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It’s a tool that is a common sight in most EDs, but is often used incorrectly: The Broselow Emergency Tape. The tape is part of a system that assigns children to color zones based on a single length or weight measurement, which enables access to appropriate pre-calculated medication dosing and formulations and pre-determined equipment sizes necessary in the ED.
"The purpose of the Duke web site is to provide clinicians with a standardized teaching packet on the correct use of the Broselow resuscitation tape for both the 1998 and 2002 version," says Susan M. Hohenhaus, RN, project manager of the Enhancing Pediatric Patient Safety program at Duke University Hospital, based in Durham, NC. "Though we do recommend that you switch to the 2002 version, we know lots of folks still have the 1998 version."
The site offers PowerPoint presentations on appropriate use of the tape, and educators can download these and use them for inservicing, she suggests. (Go to www.deps.dukehealth.org. Click on "Clinical Education" and then "Correct Use of the Broselow Tape.") ED nurses also can use the site to learn more about improving care for children who are emergently ill or injured, says Hohenhaus.
"Resources also include a sample guideline for the care of children involved in a mass casualty incident," she says. [Click on "Mass Casualty Preparedness" and "Duke Pediatric Mass Casualty Incident (MCI) Guidelines."] All information is free.