Drug Prescription and Administration Record

Size: px
Start display at page:

Download "Drug Prescription and Administration Record"

Transcription

1 Chart No. this admission Drug Prescription and Administration Record Patient s Name: of Admission: Chart Start : Chart Finish : NHS No: Consultant Code: Ward: ALERT: of Birth: ADDITIONAL CAUTIONS FOR PRESCRIBING (e.g. renal failure, gastric ulceration etc) Tick if on CHEMOTHERAPY OTHER CHARTS in use Tick Box: Syringe driver Opioid patch Other Other DRUG SENSITIVITIES & REACTIONS ature: : ONCE ONLY / NURSE LED PRESCRIPTIONS See Approved Homely Remedies list Medicine Dose Route Instructions Start time Doctor s signature Time given Nurse s signature REMOTE PRESCRIPTIONS File Emergency Telephone Prescription of Drugs form in notes and document any doses given here Medicine Dose Route Instructions Time given Specify text/ etc Nurse s signature Dr. signature (next working day) CODE FOR USE ON REGULAR AND PRN CHART R = drug refused by patient N = drug not in stock U = patient too unwell W = drug withheld O = patient out P = patient self-administration

2 INTRAVENOUS THERAPY AND SUBCUTANEOUS INFUSION FOR INFUSION FLUIDS, BLOOD, PLASMA AND DRUGS BY ONE CONTINUOUS INFUSION No additions to be made to blood products or sodium bicarbonate. For information on additive compatibilities contact acy Medicines Information. Infusion Fluid Additions to Infusion Time to Run or ml/hr Prescriber s signature Batch No. Pump Asset No. Time start Nurses signiture x2 Time end Amount infused Type/Strength Volume Route / Site Drug Dose Print name

3 DRUG SENSITIVITIES: DIAGNOSIS: Route Key IM = Intramuscular SC = Subcutaneous TOP = Topical NEB = Nebulised INH = Inhalation IV = Intravenous PR = Per Rectum PO = Oral / Enteral SL = Sublingual PV = Per Vaginam PEG = Percutaneous endoscopic gastrostomy BUC = Buccal TD = Transdermal NAS = Nasal REGULAR PRESCRIPTIONS MONTH DATE Drug Dose Route Frequency Start Special Instruction / Indication Drug 0800 Dose Route Frequency Start Special Instruction / Indication 1800 Drug 0800 Dose Route Frequency Start Special Instruction / Indication 1800 Drug 0800 Dose Route Frequency Start Special Instruction / Indication 1800 Drug 0800 Dose Route Frequency Start Special Instruction / Indication 1800 Drug 0800 Dose Route Frequency Start Special Instruction / Indication 1800

4 REGULAR PRESCRIPTIONS Continued... MONTH DATE Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start

5 REGULAR PRESCRIPTIONS Continued... MONTH DATE Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start

6 REGULAR PRESCRIPTIONS Continued... MONTH DATE Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start

7 REGULAR PRESCRIPTIONS Continued... MONTH DATE Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start Dose Route Frequency Start

8 PRN PRESCRIPTIONS Drug Time Dose Route Sig Time Dose Route Sig MIDAZOLAM Dose / Range Route Max Freq Start IM only to be used in the event of a CRISIS (e.g. massive haemorrhage, airway obstruction) Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start

9 PRN PRESCRIPTIONS Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start

10 PRN PRESCRIPTIONS Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start

11 PRN PRESCRIPTIONS Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start Drug Time Dose Route Sig Time Dose Route Sig Dose / Range Route Max Freq Start

12 SUBCUTANEOUS SYRINGE DRIVER PRESCRIPTION CHART Prescription to be monitored using Checks In Use form 1 Dose 2 Dose (Dr) Started (Dr) Started Stopped Stopped 3 Dose 4 Dose (Dr) Started (Dr) Started Stopped Stopped 5 Dose 6 Dose (Dr) Started (Dr) Started Stopped Stopped 7 Dose 8 Dose (Dr) Started (Dr) Started Stopped Stopped

[Type text] Anticipatory Medication STAT dose and Syringe Driver Guidance [Type text]

[Type text] Anticipatory Medication STAT dose and Syringe Driver Guidance [Type text] [Type text] Anticipatory Medication STAT dose and Syringe Driver Guidance [Type text] Patients with egfr greater than 30mL/min Patients with egfr less than 30mL/min Symptom Drug Dose Symptom Drug Dose

More information

Medication Safety. Patient Safety. Setting Direction Julie Simmons, Medication Safety Pharmacist January 2016

Medication Safety. Patient Safety. Setting Direction Julie Simmons, Medication Safety Pharmacist January 2016 Medication Safety Patient Safety Setting Direction Julie Simmons, Medication Safety Pharmacist January 2016 1 The patient journey Admission Ward Transfer Ward stay Discharge Medication storage and supply

More information

For patients and their carers this means smoother symptom control, better support in a crisis, and avoidance of admission if that is their choice.

For patients and their carers this means smoother symptom control, better support in a crisis, and avoidance of admission if that is their choice. Bedfordshire Palliative Care Palliative Care Medicines Guidance This folder has been produced to support professionals providing palliative care in any setting. Its aim is to make best practice in palliative

More information

MORPHINE ADMINISTRATION

MORPHINE ADMINISTRATION Introduction Individualised Administration Drug of Choice Route of Administration & Doses Monitoring of Neonates & high risk patients Team Management Responsibility Morphine Protocol Flow Chart Introduction

More information

Diamorphine 4 hour. alfentanil (500microgram/mL) Calculated by dividing 24 hour oral morphine dose by 30

Diamorphine 4 hour. alfentanil (500microgram/mL) Calculated by dividing 24 hour oral morphine dose by 30 If more information is required please seek help from specialist palliative care pioid dose conversion chart, syringe driver doses, rescue/prn doses and opioid patches Use the conversion chart to work

More information

Palliative Care Impact Survey

Palliative Care Impact Survey September 2018 Contents Introduction...3 Headlines...3 Approach...4 Findings...4 Which guideline are used...4 How and where the guidelines are used...6 Alternative sources of information...7 Use of the

More information

ALLERGIES/ SENSITIVITIES This section must be completed before prescribing/administering any drug

ALLERGIES/ SENSITIVITIES This section must be completed before prescribing/administering any drug COMMUNITY PRESCRIPTION CHART All entries should be in CAPITAL letters and in indelible black ink. If medications/ doses are stopped, cross through the relevant line clearly to avoid error. GP: PRESCRIBER

More information

Appendix: Sample prescription form. The following sample prescription form gives examples of sections found in most hospital prescription forms.

Appendix: Sample prescription form. The following sample prescription form gives examples of sections found in most hospital prescription forms. The hands-on guide to practical prescribing Oliver Jones, Nandan Gautam Copyright 2004 by Blackwell Publishing Appendix: Sample prescription form The following sample prescription form gives examples of

More information

Care in the Last Days of Life

Care in the Last Days of Life Care in the Last Days of Life Introduction This guideline is an aid to clinical decision making and good practice in person-centred care for patients who are deteriorating and at risk of dying. The patient

More information

GUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS

GUIDELINES 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: North Bristol 0117 4146392 UH Bristol 0117

More information

Pharmaceutics I صيدالنيات 1. Unit 2 Route of Drug Administration

Pharmaceutics I صيدالنيات 1. Unit 2 Route of Drug Administration Pharmaceutics I صيدالنيات 1 Unit 2 Route of Drug Administration 1 Routs of Drug administration The possible routes of drug entry into the body may be divided into two classes: Parenteral Rout Enteral Rout

More information

Algorithms for Symptom Management. In End of Life Care

Algorithms for Symptom Management. In End of Life Care Algorithms for Symptom Management In End of Life Care The Use of Drugs Beyond Licence (off label) -The Medicines and Healthcare Products Regulatory Agency (MHRA) in the UK regulates the activity of the

More information

PAIN AND SYMPTOM MANAGEMENT GUIDANCE IN THE LAST DAYS OF LIFE

PAIN AND SYMPTOM MANAGEMENT GUIDANCE IN THE LAST DAYS OF LIFE PAIN AND SYMPTOM MANAGEMENT GUIDANCE IN THE LAST DAYS OF LIFE Reference: DCM029 Version: 1.1 This version issued: 07/06/18 Result of last review: Minor changes Date approved by owner (if applicable): N/A

More information

UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2016/17

UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2016/17 LJW3 UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2016/17 FOUNDATIONS OF MEDICINES MANAGEMENT MODULE CODE: HLT4085

More information

PCA PRESCRIPTION is valid for a maximum of 4 days unless ceased earlier. Date: BINDING MARGIN - NO WRITING BINDING MARGIN - NO WRITING

PCA PRESCRIPTION is valid for a maximum of 4 days unless ceased earlier. Date: BINDING MARGIN - NO WRITING BINDING MARGIN - NO WRITING Attach ADR Sticker THESE INSTRUCTIONS EXPLAIN WHEN TO MAKE A CLINICAL REVIEW OR RAPID RESPONSE CALL, YOUR LOCAL ESCALATION PROTOCOL WILL EXPLAIN HOW TO MAKE A CALL PCA ALLERGIES & ADVERSE DRUG REACTIONS

More information

PRESCRIBING GUIDELINES FOR SYMPTOM MANAGEMENT IN THE DYING PATIENT

PRESCRIBING GUIDELINES FOR SYMPTOM MANAGEMENT IN THE DYING PATIENT PRESCRIBING GUIDELINES FOR SYMPTOM MANAGEMENT IN THE DYING PATIENT A collaboration between: St. Rocco s Hospice, Bridgewater Community Healthcare NHS Trust, NHS Warrington Clinical Commissioning Group,

More information

Platelet aggregation inhibitor. Cardiac chest pain or suspected Myocardial Infarction.

Platelet aggregation inhibitor. Cardiac chest pain or suspected Myocardial Infarction. s Aspirin Platelet aggregation inhibitor. Anti-inflammatory agent and an inhibitor of platelet function. Useful agent in the treatment of various thromboembolic diseases such as acute myocardial infarction.

More information

REGISTRATION ASSESSMENT SITTINGS Part 1 example questions. 1. Questions 1 to 12 are examples from part 1 of the registration assessment.

REGISTRATION ASSESSMENT SITTINGS Part 1 example questions. 1. Questions 1 to 12 are examples from part 1 of the registration assessment. Notes REGISTRATION ASSESSMENT SITTINGS 2018 Part 1 example questions 1. Questions 1 to 12 are examples from part 1 of the registration assessment. 2. The answers are on page 14. 3. Unless specified, give

More information

Guidelines: EOLC Symptom Control for Patients with Normal Renal Function (in Wandsworth)

Guidelines: EOLC Symptom Control for Patients with Normal Renal Function (in Wandsworth) Guidelines: EOLC Symptom Control for Patients with Normal Renal Function (in Wandsworth) Policy Number : DC020 Issue Date: October 2014 Review date: October 2016 Policy Owner: Head Community Services Monitor:

More information

Palliative care for heart failure patients. Susan Addie

Palliative care for heart failure patients. Susan Addie Palliative care for heart failure patients Susan Addie Treatments The most common limiting and distressing complaint is of fatigue and breathlessness. Optimal treatment strategies relieve symptoms, improves

More information

PAIN MANAGEMENT Patient established on oral morphine or opioid naive.

PAIN MANAGEMENT Patient established on oral morphine or opioid naive. PAIN MANAGEMENT Patient established on oral morphine or opioid naive. Important; It is the responsibility of the prescriber to ensure that guidelines are followed when prescribing opioids. Every member

More information

Please inform the Diabetes Nurse Specialist that this patient has been admitted within 24hrs of admission.

Please inform the Diabetes Nurse Specialist that this patient has been admitted within 24hrs of admission. Adult Diabetic Ketoacidosis Care Bundle (V1. Issued October 2014 Review October 2015) Improving patient care This pack includes: DKA Management Guideline Name: (Patient Addressograph) DOB: Hospital No:

More information

Paediatric Prescribing Pocket Guide September 2014 (Version 1)

Paediatric Prescribing Pocket Guide September 2014 (Version 1) PAGE 1 Paediatric Prescribing Pocket Guide September 2014 (Version 1) In children, the risk of medication errors is often exacerbated by the need for calculations to determine the dose. Prescribing errors

More information

End of life prescribing guidance

End of life prescribing guidance End of life prescribing guidance Introduction This guidance has been prepared to ASSIST IN DECISION MAKING for the prescribing and monitoring of medicines useful in the management of symptoms commonly

More information

Report to: Public Board of Directors Agenda item: 11 Date of Meeting: 25 July Gosport Hospital Report & RUH Assurance

Report to: Public Board of Directors Agenda item: 11 Date of Meeting: 25 July Gosport Hospital Report & RUH Assurance Report to: Public Board of Directors Agenda item: 11 Date of Meeting: 25 July 2018 Title of Report: Status: Board Sponsor: Author: Appendices Gosport Hospital Report & RUH Assurance For Information Dr

More information

PAIN MANAGEMENT Person established taking oral morphine or opioid naive.

PAIN MANAGEMENT Person established taking oral morphine or opioid naive. PAIN MANAGEMENT Person established taking oral morphine or opioid naive. Important; it is the responsibility of the prescriber to ensure that guidelines are followed when prescribing opioids. Every member

More information

Conservative Management of Uraemia

Conservative Management of Uraemia Conservative Management of Uraemia Information for Health Professionals Renal Department The York Hospital and Scarborough Hospital Tel: 01904 725370 For more information, please contact: The Renal Specialist

More information

MOD 4: Medication Administration

MOD 4: Medication Administration NSE22 Page 1 1. MOD 4: Medication Administration October1310 8:12 PM The CNO identifies eight rights of medication administration. Identify the eight rights and the rationale for each Right Client give

More information

survey Parenteral anti-epileptics What is your experience? May July 2015

survey Parenteral anti-epileptics What is your experience? May July 2015 Parenteral anti-epileptics What is your experience? May July 2015 Number of responses = 99 1a) In patients with pre-existing epilepsy controlled by PO medication that are imminently dying (prognosis

More information

PAEDIATRIC DOSAGE GUIDELINES For management of post-operative acute pain

PAEDIATRIC DOSAGE GUIDELINES For management of post-operative acute pain Index No: MMG43 PAEDIATRIC DOSAGE GUIDELINES For management of post-operative acute pain Version: 3.1 (Includes anti-emetics and naloxone) Date ratified: July 2013 Ratified by: (Name of Committee) Name

More information

SUBCUTANEOUS AS REQUIRED & SYRINGE PUMP PRESCRIPTION & ADMINISTRATION RECORD (SPAR) Name: Address: Postcode: Date of Birth: NHS Number:

SUBCUTANEOUS AS REQUIRED & SYRINGE PUMP PRESCRIPTION & ADMINISTRATION RECORD (SPAR) Name: Address: Postcode: Date of Birth: NHS Number: FILE IN PATIENT S COMMUNITY HEALTH RECORD FOLDER : SUBCUTANEOUS AS REQUIRED & SYRINGE PUMP PRERIPTION & ADMINISTRATION RECORD (SPAR) Abbreviations used in this document to be listed here with the full

More information

PHARMACY SERVICE ARRANGEMENTS FOR THE SUPPLY OF PALLIATIVE CARE SYRINGES AND MEDICINES FOR COMMUNITY PATIENTS

PHARMACY SERVICE ARRANGEMENTS FOR THE SUPPLY OF PALLIATIVE CARE SYRINGES AND MEDICINES FOR COMMUNITY PATIENTS PHARMACY SERVICE ARRANGEMENTS FOR THE SUPPLY OF PALLIATIVE CARE SYRINGES AND MEDICINES FOR COMMUNITY PATIENTS The benefits of prefilled syringes for palliative care from the hospital pharmacy service In

More information

SYMPTOM MANAGEMENT GUIDANCE FOR PATIENTS RECEIVING PALLIATIVE CARE AT ROYAL DERBY HOSPITAL

SYMPTOM MANAGEMENT GUIDANCE FOR PATIENTS RECEIVING PALLIATIVE CARE AT ROYAL DERBY HOSPITAL SYMPTOM MANAGEMENT GUIDANCE FOR PATIENTS RECEIVING PALLIATIVE CARE AT ROYAL DERBY HOSPITAL If a patient is believed to be approaching the end of their life, medication should be prescribed in anticipation

More information

ANTICIPATORY PRESCRIBING FOR PATIENTS AT END OF LIFE WITH RENAL IMPAIRMENT

ANTICIPATORY PRESCRIBING FOR PATIENTS AT END OF LIFE WITH RENAL IMPAIRMENT ANTICIPATORY PRESCRIBING FOR PATIENTS AT END OF LIFE WITH RENAL Doses of opiates must be proptional to current analgesic medication Please refer ALL patients on Methadone Ketamine to SPCT f advice. Patients

More information

Chapter 2 is a general introduction to the drug administration

Chapter 2 is a general introduction to the drug administration Chapter 2 Safe and Accurate Drug Administration Chapter Overview Chapter 2 is a general introduction to the drug administration process. It introduces the student to the role of the person who administers

More information

Drug CHAPTER 2. Pharmacologic Principles. NDEG 26A Eliza Rivera-Mitu, RN, MSN. Pharmacology. Drug Names. Pharmacologic Principles. Drug Names (cont'd)

Drug CHAPTER 2. Pharmacologic Principles. NDEG 26A Eliza Rivera-Mitu, RN, MSN. Pharmacology. Drug Names. Pharmacologic Principles. Drug Names (cont'd) CHAPTER 2 Pharmacologic Principles NDEG 26A Eliza Rivera-Mitu, RN, MSN Drug Any chemical that affects the physiologic processes of a living organism Pharmacology The study or science of drugs Drug Names

More information

MEDICATION OR OTHER SUBSTANCE

MEDICATION OR OTHER SUBSTANCE Patient Safety Event Report Hospital MEDICATION OR OTHER SUBSTANCE Use this form to report any patient safety event or unsafe condition involving a substance such as a medications, biological products,

More information

SYRINGE DRIVER MEDICATIONS

SYRINGE DRIVER MEDICATIONS SYRINGE DRIVER MEDICATIONS Christine Hull & Anita Webb Staff Nurses, Hospice in the Home 2015 Analgesics:- Groups of Medication used in Syringe Drivers Morphine sulphate Diamorphine Oxycodone Alfentanil

More information

MEDICATION OR OTHER SUBSTANCE

MEDICATION OR OTHER SUBSTANCE Patient Safety Event Report Hospital MEDICATION OR OTHER SUBSTANCE Use this form to report any patient safety event or unsafe condition involving a substance such as a medications, biological products,

More information

Symptom Management Guidelines for End of Life Care

Symptom Management Guidelines for End of Life Care Symptom Management Guidelines for End of Life Care The following pages are guidelines for the management of common symptoms in the last few days of life. General principles: 1. Consider how symptoms can

More information

CONTROLLED DOCUMENT. Guidelines for the use of subcutaneous hydration in palliative care (hypodermoclysis) Controlled Document Number: CG259

CONTROLLED DOCUMENT. Guidelines for the use of subcutaneous hydration in palliative care (hypodermoclysis) Controlled Document Number: CG259 Guidelines for the use of subcutaneous hydration in palliative care (hypodermoclysis) CONTROLLED DOCUMENT CATEGORY: CLASSIFICATION: Controlled Document Number: Version Number: 1 Controlled Document Sponsor:

More information

1. Intrathecal must never be abbreviated to IT on a prescription form True / False

1. Intrathecal must never be abbreviated to IT on a prescription form True / False Appendix 1: Intrathecal SACT Assessment Questions Core General Questions must be completed by all staff. 1. Intrathecal must never be abbreviated to IT on a prescription form 2. Intrathecal SACT must be

More information

Intravenous Immunoglobulin (IVIg) prescribing guidance

Intravenous Immunoglobulin (IVIg) prescribing guidance Intravenous Immunoglobulin (IVIg) prescribing guidance Kejal Mehta (Specialist Pharmacist) [December 2016] Review Date: December 2017 Contents Introduction:... 2 Prior to Intravenous immunoglobulin (IVIg)

More information

BREATHLESSNESS MANAGEMENT

BREATHLESSNESS MANAGEMENT Guideline Name: Breathlessness BACKGROUND Breathlessness is a common symptom in patients with cancer, end-stage heart failure and end-stage chronic obstructive pulmonary disease (COPD). There are many

More information

UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2015/2016

UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2015/2016 ljs7 UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2015/2016 FOUNDATIONS OF MEDICINES MANAGEMENT MODULE CODE: HLT4085

More information

Introduction. Guidelines for patient involvement in the administration of insulin under supervision in hospital (Adult patients)

Introduction. Guidelines for patient involvement in the administration of insulin under supervision in hospital (Adult patients) Guidelines for patient involvement in the administration of insulin under supervision in hospital (Adult patients) Introduction This guideline is designed to provide a framework for patients to administer

More information

HOW TO MANAGE AND ADMINISTER THE TRIAL TREATMENT

HOW TO MANAGE AND ADMINISTER THE TRIAL TREATMENT HOW TO MANAGE AND ADMINISTER THE TRIAL TREATMENT Protocol Code: ISRCTN11225767 How to manage and administer the trial treatment version 2.0 date 23/07/2017 What is the trial treatment? Random allocation

More information

Trust Guideline for the Management of Patient Controlled Analgesia (PCA) in Adults

Trust Guideline for the Management of Patient Controlled Analgesia (PCA) in Adults Patient Controlled Analgesia (PCA) in Adults A clinical guideline recommended for use For Use in: In all Clinical Areas By: Anaesthetists, Ward Nurses, Recovery Staff Acute Pain Service Staff For: Adult

More information

Ketorolac injection. Supportive care

Ketorolac injection. Supportive care Supportive care Ketorolac injection Supportive care: specialist medicines This leaflet provides information on a medicine called ketorolac which is used to treat pain that is difficult to control. It is

More information

End of Life Care. Dr Anne Garry Consultant in Palliative Medicine

End of Life Care. Dr Anne Garry Consultant in Palliative Medicine End of Life Care Dr Anne Garry Consultant in Palliative Medicine Concerns voiced both by public and professionals.. Implementation and on-going training highly variable across country Decisions made by

More information

Supporting Last Days of Life Symptom Control Medication Guidance: Algorithm. Agitation & Anxiety

Supporting Last Days of Life Symptom Control Medication Guidance: Algorithm. Agitation & Anxiety Agitation & Anxiety (Exclude or treat REVERSIBLE causes*) Patient is anxious / frightened, but lucid Patient is confused, agitated and / or hallucinating MIDAZOLAM 2.5-5mg s/c (Max total 24 hour dose of

More information

Acute Stroke with Alteplase Administration Order Set

Acute Stroke with Alteplase Administration Order Set Review Due Date: 2017 October PATIENT CARE DERS Weight: Adverse Reactions or Intolerances Drug No Yes (list) Food No Yes (list) _ Latex No Yes Admission Admit to Neurology service: Dr. Critical Care Diagnosis:

More information

IV Referral Standards for OPAT Services

IV Referral Standards for OPAT Services pecialist harmacy ervice Medicines Use and afety IV Referral tandards for OAT ervices andra Wolper Associate Director Medicines Use and afety Division pecialist harmacy ervices pecialist harmacy ervice

More information

MMG035 Symptom Management Guidelines for a Person thought to be in the Last Few Days and Hours of Life

MMG035 Symptom Management Guidelines for a Person thought to be in the Last Few Days and Hours of Life MMG035 Symptom Management Guidelines for a Person thought to be in the Last Few Days and Hours of Life The following pages are guidelines for the management of common symptoms for a person thought to be

More information

IN USE PRODUCT SAFETY ASSESSMENT REPORT FOR COLISTIMETHATE SODIUM

IN USE PRODUCT SAFETY ASSESSMENT REPORT FOR COLISTIMETHATE SODIUM BACKGROUND IN USE PRODUCT SAFETY ASSESSMENT REPORT FOR COLISTIMETHATE SODIUM SUMMARY OF ASSESSMENT AND ITS FINDINGS Colistimethate sodium (colistin sulfomethate sodium) is licensed in the UK to be given

More information

GUIDELINES FOR PRESCRIBING AT THE END OF LIFE FOR PATIENTS WITH RENAL IMPAIRMENT (estimated glomerular filtration rate<30)

GUIDELINES FOR PRESCRIBING AT THE END OF LIFE FOR PATIENTS WITH RENAL IMPAIRMENT (estimated glomerular filtration rate<30) GUIDELINES FOR PRESCRIBING AT THE END OF LIFE FOR PATIENTS WITH RENAL IMPAIRMENT These guidelines have been produced in collaboration with Dr Lucy Smyth, Consultant in Renal Medicine, Royal Devon and Exeter

More information

Regional Breathlessness Audit - Case Note Survey. 1. Introduction. Regional Breathlessness Audit - Case Note Survey. 2.

Regional Breathlessness Audit - Case Note Survey. 1. Introduction. Regional Breathlessness Audit - Case Note Survey. 2. Regional Breathlessness Audit - Case te Survey 1. Introduction Please complete this form for your case note review. Cases used may be PROSPECTIVE AND/OR RETROSPECTIVE. Please log as many cases as you can.

More information

Chapter : Sources and Bodily Effect of Drugs

Chapter : Sources and Bodily Effect of Drugs Systemic Effect- drug acts in a widespread area away from the administration site Ex: Tylenol rectal suppository- given rectally but is absorbed and distributed thru the body to cause a reduction in fever

More information

Medication Safety Presentation

Medication Safety Presentation Appendix E Aid 1: Sample Event Poster Medication Safety Presentation Do YOU know your role on the healthcare team? Do YOU know the questions to ask your pharmacist? Do YOU know safe medication practices?

More information

Introduction to Pharmacokinetics

Introduction to Pharmacokinetics - 1 - Introduction to Pharmacokinetics Outline accompanies required webcast for Marie Biancuzzo s Lactation Exam Review and Marie Biancuzzo s Comprehensive Lactation Course Notes We will not cover this

More information

Medication Administration and Documentation. A NC Approved CE Class offered by

Medication Administration and Documentation. A NC Approved CE Class offered by Medication Administration and Documentation A NC Approved CE Class offered by Common Medical Abbreviations - Doses gm = gram gtt = drop mg = milligram ss = 1/2 mcg = microgram oz = ounce cc = cubic centimeter

More information

This document expires on Patient Group Direction No. VI 11

This document expires on Patient Group Direction No. VI 11 Patient Group Direction (PGD) for The Administration of Combined Inactivated Hepatitis A & Hepatitis B Vaccine (Twinrix adult, Twinrix paediatric) to Adults and Children over one year by Registered Nurses

More information

Protocol for administration of when required Medicines in Care Homes

Protocol for administration of when required Medicines in Care Homes Protocol for administration of when required Medicines in Care Homes Rationale: MAR charts can become very confusing when completing when required (prn) medicines, particularly when the box size is small

More information

Part 2: Pain and Symptom Management Nausea and Vomiting

Part 2: Pain and Symptom Management Nausea and Vomiting Part 2: Pain and Symptom Management Nausea and Vomiting Effective Date: February 22, 2017 Key Recommendations Select anti-nausea medication based on the etiology of the nausea and vomiting. Assessment

More information

September 2014 V0.17. Paediatric Daily Fluid Prescription & Balance Chart

September 2014 V0.17. Paediatric Daily Fluid Prescription & Balance Chart September 14 V0.17 Aims and outcomes of session. Aim: To provide guidance on correctly completing the paediatric daily fluid prescription & balance chart. Outcomes: Demonstrate the ability to: calculate

More information

Attach patient label here. Physician Orders ADULT: Palliative Care Plan

Attach patient label here. Physician Orders ADULT: Palliative Care Plan Initiate Orders Phase Care Sets/Protocols/PowerPlans Initiate Powerplan Phase T;N, Phase: Palliative Care Phase, When to Initiate: Palliative Care Phase Admission/Transfer/Discharge Patient Status Initial

More information

EAST LANCASHIRE GUIDELINES FOR THE MANAGEMENT OF SYMPTOMS IN THE LAST DAYS OF LIFE

EAST LANCASHIRE GUIDELINES FOR THE MANAGEMENT OF SYMPTOMS IN THE LAST DAYS OF LIFE EAST LANCASHIRE SPECIALIST PALLIATIVE CARE TEAM EAST LANCASHIRE GUIDELINES FOR THE MANAGEMENT OF SYMPTOMS IN THE LAST DAYS OF LIFE Reviewed and updated August 2009 Next review date August 2011 Approved

More information

What s New 2003? What new treatments? What have you discontinued? More information please!

What s New 2003? What new treatments? What have you discontinued? More information please! What s New 2003? What new treatments? What have you discontinued? More information please! 1 What s New 2003? Submissions = 137 UK = 52 (38%) Doctors = 60% Nurses = 25% Pharmacists = 15% 2 What s New?

More information

ADULT (>16) ACUTE SICKLE PAIN GUIDELINE

ADULT (>16) ACUTE SICKLE PAIN GUIDELINE ADULT (>16) ACUTE SICKLE PAIN GUIDELINE ID 2013 065 Author s Name Dr Anna Wood Author s Job Title Consultant Haematologist Division Consultant Haematologist Department Haematology Version number 3 Ratifying

More information

Pathology Service User Guide Haematology

Pathology Service User Guide Haematology Pathology Service User Guide Haematology St Richard s This section of the Pathology Service User Guide includes: Anticoagulant Therapy Information about the Anticoagulant Clinic Low Molecular Weight Heparin

More information

Chapter 7. Principles of Pharmacology

Chapter 7. Principles of Pharmacology Chapter 7 Principles of Pharmacology Introduction Administering medications is a serious business. Medications may alleviate pain and improve patient s well-being. Used inappropriately, may cause harm

More information

NUH Medicines Policy: Code of Practice

NUH Medicines Policy: Code of Practice NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST NUH Medicines Policy: Code of Practice THE USE OF SYRINGES TO ADMINISTER FLUSHES, FEEDS AND MEDICATION VIA THE ORAL AND ENTERAL ROUTES POLICY Reference CL/MM/037

More information

Fairview Southdale Hospital Total Points: 50 RN/LPN Medication Assessment Passing: 45

Fairview Southdale Hospital Total Points: 50 RN/LPN Medication Assessment Passing: 45 Fairview Southdale Hospital Total Points: 50 RN/LPN Medication Assessment Passing: 45 1. Your diabetic patient is to be started on an insulin drip at 8 units/hour. The insulin is supplied: 100 units in

More information

Palliative care for patients with brain cancer

Palliative care for patients with brain cancer Palliative care for patients with brain cancer Lyn Cave Clinical Nurse Specialist Palliative Care Hospital2Home (H2H) Dr Jayne Wood Clinical Lead Palliative Care The Royal Marsden and Royal Brompton Palliative

More information

Results of a one-year, retrospective medication use evaluation. Joseph Ladd, PharmD PGY-1 Pharmacy Resident BHSF Homestead Hospital

Results of a one-year, retrospective medication use evaluation. Joseph Ladd, PharmD PGY-1 Pharmacy Resident BHSF Homestead Hospital Results of a one-year, retrospective medication use evaluation Joseph Ladd, PharmD PGY-1 Pharmacy Resident BHSF Homestead Hospital Briefly review ketamine s history, mechanism of action, and unique properties

More information

British Columbia Medical Assistance in Dying Prescription

British Columbia Medical Assistance in Dying Prescription British Columbia Medical Assistance in Dying Prescription Date: Page 1 of 6 Upon completion of MAID: 1) to provide copy of MAR to Pharmacist for reconciling the return of unused and partially used medications

More information

WITH APPLICATIONS TO : ; : GENERAL AND SPECIALTY AREAS

WITH APPLICATIONS TO : ; : GENERAL AND SPECIALTY AREAS f Fourth Edition WITH APPLICATIONS TO : ; : GENERAL AND SPECIALTY AREAS Joyce LeFever Kee, RN, MS Associate Professor Emerita College of Health and Nursing Sciences University of Delaware Newark, Delaware

More information

Pharmacology. Pharmacology. Pharmacology. Safety the ultimate goal. Patient advocate. Responsible = responsive

Pharmacology. Pharmacology. Pharmacology. Safety the ultimate goal. Patient advocate. Responsible = responsive Safety the ultimate goal Patient advocate Responsible = responsive Correct medication history and administration Be aware of specific facility guidelines May be responsible for obtaining, maintaining,

More information

Prescribing Examples: Basics

Prescribing Examples: Basics Prescribing Examples: Basics 7 0 Pregabolin 5 50mg 05.. 5 6 7 8 9 5 6 5 5 5 5 50 50 50 50 75 75 RF RF RF RF RF RF 5 5 5 5 50 50 50 PJ TF PJ PJ TF TF TF 50 75 75 75 75 TF A: REGULAR PRERIPTION SHEET 5 6

More information

Part 1 Principles and Routes of Medication Administration

Part 1 Principles and Routes of Medication Administration 1 Chapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration 2 Caution: Administering medications is business Always take appropriate Standard measures to reduce your

More information

Essential Shared Care Agreement (South Staffordshire): Aciclovir Administration in the Community

Essential Shared Care Agreement (South Staffordshire): Aciclovir Administration in the Community E088 Essential Shared Care Agreement (South Staffordshire): Aciclovir Administration in the Community Patient s name: DOB NHS Number Patient s address: Consultant Note: Shared care agreement sets out a

More information

Physician Orders Pediatric: LEB ED Asthma Plan

Physician Orders Pediatric: LEB ED Asthma Plan LEB ED Triage Standing SOB/Wheeze Asthma Non Categorized Criteria: Patients greater than 2 years of age with a history of asthma or airway active disease or two or more previous illnesses treated with

More information

Clinical Practice Guidelines Edition (Updated February 2018)

Clinical Practice Guidelines Edition (Updated February 2018) The Formulary is published by the Pre-Hospital Emergency Care Council (PHECC) to support Emergency First Responders to be competent in the use of medications permitted under Clinical Practice Guidelines

More information

Mid Essex Locality Guideline for Management of Adult Acute and Chronic Non-Cancer Pain in Primary care

Mid Essex Locality Guideline for Management of Adult Acute and Chronic Non-Cancer Pain in Primary care Guideline for Management of Adult Acute and Chronic Non-Cancer Pain in Primary care If possible patients should be assessed using a simple visual analogue scale VAS to determine the most appropriate stage

More information

Unit 204 Assist with the assembly of prescribed items

Unit 204 Assist with the assembly of prescribed items Element 1 Assemble prescribed 171 172 Element 1 Assemble prescribed Background Assembling prescribed is a complex process. The two main components of this process are labelling and dispensing. It is essential

More information

Olanzapine Long-Acting Injection (Zypadhera ) - Guidelines for Prescribing and Administration (Version 3 May 2015)

Olanzapine Long-Acting Injection (Zypadhera ) - Guidelines for Prescribing and Administration (Version 3 May 2015) 1. Key Points Olanzapine Long-Acting Injection (Zypadhera ) - Guidelines for Prescribing and Administration (Version 3 May 2015) 1.1 Olanzapine long acting injection (LAI) is indicated for the maintenance

More information

Supportive Care. End of Life Phase

Supportive Care. End of Life Phase Supportive Care End of Life Phase Guidelines for Health Care Professionals In the care of patients with established renal failure who are in the last days of life References: Chambers E J (2004) End of

More information

Sedation in children and young people. Appendix J. Sedation for diagnostic and therapeutic procedures in children and young people

Sedation in children and young people. Appendix J. Sedation for diagnostic and therapeutic procedures in children and young people SEDATION IN CHILDREN AND YOUNG PEOPLE 1 Sedation in children and young people Sedation for diagnostic and therapeutic procedures in children and young people Appendix J 2 SEDATION IN CHILDREN AND YOUNG

More information

Syringe driver in Palliative Care

Syringe driver in Palliative Care Syringe driver in Palliative Care Introduction: Syringe drivers are portable, battery operated devices widely used in palliative care to deliver medication as a continuous subcutaneous infusion over 24

More information

Care of the Dying. For dosing in severe renal impairment see separate guidance for care of the dying in severe renal failure.

Care of the Dying. For dosing in severe renal impairment see separate guidance for care of the dying in severe renal failure. Care of the Dying Early diagnosis of the dying process allows for adequate preparation of the patient, the family and the carers. This clinical guidance covers the prescribing and management of patients

More information

Chapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration Caution: Administering medications is business Always

Chapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration Caution: Administering medications is business Always 1 3 4 5 6 7 8 9 10 Chapter 7, Medication Administration Part 1 Principles and Routes of Medication Administration Caution: Administering medications is business Always take appropriate Standard measures

More information

Chapter 7. National EMS Education Standard Competencies (1 of 5) National EMS Education Standard Competencies (2 of 5) Principles of Pharmacology

Chapter 7. National EMS Education Standard Competencies (1 of 5) National EMS Education Standard Competencies (2 of 5) Principles of Pharmacology Chapter 7 Principles of Pharmacology National EMS Education Standard Competencies (1 of 5) Pharmacology Applies fundamental knowledge of the medications that the EMT may assist/administer to a patient

More information

patient group direction

patient group direction DIAZEPAM (RECTAL) v01 1/8 DIAZEPAM (RECTAL) PGD Details Version 1.0 Legal category Staff grades Approved by POM Paramedic (Non-ECP) Nurse (Non-ECP) Emergency Care Practitioner (Paramedic) Emergency Care

More information

Renal function: Known CKD AKI

Renal function: Known CKD AKI Chart: 1 2 3 of 1 2 3 Site: Lister QE2 MVCC (circle) (circle) Adult Medication scription and Monitoring Record for Patients with Diabetes (Inpatient Chart) Patient Name: Address: of Admission: Weight (kg):

More information

Renal Palliative Care Last Days of Life

Renal Palliative Care Last Days of Life Renal Palliative Care Last Days of Life Introduction This guideline is an aid to clinical decision-making and good practice for patients with stage 4-5 chronic kidney disease (egfr

More information

Suboptimal hydration harms patients.

Suboptimal hydration harms patients. Suboptimal hydration harms patients. NHS Fife is committed to improving hydration management. To achieve this we need your help! In 2014 new fluid balance charts were implemented in the Victoria Hospital,

More information

Howida Kamal, Ph.D Ass. Prof. of Pharmaceutics, Cairo University

Howida Kamal, Ph.D Ass. Prof. of Pharmaceutics, Cairo University Pharmacy Howida Kamal, Ph.D Ass. Prof. of Pharmaceutics, Cairo University Pharmacy Pharmacy Pharmaceutics The science of dosage form design. Pharmacy 1. 2. 3. Dosage forms Information Resources Use of

More information

** Medication exercises ** NICU Phase II

** Medication exercises ** NICU Phase II ** Medication exercises ** NICU Phase II A) Baby A has had a bowel resection six hours ago. She weighs 3 kg. Post-op, she is quite agitated and she is on a fentanyl drip at 2 micrograms/kg/hr (#1). She

More information