Pediatric Advanced Care Kit (PACK)

The Pediatric Advanced Care Kit (PACK) is a kit of medications that can be ordered by a Physician or Nurse Practitioner (NP) for children at the end-stage of their disease process requiring hospice palliative care services and who wish to remain at home for end-of-life care.

About PACK

The purpose of a PACK is the management of rapid-onset, unanticipated symptoms by the patient’s community healthcare team. The medication contents of the kit are limited to support short duration of symptom management (24 hours) until further medications are ordered and are dose-titrated for the patient’s weight.

The PACK is supported by evidence-based clinical guidelines for symptom management. The presence of PACK in the home, does not replace the healthcare professional’s responsibility for ongoing patient assessment, planning and anticipatory symptom management, though, it is hoped the use of the PACK can prevent delayed symptom relief or unwanted emergency room visits.

The PACK includes:

  • Patient/family information sheet
  • Process flow algorithm
  • Medication & supplies order form
  • Symptom information & management strategies reference tool
  • Pediatric Nursing SBAR
  • PACK evaluation form

Source

WW LHIN – Procedure Document for Pediatric Advanced Care Kit (PACK) 

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