Fractional Dosing and Application for Scopolamine in Pediatrics

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Wed, 05/20/2026 - 12:58
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Melissa Ruffini
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Joined: 01/18/2023 - 13:19
Fractional Dosing and Application for Scopolamine in Pediatrics

Hi everyone,

Would anyone be willing to share their organization’s practice for applying 1/4 or 1/2 scopolamine patches?

We currently use the “Band-Aid method,” where nurses place a Band-Aid with the backing still attached (to create an impermeable barrier) over 1/2 or 3/4 of the patch.

The manufacturer recommendation we found suggests cutting the clear backing to expose only the ordered dose, applying the patch to the skin, and then covering with a transparent dressing. However, there are concerns that this could make it difficult for nurses to visually verify the partial patch application during later assessments.

I also came across one source recommending placement of an impermeable dressing directly on the skin first, then applying only the ordered portion of the patch over exposed skin.

I would appreciate hearing how other organizations operationalize this, including any policies, pharmacy guidance, or safety considerations you have incorporated.

Thank you!
Melissa Ruffini
melissa.ruffini@childrens.com

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