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The Royal Children’s Hospital’s Paediatric Injectable Guidelines provide health professionals working in a busy paediatric setting with reliable, comprehensive and specific information about the safe preparation and administration of injectable medicines in children.


Advice on the administration of injectable medicines in children can be unnecessarily complex, confusing due to its conflicting nature, or may just not exist.
The Royal Children’s Hospital Melbourne (RCH) Paediatric Injectable Guidelines (PIG) are compiled and edited by experienced paediatric pharmacists using information from a variety of reputable sources, with the aim of providing concise, consistent and practical information for nursing, pharmacy and medical staff on the preparation and administration of injectable medications specific to the paediatric setting.

The RCH PIG began over 20 years ago as a locally produced guide to paediatric injectable medication administration for staff of the RCH.  It has since grown in size, stature and audience to now be a nationally recognised authoritative reference.  The demand for the use of the PIG outside of the RCH saw the resource first published and distributed for a wider audience in 2006 with the release of the Third Edition, with a subsequent six editions updated and released to date.

The most recent release – the new 2021 edition – contains over 80 clinical updates, monographs for more than 300 injectable drugs and a number of new drug monographs.

The RCH PIG 2021 edition also includes:

  • Compatibility of medications with IV fluids – including compatibility with Plasma-Lyte 148.
  • Parenteral nutrition and fat emulsion compatibility and incompatibility.
  • Intravenous fluid additive calculations, including 23.4% sodium chloride IV additive tables.
  • Infusion solution composition details.
  • Medication Safety features such as tall-man lettering and easy-to-read formatting.
  • Clear and practical reconstitution tables, including what diluent to use and exact volume for each vial presentation and desired concentration.

Precautions around administration are also given without distracting the user with unnecessary detail.

The RCH PIG is prepared as a self-funded patient care initiative, with resources generated by the sale of the books and online subscriptions going back into the clinical governance of the publication to continue to improve content and quality.

The RCH PIG is available as both a fully laminated, spiral bound flip-book, making it ideal for use in wet conditions such as drug preparation areas, and as an online subscription ranging from single-user subscription personal use to an unlimited state level enterprise access.
The Paediatric Injectable Guidelines Online is updated biannually and designed to complement our printed publication as a point of care resource. It can be made available through hospital intranet services or linked from electronic prescribing systems, and is ready and formatted for all devices.
There are a number of state governments who have opted to include the RCH PIG as a medicines information resource in their online clinical health portals, allowing unrestricted electronic access to the RCH PIG to hundreds of public health facilities and tens of thousands of health professionals throughout Australia.

To purchase a copy of the 2021 edition, or request a quote for a purchase order, please visit our website pig.rch.org.au

To discuss options for online access or for any feedback or suggestions please email pharmacy.business@rch.org.au

The Paediatric Injectable Guidelines, affectionately known as the “PIG” is arguably the resource that nurses utilise more than any other. The preparation and administration of injectable medications is a key nursing task. We spend a large proportion of our day to day clinical time engaged in this activity. The PIG provides a one stop shop for all the information we need to do this safely.

The injectable medications and infusions we administer as Paediatric Nurses are complex, sometimes with narrow margins for safe administration. One of the great advantages of the PIG is it is clear and all the key information is available at a glance. We can rely on its accuracy and you will often hear nurses say “have you checked the PIG?” or “what does it say in the PIG?” – It’s our bible for injectable medication administration!

It is really accessible with hard copies available all around the clinical areas so it’s no issue if you don’t always have a computer on hand. The online version can be accessed anytime by staff working both onsite and in the community so the most up to date information is right at your fingertips. It’s also really helpful that the PIG links straight from the EMR so it’s just a click away.

 

Claire Bauer

Clinical Nurse Educator, Allied Health & Nursing Education Outreach Program

Registered Nurse, Wallaby Ward (Hospital in the Home) Royal Children’s Hospital, Melbourne

Bachelor of Professional Communication (Marketing)