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Can you:

 Assess the severity of a paediatric patient's pain? (different signs depending on age)

 Provide appropriate pain relief depending on the pain level?

 Identify at what age sucrose is appropriate to administer in the paediatric patient

 Calculate an intranasal (IN) Fentanyl dose for a paediatric patient

 Administer IN Fentanyl to a paediatric patient

 Competently observe a patient post dose of IN Fentanyl

 Administer oral analgesia to paediatric patients

 Calculate weight based dosages of simple analgesia for paediatric patients; (paracetamol and


 Use distraction methods to provide non-pharmacological pain relief?

 Identify non pharmacological pain relief for traumatic injuries. Ie: simple fractures,

sprains/strains and lacerations

Know & Show Assessment Tool: 

With an approved assessor in your ED:  
What are the different ways to assess a paediatric patient's level of pain (depending of developmental stage)
  • Pain scales (eg: Wong Baker face pain scale, numeric pain scale, FLACC scale)

Explain the physiological changes that may occur as a result of pain

  • Altered observations (tachycardia, HTN, tachypnoea)
  • Altered sleep pattern (restlessness)
  • Diaphoresis

What is an analgesic ladder?

At what age and in what circumstances might Sucrose be appropriate for the paediatric patient?

Calculate a fentanyl dosage (IN) for a paediatric patient weighing 22kg?

What observations should be performed post IN opiate administration?

Calculate weight based medication doses of ibuprofen and paracetamol for a child weighing 11.5kg and explain the formula and rationale for dosage.

Can identify the items commonly used in the RDH ED as non-pharmacological pain relief.

Identifies non-pharmacological pain relief for traumatic injuries; fractures, sprains/strains and lacerations.




Administration of intranasal medication such as fentanyl.

Use of distraction/non-pharmacological equipment eg BuzzyBee


Not yet able to correctly answer; or requires frequent prompting.

Able to correctly answer almost all questions with minimal prompting.

Answers correctly without prompting.

Skills Performance

Not yet correctly performing skill; or requires frequent prompting.

Performs correctly with some prompts and no critical errors.

Performs correctly without prompting.


Not yet completed.


Assessor Feedback:



Nurse Name: