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This document serves as a paper order set for managing febrile infants in a clinical setting, outlining various orders, assessments, and treatments during inpatient care or observation.
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How to fill out PED Febrile Infant

01
Gather necessary patient information (name, age, medical history).
02
Assess the infant's vital signs (temperature, heart rate, respiratory rate).
03
Evaluate the infant for any signs of serious illness or distress.
04
Record the duration and intensity of the fever.
05
Ask about any accompanying symptoms (e.g., rash, vomiting, diarrhea).
06
Document any recent exposure to infections, travel history, or vaccinations.
07
Follow clinical guidelines for fever management and treatment recommendations.
08
Ensure all findings are clearly noted in the pediatric evaluation documentation.

Who needs PED Febrile Infant?

01
Infants under 60 days old with a fever.
02
Children presenting with neurological symptoms related to fever.
03
Any febrile infant with a suspected serious infection or presenting with signs of sepsis.
04
Parents or guardians seeking medical evaluation for a febrile infant.
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The guidelines cover the assessment and treatment of well-appearing term infants aged 8-60 days who have a fever of at least 100.4°F (38°C). Urinalysis, blood culture, and analysis of cerebrospinal fluid (CSF) are strongly recommended for infants in this age group.
Have a Fever? When to Call Your Pediatrician AgeWhen to See the Pediatrician Newborn - 3 Months 100.4 Degrees or Higher 3 Months - 3 Years 102 Degrees or Higher 3 Years and Older 103 Degrees or Higher Any Age 102 Degrees or Higher for More than 2 Days Jun 24, 2025
When should I call my child's physician? If your child's temperature reaches 105 degrees Fahrenheit, this is considered a medical emergency and your child needs immediate medical attention, according to the American Academy of Pediatrics.
Febrile seizures are convulsions that can happen when a young child has a fever above 100.4°F (38°C). (Febrile means "feverish.") The seizures usually last for a few minutes and stop on their own. The fever may continue for some time. Most febrile seizures stop without treatment and don't cause other health problems.
Call your doctor if your child has any fever for more than four or five days. Also call your doctor if your child has a high fever AND any of the following: cracked red lips, red tongue, red eyes, swollen hands and feet, rash, abdominal pain or enlarged lymph nodes.
Fever definition – A temperature ≥38°C (100.4°F) is the standard for fever in infants ≤90 days old. Evaluation – Evaluation of the febrile young infant focuses on findings that indicate a high risk for IBI (invasive bacterial infection; bacteremia and/or meningitis) or simplex virus (HSV) infection.
Call your child's physician within 24 hours if your child, 3 months or older, has any of the following conditions present: The fever is 102 degrees Fahrenheit or higher (especially if your child is younger than 2 years old) Burning or pain occurs with urination.
Ask for an urgent GP appointment or get help from NHS 111 if you have: a high temperature and you've been treating it at home but it's not getting better or is getting worse.

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PED Febrile Infant refers to a Pediatric Emergency Department protocol specifically designed to assess and manage infants presenting with fever. It aims to ensure proper evaluation and treatment in young patients.
Healthcare providers, especially those in pediatric emergency departments, are required to file the PED Febrile Infant documentation when treating infants who present with fever.
To fill out the PED Febrile Infant form, healthcare providers should document the patient's demographic information, vital signs, clinical history, physical examination findings, and any relevant laboratory or imaging results.
The purpose of the PED Febrile Infant protocol is to standardize the evaluation and management of febrile infants, ensuring timely and appropriate care to prevent serious illness and complications.
The information that must be reported on the PED Febrile Infant includes the infant's age, duration of fever, symptoms, medical history, physical examination findings, and any laboratory tests performed.
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