Treatment of Fever in Children less than 3 months of age

Medical Directive ID: 
Lead Contact Person: 
Christina Scerbo
Alyson Wilson
Physician/Nurse Lead: 
Dr. Rod Lim, Site Chief Paediatric Emergency Medicine
Emergency Medicine - Paediatric Emergency Department
Approval By: 
Medical Advisory Committee
Original Effective Date: 
Wednesday, April 10, 2013
Revised Date: 
Wednesday, March 9, 2016
To Be Reviewed Date: 
Saturday, March 9, 2019
This Medical Directive Applies to the following sites: 
This Medical Directive Applies to the following patient population: 

The RN in the Paediatric Emergency Department may initiate the following assessments and treatments;

If patient is equal to or less than 6 weeks of age

  • Administration of acetaminophen
  • Notify MD that patient is febrile have MD see patient  and obtain orders for:

            Catheter for urinalysis and  culture

            Draw blood: Complete Blood Count, lytes, urea, Creatinine, Glucose, Blood Culture

            Obtain intravenous (IV) access


If patient is greater than 6 weeks of age and less than 3 months of age

  • Administration of acetaminophen
Click the link to view the entire medical directive in detail: 


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