N.J. Admin. Code § 8:41-8.15

Current through Register Vol. 56, No. 11, June 3, 2024

Section 8:41-8.15 - Standing orders for pediatric croup

(a) The following standing orders are authorized in the event that a pediatric patient presents with croup:

1. Assess and secure the airway;

2. Administer 100 percent oxygen;

3. Maintain normal body temperature and position of comfort;

4. Mild to moderate distress (barking cough, inspiratory stridor):

i. Administer 3 cc normal saline via nebulizer with simple mask; and

ii. Contact the medical command physician;

5. Moderate to severe distress (stridor at rest, retractions, tripoding, accessory muscle use):

i. Administer epinephrine 3 mg (3 cc) 1:1,000 solution via nebulizer;

ii. If no change, establish IV/IO access with normal saline at a KVO rate; and

iii. Contact the medical command physician.

N.J. Admin. Code § 8:41-8.15