Berkshire Healthcare NHS Foundation Trust Becky White CHS Pharmacist April 2013
|
|
- Brenda Knight
- 8 years ago
- Views:
Transcription
1 Berkshire Healthcare NHS Foundation Trust Becky White CHS Pharmacist April 2013
2 Access to palliative care drugs out of hours Agreement set up with local community pharmacy s to hold stock of commonly prescribed drugs which are on the agreed list set up by the PCT. During normal working hours it is expected that in the first instance, prescriptions would be presented at a local community pharmacy. The service has been running for over 5 years now. Main issues are around items going out of stock and access to pharmacy's for the community nurses i.e. parking.
3 List of palliative care drugs stocked by community pharmacy palliative care providers Cyclizine injection 50mg/1ml 2 x 5 Ondansetron injection 8mg/4ml 1 x 5 Dexamethasone injection 8mg/2ml 1 x 5 Oramorph solution 10mg/5ml 3 x 100ml Diazepam rectal tubes 10mg 1 x 5 Oramorph Conc solution 100mg/5ml 1 x 120ml Diclofenac injection 75mg/3ml 1 x 5 Oxycodone injection 10mg/1ml 4 x 5 Diclofenac supps 100mg 1 x 10 Oxycodone injection 20mg/2ml 4 x 5 Fentanyl Matrix patches 12mcg/hr 1 x 5 Oxycontin tablets 5mg 1 x 28 Fentanyl Matrix patches 25mcg/hr 1 x 5 Oxycontin tablets 20mg 1 x 56 Fentanyl Matrix patches 50mcg/hr 1 x 5 Oxynorm liquid 5mg/5ml 1 x 250ml Haloperidol injection 5mg/1ml 1 x 5 Phenobarbitone injection 200mg/1ml 1 x 10 Hyoscine butylbromide injection 20mg/1ml 2 x 10 Sodium chloride 0.9% injection 10ml 20amps Levomepromazine injection 25mg/1ml 1 x 10 Tranexamic acid tablets 500mg 1 x 60 Levomepromazine tablets 25mg 1 x 84 Water for injection 10ml 20 amps Lorazepam tablets 1mg 1 x 20 Zomorph capsules 10mg 1 x 60 Metoclopramide injection 10mg/2ml 2 x 10 Zomorph capsules 30mg 1 x 60 Midazolam injection 10mg/2ml 2 x 10 Zomorph 60mg 1 x 60 Morphine sulphate injection 10mg/1ml 4 x 5 Zomorph 100mg 1 x 60 Morphine sulphate injection 15mg/1ml 4 x 5 Morphine sulphate injection 60mg/2ml 2 x 5 MST tablets 5mg 1 x 60
4 Prescribing of anticipatory medicines Where possible all anticipatory medication should be in place already. Medication written up on FP10 by GP/ palliative care service and accessed through local community pharmacy or a pharmacy within the palliative care scheme. Ideally the family would be asked to obtain the medication from community pharmacy although the community nurse would collect this and take it to the patients home if necessary. Anticipatory drugs are stored in the patients home. Out of Hours GP service hold some stock.
5 New development Sub Cut sodium chloride for the treatment of dehydration Palliative Care Consultant along with the IV Nurse Specialist, Community Nurses and a Pharmacist have developed the Guideline/SOP. Due to the relative ease of setting up and administering subcutaneous fluids, the procedure can be carried out in the home by district nurses and community matrons (Marsden 2004). Patients will be treated in their own homes in order to avoid unnecessary hospital admissions.
6 Subcutaneous sodium chloride Ethical issues around the use of subcutaneous sodium chloride in palliative care patients. Not first line choice. Training required for NMP s within the service. Sub cut fluids are useful in the small number of patients where their disease prevents drinking before the dying process has started i.e. oesophageal tumours.
7 Questions and issues to be addressed when setting up the service Sub cut sodium chloride is on off-license indication. Who will prescribe the fluid and what paperwork will be used? Can NMP s prescribe off-licence meds? Who will supply the stock? Issues around supply via community pharmacy. Time delays around stock supply.
8 Questions and issues to be addressed when setting up the service Who will pay for it? Is the service commissioned? How often will it be required? Where will the stock be stored? Access out of hours? Will we need to supply stock to both the East and West of the area, therefore multiple sites. Transport of stock to the sites.
9 Questions and issues to be addressed when setting up the service Will the stock need to be pre-labelled? Are dose calculations necessary and are these double checked? Correct selection of the stock. Who will monitor stocks and request more supplies when needed? Disposal of out of date stocks. Pharmacy involvement photocopy prescriptions and send to pharmacy retrospectively.
10 Questions and issues to be addressed when setting up the service How to ensure stock is not removed without a valid prescription? Hardware issues giving sets and drip stands also required. Can these be held in the same place? In line with NPSA 20 Injectable Medicines - a risk assessment will need to be completed. Separation of prescribing and administering for NMP s out of hours. Getting the model right for the future.
11 Also in the pipeline: Extension of the existing IV cellulitis pathway allowing community nurses to give the first dose of antibiotics in the patients home instead of the acute setting. IV UTI pathway. British Heart Foundation IV Furosemide project. Watch this space....
Service Specification for NHS Community Pharmacy Palliative Care Drugs Stockist Scheme
Service Specification for NHS Community Pharmacy Palliative Care Drugs Stockist Scheme 1. This agreement is between NHS England North Midlands (Derbyshire/ Nottinghamshire only) (the Commissioner) Birch
More informationOn Demand Availability of Palliative Care Drugs Service
On Demand Availability of Palliative Care Drugs Service Locally Enhanced Service Author: Peer Review: Produced For review April 2013 Ruth Buchan, Senior Pharmacist Julie Landale, HoMM NHS Calderdale 4th
More informationCommunity Pharmacists in NHS Rotherham
SERVICE LEVEL AGREEMENT TO ENABLE COMMUNITY PHARMACISTS IN NHS ROTHERHAM TO PROVIDE PALLIATIVE CARE DRUGS AS LOCAL ENHANCED SERVICE PREPARED BY: NHS Rotherham CCG Medicines Management Team on behalf of
More informationLocal Enhanced Service Contract 2014-15 Supply Nene CCG of Drugs for use in Palliative Care by Community Pharmacies in Nene CCG and Corby CCG
Local Enhanced Service Contract 2014-15 Supply Nene CCG of Drugs for use in Palliative Care by Community Pharmacies in Nene CCG and Corby CCG Designated contact: NHS England Herts & South Midlands Area
More informationGood Practice Guidance: The safe management of controlled drugs in care homes
Good Practice Guidance: The safe management of controlled drugs in care homes Medicines Management Social Care Support Team Reviewed April 2015 Good Practice Guidance: The safe management of controlled
More informationA Guide to pain relief medicines For patients receiving Palliative Care
A Guide to pain relief medicines For patients receiving Palliative Care 1 Which pain medicines are you taking? Contents Page No. Amitriptyline 8 Codeine 9 Co-codamol 10 Co-dydramol 11 Diclofenac (Voltarol
More informationPharmaceutical care of people requiring palliative care Course activities
Pharmaceutical care of people requiring palliative care Course activities Case Study 1 Mrs Green, a 70 year-old lady, has metastatic carcinoma of the breast (breast cancer with spread to other areas).
More informationEND OF LIFE MEDICINES INFORMATION PACK
END OF LIFE MEDICINES INFORMATION PACK Advice on end of life medication is available from the nursing and medical team at St Nicholas Hospice Care - telephone 01284 766133. Many drugs used in palliative
More informationExamples of Good Practice Resource Guide
Examples of Good Practice Resource Guide Just in Case Boxes August 2006 Gold Standards Framework Just in Case Boxes Resource Contents 1. Introduction 2. Gold Standards Framework guidance on developing
More informationOpioids in Palliative Care- Patient Information Manual
Version 2.0 with MST example Introduction The following pages explain what opioids are and what we think you may want to know about them. There is quite a lot of information here, most of it is based on
More informationYour A-Z of Pain Relief A guide to pain relief medicines. We care, we discover, we teach
Your A-Z of Pain Relief A guide to pain relief medicines We care, we discover, we teach Which pain medicines are you taking? Abstral (see Fentanyl Instant Tablets) Amitriptyline 5 Brufen (see Ibuprofen)
More informationStandard Operating Procedure
Standard Operating Procedure Title: Controlled Drugs in Community Services (including Community Hospitals, Community Nursing and Community Units) Prepared by: Rajitha Ramakrishnan Presented to: Care &
More informationGUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS
GUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS Bristol Palliative Care Collaborative Contact Numbers: Hospital Specialist Palliative Care Teams: Frenchay 0117 340 6692 Southmead 0117 323
More informationAnnual Medicines Management Report. 2013 to 2014
Annual Medicines Optimisation and Pharmaceutical Services Report 2014/2015 Annual Medicines Management Report 2013 to 2014 Date Presented to: Action Plan included Review Date of Action Plan May 2014 Patient
More informationGood practice for drug calculations
Good practice for drug calculations A step-by-step guide for nurses, doctors and all other healthcare professionals Pharmacyservices 7048 Drug Cal Guide A6 Update_AW.indd 1 22/07/2014 09:55 2 Contents
More informationOxford University Hospitals. NHS Trust. Oxford Centre for Head and Neck Oncology. Pain Relief. Information for patients
Oxford University Hospitals NHS Trust Oxford Centre for Head and Neck Oncology Pain Relief Information for patients Introduction This booklet has been written to give you information about pain relief.
More informationHow To Take A Strong Opioid Painkiller
Using strong painkillers for cancer pain This information is an extract from the booklet Controlling cancer pain. You may find the full booklet helpful. We can send you a copy free see page 8. Contents
More informationYour A-Z of coping with nausea and vomiting A guide for patients and their carers. We care, we discover, we teach
Your A-Z of coping with nausea and vomiting A guide for patients and their carers We care, we discover, we teach Contents What is this guide about?.... 1 What causes nausea and vomiting?... 1 Some common
More informationGood Practice Guidance: The administration of medicines in domiciliary care
Good Practice Guidance: The administration of medicines in domiciliary care Medicines Management Social Care Support Team Reviewed February 2014 This guidance is based on documents that were on CQC s website
More informationMEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts
MEDICINES MANAGEMENT STANDARD OPERATING PROCEDURE (MMSOP018) Preparation of Medication Administration Record (MAR) Charts Any deviation in practice from this procedure must be discussed with the Community
More informationA. ADMINISTERING SUBCUTANEOUS MEDICATIONS INTERMITTENTLY/CONTINUOUSLY B. (SUBCUTANEOUS INFUSION) HYDRODERMOCLYSIS
SUBCUTANEOUS THERAPY A. ADMINISTERING SUBCUTANEOUS MEDICATIONS INTERMITTENTLY/CONTINUOUSLY B. (SUBCUTANEOUS INFUSION) HYDRODERMOCLYSIS PARTS I. Purposes II. General Information III. Responsibilities IV.
More informationAnnual Medicines Management Report. 2014 to 2015
Annual Medicines Optimisation and Pharmaceutical Services Report 2014/2015 Annual Medicines Management Report 2014 to 2015 Date Presented to: Action Plan included May 2015 Quality and Safety Committee
More informationNHS Lanarkshire Care Homes Protocol Group. Care Home Prescriptions - Good Practice Guide
NHS Lanarkshire Care Homes Protocol Group Care Home Prescriptions - Good Practice Guide Date of Publication Review Date August 2015 Responsible Author Francesca Aaen Care Homes Pharmacist on behalf of
More informationDrug Calculations. How to Solve Drug Calculations
S tudent earning entre C Drug Calculations How to Solve Drug Calculations Identify what type of drug calculation and as a first step, use common sense to estimate a rough answer. In many cases, drawing
More informationOPIOIDS CONVERSION GUIDELINES 2007
Opioid analgesics vary in potency, side effect and pharmacokinetic profile. Therefore the Opioid Conversion Guidelines has been developed to assist when changing opioid drug therapy. When opioid rotating
More informationBriefing Document on Sound-Alike Look-Alike Drugs (SALADs)
Briefing Document on Sound-Alike Look-Alike Drugs (SALADs) About the IMSN The Irish Medication Safety Network (IMSN) is an independent group of pharmacists and other specialists working in the acute sector,
More informationGuide to the Pharmacological Management of End of Life (Terminal) Symptoms in Residential Aged Care Residents
Guide to the Pharmacological Management of End of Life (Terminal) Symptoms in Residential Aged Care Residents Residential Aged Care Palliative Approach Toolkit Guide to the Pharmacological Management of
More informationClinical Practice Guidelines: Nurse Practitioner, Palliative Care Service
Clinical Practice Guidelines: Nurse Practitioner, Palliative Care Service Purpose of Role The Nurse Practitioner (NP) will provide comprehensive palliative care management and advanced nursing care in
More informationDay Case Unit, Horton General Hospital Information and advice following a surgical procedure under spinal anaesthetic
Oxford University Hospitals NHS Trust Day Case Unit, Horton General Hospital Information and advice following a surgical procedure under spinal anaesthetic What is a spinal anaesthetic? Spinal anaesthesia
More information! # # # %# # & # ( ) +,. / 01 2 3 4 % # )., 0,, 5((/ + 6 0,67 8,+,, + 6,67, 7 6
! # # # %# # & # ( ) +,. / % # ).,,, ((/ +,7 8,+,, +,7, 7 9 Title : Non-Medical Prescribing in Palliative Care: A Regional Survey. Corresponding Author: Dr Lucy Ziegler l.e.ziegler@leeds.ac.uk Senior Research
More informationDRUG CALCULATIONS. Mathematical accuracy is a matter of life and death. [Keighley 1984]
DRUG CALCULATIONS Mathematical accuracy is a matter of life and death. [Keighley 1984] At the end of this practice sheet, you will be able to: Perform simple arithmetical tasks. Accurately calculate drug
More informationDRUG CALCULATIONS FOR REGISTERED NURSES ADULT SERVICES
Serving the people of north east Essex DRUG CALCULATIONS FOR REGISTERED NURSES ADULT SERVICES A Programmed Approach - It is essential you read this pack & practice the questions prior to your drug calculation
More informationWhen calculating how much of a drug is required, working with the formula helps the accuracy of the calculation.
DRUG CALCULATIONS When calculating how much of a drug is required, working with the formula helps the accuracy of the calculation. Always remember this formula: What you want X Quantity it comes in What
More informationGLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST
GLOUCESTERSHIRE HOSPITALS NHS FOUNDATION TRUST MEDICINES MANAGEMENT STRATEGY 2006/07 ANNUAL REPORT 1. Aim An annual report on the Trust s Medicines Management Strategy is part of the requirements for Standards
More informationExample 3: Dilantin-125 is available as 125 mg/5 ml. Dilantin-125, 0.3 g PO, is ordered. How much should the nurse administer to the patient?
Drug Dosage & IV Rates Calculations Drug Dosage Calculations Drug dosage calculations are required when the amount of medication ordered (or desired) is different from what is available on hand for the
More informationPrompting, assisting and administration of medication in a care setting: guidance for professionals
Prompting, assisting and administration of medication in a care setting: guidance for professionals Publication date: March 2015 Publication code HCR-0315-092 Page 1 of 6 Background Any care service provision
More informationNegligence and patient safety. Mark Gagan
Negligence and patient safety Mark Gagan Intended Learning outcomes Following this presentation the participant should be able to define accountability, negligence and the triad of negligence Determine,using
More informationAudit to assess GP awareness and documentation of biologic and DMARD drugs in primary care patient records
Audit to assess GP awareness and documentation of biologic and DMARD drugs in primary care patient records Queen Elizabeth Hospital Gateshead Shekar P, Goodhead C, Kelly C, Francis G, Bailey AM*, Thompson
More informationImplementing stock end-of-life medication in UK nursing homes. Kathy Morris, Jo Hockley
Implementing stock end-of-life medication in UK nursing homes Kathy Morris, Jo Hockley Ab stract Background: In nursing care homes (NCHs), the use of end-of-life care (EoLC) medication has traditionally
More informationHumulin R (U500) insulin: Prescribing Guidance
Leeds Humulin R (U500) insulin: Prescribing Guidance Amber Drug Level 2 We have started your patient on Humulin R (U500) insulin for the treatment of diabetic patients with marked insulin resistance requiring
More informationSection II When you are finished with this section, you will be able to: Define medication (p 2) Describe how medications work (p 3)
Section II When you are finished with this section, you will be able to: Define medication (p 2) Describe how medications work (p 3) List the different medication effects (p5) List the ways that medications
More informationHeadin. The Disposal of Medicines in. Nursing Homes. A Guide to Good Practice
Headin The Disposal of Medicines in g Nursing Homes A Guide to Good Practice Place your message here. For maximum impact, use two or three sentences. November 2011 Contents Page 1.0 Introduction 3 2.0
More informationMEDICINE ADMINISTRATION WORKBOOK (YEAR 3; Semester 1)
MEDICINE ADMINISTRATION WORKBOOK (YEAR 3; Semester 1) STUDENT S NAME: CLASS: PERSONAL TUTOR S NAME: MENTOR S SIGNATURE: DATE: Placement 1 MENTOR S SIGNATURE: DATE: Placement 2 To confirm that Mentor is
More information1 Manipulation of formulae and dilutions
1 Manipulation of formulae and dilutions This first chapter of questions is specifically designed to cover a range of numeracy skills. It will give the user further experience in the skills of addition,
More informationPalliative Coverage Drug Benefit Supplement
Palliative Coverage Drug Benefit Supplement Effective April 1, 2015 Inquiries should be directed to: Pharmacy Services Alberta Blue Cross 10009 108 Street NW Edmonton AB T5J 3C5 Telephone Number: (780)
More informationGuidelines for the Use of Subcutaneous Medications in Palliative Care
Guidelines for the Use of Subcutaneous Medications in Palliative Care Dec 2009 Review Dec 2011 1 Acknowledgments These guidelines have been adapted for local use with kind permission from NHS Greater Glasgow
More informationSAFER MANAGEMENT OF CONTROLLED DRUGS Report to the Clinical Governance Committee 8 th October 2014
SAFER MANAGEMENT OF CONTROLLED DRUGS Report to the Clinical Governance Committee 8 th October 2014 1. PURPOSE OF REPORT AND PERIOD COVERED BY REPORT 1.1. The purpose of this report is to update the Committee
More informationLDU Maths, Stats and Numeracy Support. Metric Conversions
Metric Conversions Here are some metric weights arranged in size order, starting with the biggest:- Kg (kilogram) g (gram) mg (milligram) mcg (microgram) Each one is a thousand (1000) times smaller than
More informationNational Patient Safety Agency. Risk Assessment of Injectable Medicines. STEP 1 Local Risk Factor Assessment. STEP 2 Product Risk Factor Assessment
NPSA Injectable Medicines Risk Assessment Tool National Patient Safety Agency Risk Assessment of Injectable Medicines STEP 1 Local Risk Factor Assessment. Carry out a baseline assessment in a near patient
More informationPain management. The WHO analgesic ladder
Pain management Successful treatment requires an accurate diagnosis of the cause and a rational approach to therapy. Most pains arise by stimulation of nociceptive nerve endings; the characteristics may
More informationNHS Professionals. Guidelines for the Administration of Medicines
NHS Professionals Guidelines for the Administration of Medicines Introduction The control of medicines in the United Kingdom is primarily through the Medicines Act (1968) and associated British and European
More informationKeeping patients safe when they transfer between care providers getting the medicines right
PART 1 Keeping patients safe when they transfer between care providers getting the medicines right Good practice guidance for healthcare professions July 2011 Endorsed by: Foreword Taking a medicine is
More informationFollowing minor gynaecological surgery
Following minor gynaecological surgery Exceptional healthcare, personally delivered n Following your operation you should have an adult to take you home and remain with you overnight. Transport home should
More informationGuidelines for the Use of Naloxone in Palliative Care in Adult Patients
Guidelines for the Use of Naloxone in Palliative Care in Adult Patients Date Approved by Network Governance May 2012 Date for Review May 2015 Changes between Version 1 and 2 1. Guideline background 2.
More informationSection 2 Solving dosage problems
Section 2 Solving dosage problems Whether your organization uses a bulk medication administration system or a unit-dose administration system to prepare to administer pediatric medications, you may find
More informationOPIOID CONVERSIONS. 2. Add a rescue doses (IR) of same opioid if possible should be~10 20% of total daily opioid dose
OPIOID CONVERSIONS 1. Converting Short acting Long Acting (IR SR) when pain is well controlled *Use for : CHRONIC pain Pts on scheduled IR opioids pain that recurs before the next dose PP: Can use equianalgesic
More information1. What are anti-epileptic drugs? Anti-epileptic drugs (AEDs) are prescribed to control seizures. They do not cure epilepsy.
14 FREQUENTLY ASKED QUESTIONS ON ANTI- EPILEPTIC DRUGS 1. What are anti-epileptic drugs? Anti-epileptic drugs (AEDs) are prescribed to control seizures. They do not cure epilepsy. 2. When should treatment
More informationpaediatric nursing: calculation skills
Calculation skills p a e d i a t r i c n u r s i n g : c a l c u l a t i o n s k i l l s Written by: Meriel Hutton RGN, BA, CertEd, PhD, Senior Associate Dean (Undergraduate Studies, Nursing and Midwifery),
More informationPharmacy Technician Web Based Calculations Review
Pharmacy Technician Web Based Calculations Review MODULE 3 3 2009 PRESENTED BY: Jenifer Maki, JENIFER PharmD MAKI, PHARMD BRETT SALEM, PHARMD WITH CONTRIBUTIONS DEREK LOMAS, FROM: PHARMD Brett Salem, PharmD
More informationDeveloped / Reviewed by the Collaborative Provider PGD (Patient Group Direction) Group (CPPGDG) and approved by the following members of the CPPGDG:
Patient Group Direction 7.02 version 4.0 Administration of Intravenous Adrenaline (Epinephrine) 1 in 10,000 (100micrograms per ml) Injection in Cardiopulmonary by Registered Practitioners in Torbay and
More informationPain relief at home. Information for adult patients
Pain relief at home Information for adult patients 3 Contents Page 3 Page 3 Page 5 Page 7 Page 8 Introduction to pain relief Common pain relief medicines and their side effects More information about pain
More informationBasic Medication Administration Exam LPN/LVN (BMAE-LPN/LVN) Study Guide
Basic Medication Administration Exam LPN/LVN (BMAE-LPN/LVN) Study Guide Review correct procedure and precautions for the following routes of administration: Ear drops Enteral feeding tube Eye drops IM,
More informationValue added services of pharmaceutical fullline wholesalers. Contact GIRP for discussing partnerships + 32 2 777 99 77 girp@girp.
Value added services of pharmaceutical fullline wholesalers Contact GIRP for discussing partnerships + 32 2 777 99 77 girp@girp.org Selected examples from GIRP s integrated member companies: Please note
More informationObjectives. Background
Development and Implementation of a Pharmacist-Managed Intranasal Naloxone Distribution Program in a Veterans Affairs Healthcare Facility and Associated Community Clinics Innovative Practices Award Finalist
More informationNarcotic drugs used for pain treatment Version 4.3
Narcotic drugs used for pain treatment Version 4.3 Strategy to restrict the pack sizes or the type of packaging available in public pharmacies. 1. Introduction The document describing the strategy of the
More informationRapid Response Report NPSA/2010/RRR013: Safer administration of insulin
Rapid Response Report NPSA/2010/RRR013: Safer administration of insulin June 2010 Supporting Information Contents 1. Introduction...2 2. Background...2 3. Review of evidence of harm...4 References...7
More informationGetting the best result from Opioid medicine. in the management of chronic pain
Getting the best result from Opioid medicine in the management of chronic pain Your doctor has prescribed you opioid medicine to help you manage your chronic pain. This patient information leaflet gives
More informationAll my medications. This workbook has information about all the medications I am taking or using. Medication can mean many things
All my medications My name is This workbook has information about all the medications I am taking or using. Medication can mean many things tablets or pills or capsules creams or ointments patches liquid
More informationLithium Therapy. Important information for patients COLLEGE CENTRE FOR QUALITY IMPROVEMENT
Lithium Therapy Important information for patients COLLEGE CENTRE FOR QUALITY IMPROVEMENT National Patient Safety Agency National Patient Safety Agency Your information Your name: Address: Postcode: Home
More informationHospice & Palliative Care in Developing Countries
Hospice & Palliative Care in Developing Countries Compounding End of Life Medications WHO Recommendations to Developing Countries Russ Zakarian, Pharm.D. FASCP What is Compounding? Compounding is the method
More informationReview Group: Mental Health Operational Medicines Management Group. Signature Signature Signature. Review Date: December 2014
Mental Health NHS Grampian Mental Health Service Staff Guidance For The Prescribing Of Vitamin Supplementation During In-Patient Admission (Mental Health) For Alcohol Withdrawal Co-ordinators: Consultant
More informationPain and problem drug use
Pain and problem drug use Information for patients Prepared by the British Pain Society in consultation with the Royal College of Psychiatrists, the Royal College of General Practitioners and the Advisory
More informationAuthorised Products Containing Substances Listed in Schedule 2 of. the Misuse of Drugs Regulations 1988, as amended
Authorised Products Containing Substances Listed in Schedule 2 of Human medicines the Misuse of Drugs Regulations 1988, as amended Product Name Marketing Authorisation Number Controlled Substance Rapifen
More informationLocal Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy
Local Enhanced Service Specification for the Supply of Pharmaceutical Services to Care Homes through Community Pharmacy Contents: 1. Introduction and purpose 2. Period of Service 3. Aim of the Service
More informationA Pharmacy Pharmacist, Ms B. A Report by the Health and Disability Commissioner. (Case 04HDC13191)
A Pharmacy Pharmacist, Ms B A Report by the Health and Disability Commissioner (Case 04HDC13191) Opinion/04HDC13191 Parties involved Mrs A Miss A Ms B Pharmacy Complainant Consumer Provider Pharmacy Complaint
More informationThe Pharmacological Management of Cancer Pain in Adults. Clinical Audit Tool
The Pharmacological Management of Cancer Pain in Adults Clinical Audit Tool 2015 This clinical audit tool accompanies the Pharmacological Management of Cancer Pain in Adults NCEC National Clinical Guideline
More informationHorton Day Case Unit. Information and advice after a surgical procedure under a general anaesthetic
Horton Day Case Unit Information and advice after a surgical procedure under a general anaesthetic Information for patients 2 Driving Anaesthetic drugs remain the body for up to 48 hours and gradually
More informationPackage leaflet: Information for the patient. Naloxone Hydrochloride 20 micrograms / ml Solution for Injection Naloxone hydrochloride
A leaflet will be included in each pack. The leaflet will consist of a Technical Information Leaflet and a Patient Information Leaflet. The two leaflets will be easily separatable. The text of the Technical
More informationHospital on Trial 15/10/2014. Objectives. The players
Objectives Hospital on Trial Guys and St Thomas NHS Foundation Trust DAC Beachcroft LLP Twitter: @healthlawuk Understand How things can go wrong The importance of acting on information Where human error
More informationNOTICES DEPARTMENT OF HEALTH
NOTICES DEPARTMENT OF HEALTH Approved Drugs for ALS Ambulance Services [43 Pa.B. 3060] [Saturday, June 1, 2013] Under 28 Pa. Code 1005.11 (relating to drug use, control and security), the following drugs
More informationGUIDANCE ON THE ADMINISTRATION OF DRUGS VIA ENTERAL FEEDING TUBES V 3.0
GUIDANCE ON THE ADMINISTRATION OF DRUGS VIA ENTERAL FEEDING TUBES V 3.0 1 st June 2013 Table of Contents Table of Contents... 2 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope...
More informationPolicy for the issue of permits to prescribe Schedule 8 poisons
Policy for the issue of permits to prescribe Schedule 8 poisons May 2011 Introduction The Victorian Drugs, Poisons and Controlled Substances (DPCS) legislation sets out certain circumstances when a medical
More informationElectronic Medication Administration Record (emar) (For Cerner Sites Only)
POLICY NO. 1009 Approved: 12/05 Effective: 12/05 Reviewed: 9/10; 5/12 1. Purpose: Electronic Medication Administration Record (emar) (For Cerner Sites Only) To provide direction for the transcription and
More informationHealth (Drugs and Poisons) Regulation 1996. Drug Therapy Protocol Rural and Isolated Practice Area Endorsed Nurse
Health (Drugs and Poisons) Regulation 1996 Drug Therapy Protocol Rural and Isolated Practice Area Endorsed Nurse Health Protection Unit Medicines Regulation and Quality PO Box 21 Fortitude Valley BC QLD
More informationAll Wales Prescription Writing Standards
All Wales Prescription Writing Standards These standards should be read in conjunction with completing the All Wales Medication Chart e- learning package, available on the Learning@NHSWales internet site
More informationIncluding Me, Managing Complex Health Needs in Schools and Early Years Settings
Model Policy for The Administration of Medicines in Schools Evelyn Green Steph King Moira Young Jo Howcroft Scott Lisa Maidment Jenny Tapply John Studley Liz Foster Sarah Fletcher Sally Anne Clark Manager
More informationCommon medicines given to neurosurgery patients on discharge from hospital
Common medicines given to neurosurgery patients on discharge from hospital This leaflet contains brief information about some of the medicines we commonly supply on discharge to patients who have been
More informationHealth Service Clare Holland House, Palliative Care Service, Calvary Health Care ACT
Nurse Practitioner Health Service, Palliative Care Service, Calvary Health Care ACT Speciality Area Palliative Care Setting Palliative care, as a speciality branch of sub-acute care, aims to provide quality
More informationPRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES
PRINCESS MARGARET CANCER CENTRE CLINICAL PRACTICE GUIDELINES HEAD AND NECK ONCOLOGY NURSING FOR HEAD AND NECK CANCERS Head & Neck Site Group Oncology Nursing for Head and Neck Cancers Specialized Oncology
More informationNote that the following document is copyright, details of which are provided on the next page.
Please note that the following document was created by the former Australian Council for Safety and Quality in Health Care. The former Council ceased its activities on 31 December 2005 and the Australian
More informationWest of Scotland Chronic Non Malignant Pain Opioid Prescribing Guideline
West of Scotland Chronic Non Malignant Pain Opioid Prescribing Guideline This guidance forms part of the West of Scotland Efficiency and Productivity Workstream, Acute Prescribing Group. Clinicians from
More informationSt Bernard s Catholic School. Administration of Medicine Policy
St Bernard s Catholic School Page 1 of 10 The St Bernard s administration of medicine policy has been developed to ensure that children with medical needs have the same access to education as their peers
More informationPatient information. Using strong Opioids to control your pain
Patient information Using strong Opioids to control your pain Published: April 2013. Date for review: April 2016 Introduction This leaflet explains what strong opioids (pronounced oh-pee-oyds) e are and
More informationNotifications about controlled drugs: guidance for providers
Notifications about controlled drugs: guidance for providers March 2015 Publication code: OPS-0415-311 Page 1 of 6 1. New notification on controlled drugs From 1 April 2015, a new notification is being
More informationPalliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness
Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Dealing with the symptoms of any painful or serious illness is difficult. However, special care is available
More informationDrug treatment pathway for Osteoporosis in Postmenopausal Women
Drug treatment pathway for Osteoporosis in Postmenopausal Women Version 1.0 Ratified by: East Sussex HEMC Date ratified: 26.01.2011 Job title of originator/author Gillian Ells, East Sussex HEMC Pharmacist
More informationSTRATEGIC OUTLINE CASE. e-prescribing SYSTEM PROJECT DOCUMENTATION. Release: Draft vs. 0.3. Date: 20 th May 2008
PROJECT DOCUMENTATION STRATEGIC OUTLINE CASE e-prescribing SYSTEM Release: Draft vs. 0.3 Date: 20 th May 2008 Author: Liz Boylan Noy Scott House RDEH(Wonford) Barrack Road Exeter EX2 5DW Tel: 01392 402365
More informationOrder Phenytoin dilantin ivpb rate when to order phenytoin level dilantin 30 mg
Order Phenytoin 1 dilantin loading dose iv 2 can you buy dilantin 3 generic phenytoin manufacturers 4 what is a high dilantin level 5 buy generic dilantin 6 dilantin ivpb administration 7 purchase phenytoin
More informationMedication Administration Competency Assessment Toolkit
Medication Administration Competency Toolkit For all qualified Nursing Staff and Mental Health Practitioners within Southern Health NHS Foundation Trust Updated by Stephen Bleakley, Steve Coopey, Fiona
More information