Specifically, for drug dosing, the patient's length-based dosing zone can be adjusted up one color zone if the child appears overweight. If the healthcare provider incorporates a visual estimate of body habitus into the prediction, the accuracy of the estimate of actual patient weight is improved, as confirmed in multiple studies. Of the remaining 35%, ~20% fall into the heavier Broselow-Luten zone above and 13% fall into the lighter zone below, with < 1% outliers falling greater than 1 zone from predicted. Utilizing this data set to examine Broselow Tape predictions of actual body weight with the revised zones reveals that approximately 65% of the time the patient's measured length places them in the correct zone for actual weight. The most recent version of the Broselow Tape incorporates updated length/weight zones based on the most current National Health and Nutrition Examination Survey data set. Because of the recent obesity epidemic, concerns have been raised as to the accuracy of the tape to determine acceptable weights and subsequently acceptable doses of emergency medications. The Broselow Tape is based on the relationship between weight and length each color zone estimates the 50th percentile weight for length, which for practical purposes estimates the ideal body weight (IBW) for emergency dosing. Īs the tape is not completely accurate, care is required with its use. The tape that is level with the child's heels will provide their approximate weight in kilograms and their color zone.
#Broselow tape education free#
While maintaining one hand on the red portion at the top of the child's head, use your free hand to run the tape down the length of the child's body until it is even with their heels (not toes). Use one hand to hold the red end of the tape, so it is even with the child's head. To use the Broselow Tape effectively, the child must be lying down.
#Broselow tape education code#
And our mock code drills have proven to us the idea's value in speeding our response to an emergency.Color coded equipment drawers based on the Broselow Tape It's obvious that the wristband manufacturers were thinking about the possibility, since their products' colors nicely matched the charts.
The color-coded ID wristbands are an idea I'd seen at another surgery center while visiting as a surveyor, but I implemented it at my own as soon as I got back.
Since the information on the tapes and charts is in very small print, we've also copied the details in larger type on color-coded sheets, which we've placed in every pediatric cart alongside the color-coded emergency procedure packs. Our nurses find out each patient's height and weight during pre-op phone calls and verify the information against their most recent history and physical form, so they're color-coded when they arrive on the day of surgery. They're valuable reference tools, but in a crisis situation, the last thing you need to worry about is locating the tape or measuring the patient.Īt our surgery center, we prepare for any such emergency by putting color-coded ID wristbands on our pediatric patients that correspond to their measurements on the tape. If your facility sees pediatric patients, you're probably familiar with the Broselow measuring tape or similar color-coded charts that calculate, based on a child's height and weight, the amounts of rescue drugs and the sizes of supplies needed to respond to laryngospasm, tachycardia, malignant hyperthermia or other surgical emergencies. COLORS FOR KIDS Color-coded ID bands speed response in rescue situations.Ĭolor-Coded Wristbands Prepare You for Pediatric Codes
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