Administrative & enrollment
New child? Tap below for the next number — don't invent one.
Module 1 Preoperative baseline
Recorded here and nowhere else — it is what lets a query be traced back to the patient record, so it never travels into Modules 2–5.
Works out the age. Stays on this phone — it is never saved or sent.
Type it here if the birth date is not known.
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Pick the line that fits the child best in each of the four domains. The score works itself out.
Hand the phone over: the caregiver slides to where their anxiety sits right now.
at allMost anxious
imaginable
The number stays hidden so the caregiver marks the line, not a score.
Module 2 Intraoperative surgical & anesthetic log
As written on the operation note. The operation only — no names, and no side: that is the next question.
Times
Anaesthesia
Intraoperative opioids
Add each dose as it is given. The totals and the morphine equivalent work themselves out.
Regional analgesia
Anchors the rebound window — record it when the block goes in.
Multimodal non-opioids
Antiemetic
Module 3 PACU emergence delirium vs acute pain
Scored at arrival, 30 min and 60 min. A total of 10 or more with non-purposeful thrashing points to emergence delirium rather than pain — calming and reassurance, not more opioid.
Pain — treat it
Emergence delirium — calming first
Environmental calming and reassurance before any drug, and no opioid escalation. Record anything that was given.
Module 4 Ward pain assessment
Enter the child's age in Module 1 and the right scale is chosen for you.
On the ward so far — recorded on this phone
Module 5 Regional offset & recovery endpoints
Totals so far — recorded on this phone only
Block offset & rebound
Cumulative opioid burden
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