate.
- Give Paracetamol and NSAID’s regularly as prescribed and opioids as required. A multi-modal approach improves pain relief and reduces the child’s opioid requirement.
Do not prescribe compound analgesics for children. eg. Co-codamol.
All prescriptions must be reviewed every 24 hours