Medication Safety. Patient Safety. Setting Direction Julie Simmons, Medication Safety Pharmacist January 2016
|
|
- Debra Jenkins
- 5 years ago
- Views:
Transcription
1 Medication Safety Patient Safety Setting Direction Julie Simmons, Medication Safety Pharmacist January
2 The patient journey Admission Ward Transfer Ward stay Discharge Medication storage and supply Drug charts Medication administration Patient monitoring TTOs Errors Resources 2
3 Where is medication stored on the ward? 3
4 Anaphylaxis treatment box Storage of drugs needed for anaphylaxis adrenaline 1in1000 (1ml) ampoules for injection, chlorphenamine 10mg in 1ml injection & hydrocortisone sodium succinate 100mg injection 4
5 Admission Patient details What do we need to know? Allergy status Why is this important? Drug History What is this? Prescription Many types at PHT Name, age, weight, DoB, NHS number / case number Summary Care Record / Hampshire Health Record / PODs / GP letter / patient / carer 5
6 Ordering medication 6
7 7
8 Controlled Drugs 8
9 Medication charts available at QAH Page 9
10 Labels In patient One stop / TTA 10
11 Validity of prescription is it complete and legal? 11
12 Pharmacy Annotation Adm Admitted on medication New Started whilst in hospital POW POD on ward POD= Patients Own Drugs PAH POD at home Qty Number of tablets / capsules brought into hospital 12
13 Disposal Waste Handling Policy And Guidelines/Management Policies/Waste%20Handling%20Policy.doc 13
14 What does administering medicines involve? Having the ability to administer medication safely to patients THE FIVE RIGHTS ARE? 14
15 The Right Patient 4 Identifiers Confirm identification by checking: patient s first name patient s surname, case note number date of birth with the patient, against the prescription chart and wrist band 15
16 What do we need to check? 16
17 The Right Route PO NG PEG PR IV bolus IV infusion SC IM Topical SL Buccal Ear/eye/nose PEJ PV 17
18 Oral dosage forms does it matter? Tablets Capsules Liquids Chewable Orodispersible Effervescent tablets Soluble tablets Sachets Modified Release MR, LA, XL, retard, slo-, SR 18
19 Right dose 19
20 The Right Time Timeliness drug round time vs patient need / prescription time With or after food On an empty stomach A missed dose occurs after 25% of the prescribed frequency has elapsed Sign once the patient has taken the medicine Before breakfast 20 minutes before meals 20
21 21
22 Medication Administration What can go wrong.? 22
23 Prescribing abbreviations OD OM BD TDS QDS ON PRN Once a day In the morning Twice a day Three times a day Four times a day At night As required 23
24 Patient observations Temperature Blood pressure Blood gases Blood glucose levels Oxygen saturation Adverse effects to medication Pressure areas Patient Monitoring Observations MUST be taken on patient transfer Observations MUST be documented VitalPac training 24
25 Escalation Recognition of the deteriorating patient Early Warning Scores (EWS) Challenge Incorrect doses Communication Make another nurse / Ward Sister / Nurse in Charge aware Hospital at Night (H@N) Nerve Centre 25
26 development/accountability and delegation Accountability Health service providers are accountable to the criminal and civil courts to make sure their activities meet legal requirements. Employees are accountable to their employer to follow their contract of duty. Registered practitioners are also accountable to regulatory bodies in terms of standards of practice and patient care. Nursing and Midwifery Council (NMC). All practitioners must ensure that they perform competently and that they don't work beyond their level of competence. They must inform a senior member of staff when they are unable to perform competently. To be accountable, practitioners must: have the ability to perform the activity or intervention accept responsibility for doing the activity have the authority to perform the activity, through delegation and the policies and protocols of the organisation. 26
27 Flow chart for efficient TTO dispensing assuming TTO is already written (Step 1) Independent audit confirmed dispensing time to be 28 minutes when undertaken at speciality based remote dispensing points. TTO s written before 09:00 will be dispensed before 10:00 to facilitate discharge. TTOs with controlled drugs or NOMAD MDS systems take longer as these are prepared through dispensary. Page 27
28 28
29 Information to support you in practice Management of Medicines Policy Paediatric Drug Policies Procedure for the Administration of Medicines Pharmacy Intranet Site Controlled Drugs & Management Policy Injectable Medicines Policy for Adults and Children Competency for Administration and also Assisting in the giving of Medicines Neonatal Drug Policies VitalPAC Trust Intranet Policies and Guidelines NMC & HPC Code of Conduct & Standards for Medicines Administration The dosage interactions, formulation, route, side effects of the medicine prescribed. BNF! 29
30 Medication Incident Reports Actually caused harm or had the potential to cause harm: in the process of prescribing, dispensing, preparing, administering, monitoring or providing medicines advice. The most frequently reported types of medication incidents involve: wrong dose omitted or delayed medicines wrong medicine 30
31 National Campaigns Reducing Harm from High Risk Medicines Anticoagulants Warfarin overdose and inappropriate monitoring NPSA Alert 18 Insulin Wrong dose, omitted medicine and wrong product Opioids Overdose = respiratory depression or under dose = poor pain control Injectable sedatives Midazolam dosages inappropriate for the patient 31
32 Safety Learning Event Reporting Form PHT intranet access Desktop icon 32
33 Page 33
34 Learning from Adverse Incidents Our Key issues Prescribing errors Errors Wrong Doses, wrong medication, wrong patient Learning points medicine reconciliation and documentation TTO s discharge process Errors wrong medication to wrong patient, leaving without TTOS, wrong paperwork to wrong patient Learning points Discharge bundle, check medication and paperwork, never assume POD Lockers and storage Errors transferring medication with patient, not being locked away, broken lockers, policies not being followed Learning points keys and lockers, Carillion work log, movement of lockers, policies 34
35 Involve the Patient Have you informed the patient about their medicines? Has the patient consented to taking their medicines? Do you know about the Guideline for Self Administration of Medicines for Adults and Children PLEASE Make sure the patient is transferred between wards with their medicines! Page 35
36 Quality Care Review August 2015 Key Learning Themes Patients are able to use and access medications such as inhalers Labelling of open drug packs/ bottles date opened Disposing of expired medication Blister packs being removed from original packaging Unlocked and unsupervised drug trollies Lack of awareness of policies and procedures 36
37 Insulin A High risk medicine Do you know?... All opened insulin should be dated with the day of opening (and ideally an expiry date) Pen cartridges should NOT be used as a multidose vial Insulin should NOT be omitted for a patient requiring daily insulin All insulin must be prescribed in units not using u The patient usually knows more about their diabetes management than us! Which PHT insulin charts have you come across? 37
38 Insulin Continuous intravenous insulin infusion Missed doses Self administration Substitution of insulin/ brand confusion Long / short acting Storage Syringes U and Units Charts Humulin S Humulin I Humulin M3 Humalog Humalog Mix25 Humalog Mix50 38
39 Red Flags Giving more than 3 tablets/ capsules Using more than 2 vials/ampoules Check calculations Drugs with similar packaging Storage issues (e.g. POD lockers) 39
40 Finally Remember your accountability Red flags Look a like Sound a like Missed doses Stop, check and be safe 40
41 Medication Safety Team Karen Dutton Medication Safety Officer Julie Simmons Medication Safety Pharmacist Paul Rugman Medication Safety Pharmacy Technician Ext 5284 Pharmacy Offices, D Level QAH Medication Safety Group Mailbox 41
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 informationADMINISTRATION OF INSULIN
STANDARD OPERATING PROCEDURE ADMINISTRATION OF INSULIN Issue History First issued April 2012 Issue Version Two Purpose of Issue/Description of Change Planned Review Date To promote the safe administration
More informationIntroduction. 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 informationMedicine Errors. H.Beadle, L.Baxendale, Clinical Governance Pharmacists. Coventry and Warwickshire Partnership Trust Medicines Management Team
Medicine Errors H.Beadle, L.Baxendale, Clinical Governance Pharmacists Coventry and Warwickshire Partnership Trust Medicines Management Team 2015 Why Should Errors Be reported? Learning Prevention of future
More informationDrug Prescription and Administration Record
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
More informationA three month project September December 2016
Improving Insulin Safety in the Clinical Decision Unit A three month project September December 2016 Sarah Gregory - In-Patient DSN, QEQM Hospital Julie Gammon - Ward Manager, CDU, QEQM Hospital 1 The
More informationPOLICY FOR THE SAFE USE OF ORAL METHOTREXATE IN SECONDARY CARE. September 2011
POLICY FOR THE SAFE USE OF ORAL METHOTREXATE IN SECONDARY CARE September 2011 WHSCT Policy for the safe use of oral methotrexate in secondary care Page 1 of 8 Policy Title Policy for the safe use of oral
More informationProcedure for the prescribing and administration of insulin
Procedure for the prescribing and administration of insulin Author: Lilian Baxendale and Heather Beadle Designation: Clinical Governance Pharmacists Version: Version 3 Date: December 2016 Date Approved:
More informationCare Homes - Homely Remedies Protocol
Care Homes - Homely Remedies Protocol A homely remedy is a medicine for the short-term treatment of a minor ailment, such as indigestion, a cough, mild to moderate pain or constipation, and can be obtained
More informationIntervention Study 2016 West ISD. Gillian Ritchie Clinical Pharmacist
Intervention Study 2016 West ISD Gillian Ritchie Clinical Pharmacist Introduction Annual data collection Two weeks All Medicines Management Team interventions Details recorded Classified by type Outcomes
More informationInsulin Safety. Tracey Roe DSN SSOT partnership trust
Insulin Safety Tracey Roe DSN SSOT partnership trust Insulin Type 1 Type 2 when oral therapies are not tolerated or contra/indicated Post MI Intercurrent illness Pre/peri/post op Gestational diabetes Painful
More informationAppendix: 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 informationPHARMACY 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 informationPaediatric 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 informationADVANCE PREPARATION OF INSULIN FOR PATIENTS TO ADMINISTER AT HOME
STANDARD OPERATING PROCEDURE ADVANCE PREPARATION OF INSULIN FOR PATIENTS TO ADMINISTER AT HOME First Issued July 08 Issue Version Two Purpose of Issue/Description of Change Planned Review Date To promote
More informationClinician Responsible for Training and Review: Emergency Department Consultant
Patient Group Direction for the supply and/or administration of Paracetamol Oral Suspension 250mg/5ml (Paracetamol paediatric suspension) to children receiving treatment from NHS Borders services. This
More informationAim. Managing high risk medicines in primary care. Intended outcomes. Introduction. Risk associated with prescribing
Aim Managing high risk medicines in primary care To increase awareness of high risk medicines and combinations of medicines and to ensure the appropriate prescribing, supply or administration of such in
More informationIntrathecal. By the end of this chapter, you will be able to: Introduction. Chapter 20
Chapter 20 Intrathecal Preparations By the end of this chapter, you will be able to: l Describe the specific risks with intrathecal cytotoxic products l List five checks that need to be carried out on
More informationNUH 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 informationv.1.0 Date: December 2015 Cathy Riley - Director of Pharmacy Policy and Procedures Committee Policy and Procedures Committee
Clinical Preparation and administration of Controlled Drugs against a prescription SOP Document Control Summary Status: Replacement Controlled Drug Policy Version: Author/Owner/Title: Approved by: Ratified:
More informationThe prescribing newsletter for GPs, nurses and pharmacists NHS Northamptonshire Failure to respond to first choice antibiotics
Tablet Press EXTRA The prescribing newsletter for GPs, nurses and pharmacists NHS Northamptonshire Failure to respond to first choice antibiotics March 2017 Use of Buccolam (buccal midazolam) for breakthrough
More informationAssistant Practitioner and Health Care Assistants Administration of Insulin, via Pen device, by Delegation Training and competency Toolkit
Assistant Practitioner and Health Care Assistants Administration of Insulin, via Pen device, by Delegation Training and competency Toolkit Document Summary The purpose of this policy is to guide and promote
More information- Arterial line safety Learning from a serious untoward incident on the Intensive Care Unit.
- Arterial line safety Learning from a serious untoward incident on the Intensive Care Unit. Margi Jenkins Ex-Senior Sister Intensive care unit Royal United Hospital Bath Specialist Nurse Organ Donation
More informationThis document expires on Patient Group Direction No. VI 7
Patient Group Direction (PGD) for The Administration of Combined low-dose Diphtheria, Tetanus, and Inactivated Polio Vaccine (Revaxis ) to individuals aged over 10 years, by Registered Nurses employed
More informationPolicy on Pharmacological Therapies Practice Guidance Note Reducing Dosing Errors with Opioid Medicines V04
Policy on Pharmacological Therapies Practice Guidance Note Reducing Dosing Errors with Opioid Medicines V04 Date issued Issue 1 Nov 2018 Planned review Nov 2021 PPT-PGN 18 part of NTW(C)38 Pharmaceutical
More informationLRI Children s Hospital
Title: Prescribing in Cystic Fibrosis Page 1 of 10 LRI Children s Hospital Prescribing in Cystic Fibrosis Staff relevant to: Clinical staff working within the UHL Children s Hospital. Team & AWP approval
More informationGuidance on Bulk Prescribing for Care Home Patients
Guidance on Bulk Prescribing for Care Home Patients Introduction Many patients in care homes taking medicines when required (PRN) can inevitably present problems for the prescriber in determining the quantity
More informationAvoiding harm in primary care
Avoiding harm in primary care Liz Price senior risk adviser Session content Claims of negligence What are they? duty of care liability / causation timescales defence What are the common causes? analysis
More informationDeveloped By Name Signature Date
Patient Group Direction 2155 version 2.0 Administration / Supply of Inhaled Salbutamol in Asthma by Registered Practitioners employed by Torbay and South Devon NHS Foundation Trust Date of Introduction:
More informationPAEDIATRIC 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 informationCare homes - Homely remedies
Bulletin 72 August 2014 Community Interest Company Care homes - Homely remedies Care home staff have a recognised duty of care to be able to respond to minor symptoms experienced by residents. A homely
More informationCare homes - Homely remedies
Bulletin 72 August 2014 Care homes - Homely remedies Care home staff have a recognised duty of care to be able to respond to minor symptoms experienced by residents. A homely remedy is a medicinal product
More informationCHEMOTHERAPY NETWORK GROUP POLICY FOR ADMINISTRATION OF CYTOTOXIC CHEMOTHERAPY
CHEMOTHERAPY NETWORK GROUP POLICY FOR ADMINISTRATION OF CYTOTOXIC CHEMOTHERAPY Version 4.0 March 2016 Review date March 2018 Introduction It is the purpose of this policy to provide clear guidelines that
More informationGuidelines for acute treatment of patients with Parkinson s disease including those who are nil by mouth
Index No: MMG48 Guidelines for acute treatment of patients with Parkinson s disease including those who are nil by mouth Version: 2.0 Date ratified: November 2017 Ratified by: (Name of Committee) Name
More informationPATIENT SAFETY ALERT
PATIENT SAFETY ALERT PROBLEM: Research in UK and elsewhere has identified a risk to patients from errors occurring during intravenous administration of potassium solutions. Potassium chloride concentrate
More informationUNIVERSITY 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 informationTemplate Standard Operating Procedure For: Handling of Midazolam and other controlled drugs in Dental Practices
Name of Dental Practice : Objectives To ensure implementation of the regulations and guidance on safe and secure handling of midazolam and other controlled drugs (CDs) Scope To cover all aspects of obtaining
More informationGuidelines on the Administration of Paracetamol in Children
DERBY HOSPITALS NHS FOUNDATION TRUST DIVISION OF INTEGRATED MEDICINE PAEDIATRICS Guidelines on the Administration of Paracetamol in Children REF NO: CH PH GE 17 Reference Number: CH PH GE 17 Version: 5
More informationDocument Details. Ibuprofen 200mg tablets and Ibuprofen oral liquid 100mg in 5ml
Title Document Details Patient Group Direction (PGD) Ibuprofen 200mg tablets and Ibuprofen oral liquid 100mg in 5ml Trust Ref No 1445-36348 Local Ref (optional) Main points the document The treatment of
More informationInformation Sheet 10. Medication Hints and Tips (Updated August 2014)
An information sheet on Medication problems and how to prevent them. Memory Loss... People who suffer from dementia or Alzheimer s disease may simply forget to take their medications, causing them to skip
More informationHomely Remedies Guidance for Care Homes
Homely Remedies Guidance for Care Homes What is a homely remedy? Homely or household remedy is another name for a non-prescription medicine which is used in a care home for the short term management of
More informationPROCEDURE REFERENCE NUMBER SABP/EXECUTIVE BOARD/0017/PROCEDURE15 PROCEDURE NAME MEDICINES PROCEDURE 15: METHOTREXATE
PROCEDURE REFERENCE NUMBER SABP/EXECUTIVE BOARD/0017/PROCEDURE15 PROCEDURE NAME MEDICINES PROCEDURE 15: METHOTREXATE BRIEF OUTLINE OF THIS PROCEDURE This procedure sets out the requirements for prescribing,
More informationThis 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 informationAll Saints First School Administering of Medicines Policy
All Saints First School Administering of Medicines Policy Success Indicators The following indicators will demonstrate the level of compliance with this policy and its procedures: a) Employees who are
More informationDiabetes Update: Keeping patients safe. Victoria Ruszala MFRPSII North Bristol NHS Trust
Diabetes Update: Keeping patients safe Victoria Ruszala MFRPSII North Bristol NHS Trust Declaration of Interests I have received funding from the following companies for providing education sessions, attending
More informationMEDICINES MANAGEMENT SUB-POLICY 2: PRESCRIPTION WRITING
Edition No: 2.1 ID Number: POLCMM008 Dated: June 2015 Review Date: February 2019 Document ID: Guidelines Document Type: Corporate Directorate: Clinical Support Medicines Category: Services Management Department(s):
More informationPrescription only medicines (POMs)
Prescription only medicines (POMs) 2017 Learning objectives Explain the legal framework with which registered health care professionals can administer prescription only medicines Define the role and limitations
More informationClinician Responsible for Training and Review: Emergency Department Consultant
Patient Group Direction for the Supply of Salbutamol Inhaler to patients receiving treatment from NHS Borders Emergency Department/Out of Hours/Minor Injury Units This document authorises the supply or
More informationThrombosis and Anticoagulation Team. Warfarin. Information for patients, relatives and carers
Thrombosis and Anticoagulation Team Warfarin Information for patients, relatives and carers What is warfarin? Warfarin is an anticoagulant. Anticoagulants are drugs which prevent harmful blood clots forming
More informationAcute management of in-patient Parkinson s Disease patients
Acute management of in-patient Parkinson s Disease patients Contents Pages Introduction and Admission advice 2 Nil by Mouth Guidance 3 5 Complex therapy advice (Apomorphine, DBS, Duodopa) 6 Surgical peri-operative
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 informationPATIENT GROUP DIRECTION (PGD)
PATIENT GROUP DIRECTION (PGD) SUPPLY OF NALOXONE HYDROCHLORIDE INJECTION BY REGISTERED NURSES TO CLIENTS BEING RELEASED FROM HMP FORD Version Number: 01HMP Patient Group Direction originally drawn up by:
More informationconcentrate intravenous solution and other strong potassium solutions
Policy for the use of potassium chloride concentrate intravenous solution and other strong potassium solutions CLINICAL GUIDELINES ID TAG Policy for the use of potassium chloride Title: concentrate intravenous
More informationMedication 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 informationThis document expires on Patient Group Direction No. VI 5
Patient Group Direction (PGD) for The Administration of Combined Adsorbed Diphtheria, Tetanus, Pertussis, (Acellular Component) and Inactivated Poliomyelitis Vaccine (Infanrix-IPV ) to children aged between
More informationContributes to CQC Outcome number: 9&12 Consulted With Post/Committee/Group Date. Pharmacist. Alison Felton Head of Pharmacy/Deputy Chief.
Prescribing paracetamol in adult inpatients at MEHT Type: Clinical Guideline Register No: 18005 Status: Public on ratification Developed in response to: In line with Basildon Contributes to CQC Outcome
More informationThe Newcastle upon Tyne Hospitals NHS Foundation Trust. Pre-filled Patient Controlled Analgesia (PCA) syringes
The Newcastle upon Tyne Hospitals NHS Foundation Trust Pre-filled Patient Controlled Analgesia (PCA) syringes Version.: 2.2 Effective From: 1 June 2016 Expiry Date: 1 June 2019 Date Ratified: 20 April
More informationProcedure Reviewed By: Narinder Sangha Deputy Chief Pharmacist STANDARD OPERATING PROCEDURE
Written By: Objective By: ed By: To ensure safe and consistent working practice throughout Black Country Partnership Foundation Trust (BCPFT) and to avoid unnecessary harm to patients on lithium therapy
More informationNorth of England Cancer Network. Policies and Procedures. Standards for the Safe Use of Oral Anticancer Medicines
\ North of England Cancer Network Policies and Procedures Standards for the Safe Use of Oral Anticancer Medicines NECN Oral Anticancer medicine Policy version 1.6 Page 1 of 17 Issue Date: Feb 2017 Contents
More informationPatient Safety Alert NPSA/2011/PSA003 The adult patient s passport to safer use of insulin
Patient Safety Alert NPSA/2011/PSA003 The adult patient s passport to safer use of insulin March 2011 Supporting Information Contents Page 1. About this document 2 2. Background 2 3. Scope 3 4. Review
More informationDrug Prescribing. Ravi Menon
Drug Prescribing Ravi Menon Introduction Approximately 7,000 individual drug doses are administered each day in a 'typical' NHS hospital, 70% of which are prescribed by first year graduates and senior
More informationDocument Details. Patient Group Direction
Document Details Title Patient Group Direction (PGD) Hepatitis B Vaccine (Engerix ) Trust Ref No 1505-41182 Local Ref (optional) Main points the Immunisation against Hepatitis B document covers Who is
More informationIntervention Study 2016 Trust-wide. Gillian Ritchie Clinical Pharmacist
Intervention Study 2016 Trust-wide Gillian Ritchie Clinical Pharmacist Introduction Annual data collection Two weeks All Medicines Management Team interventions Details recorded Classified by type Outcomes
More informationManagement of acute asthma in children in emergency department. Moderate asthma
152 Moderate asthma SpO2 92% No clinical features of severe asthma NB: If a patient has signs and symptoms across categories, always treat according to their most severe features agonist 2-10 puffs via
More informationKEEPING SAFE WITH INSULIN THERAPY
KEEPING SAFE WITH INSULIN THERAPY kk WHY IS THIS LEAFLET FOR YOU? Insulin treatment improves the quality of life in many people and saves the lives of others. It is used to lower blood glucose levels.
More informationEnd 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 informationDocument ref. no: Trust Policy and Procedure. PP(16)234 Prescribing, Dispensing and Administration of Methotrexate Policy
Document ref. no: Trust Policy and Procedure PP(16)234 Prescribing, Dispensing and Administration of Methotrexate Policy For use in: For use by: For use for: Document owner: Status: All Clinical Areas
More informationAPIDRA (insulin glulisine) injection vial APIDRA SOLOSTAR (insulin glulisine) subcutaneous solution pen-injector
APIDRA SOLOSTAR (insulin glulisine) subcutaneous solution pen-injector Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific
More informationDocument Details Patient Group Direction Hepatitis A vaccine (Havrix Monodose ) Trust Ref No Local Ref (optional) Main points the
Document Details Title Patient Group Direction Hepatitis A vaccine (Havrix Monodose ) Trust Ref No 1506-41174 Local Ref (optional) Main points the Active immunisation against infection caused by Hepatitis
More informationMODULE 1: BASIC DRUG KNOWLEDGE
MODULE 1: BASIC DRUG KNOWLEDGE 1.1 How Drugs Work A drug is a medicine or substance (but not food or water) which when ingested (or otherwise introduced into the body) alters the way the body works physically
More informationHigh alert medicines
High alert medicines Dr Cristín Ryan, Royal College of Surgeons in Ireland Dr Ahmed Awaisu, College of Pharmacy, Qatar University Dr Bridget Javed, College of Pharmacy, Qatar University Dr Wessam El Kassem,
More informationSouthern Trust Home IV Service. Guidelines for the administration of IV antibiotics
Southern Trust Home IV Service Guidelines for the administration of IV antibiotics Title: Author: CLINICAL GUIDELINES ID TAG Antibiotic guidelines - Southern Trust Home IV service guidelines for the administration
More informationUNIVERSITY 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 informationNiki Robinson, Mandy Clements
Realities of launching the ThinkGlucose programme at a district general hospital Niki Robinson, Mandy Clements Article points 1. The ThinkGlucose programme was piloted on two wards at a district general
More informationPurpose of the Guideline
Trust Policy and Procedure Substitution of Medicines Policy Document ref. no: PP(17)210 For use in: For use by: For use for: Document owner: Status: All clinical areas Pharmacists and authorised Pharmacy
More informationConsulted With: Post/Committee/Group: Date: John Crome Drug and Alcohol Liaison Emergency Care
THE MANAGEMENT OF OPIOID WITHDRAWAL IN ADULT PATIENTS Type: Clinical Guideline Register No: 18007 Status: Public on ratification Developed in response to: Contributes to CQC Outcome number: 12 Best practice
More informationPatient Group Direction for the Supply of Orlistat (Xenical) from Designated Community Pharmacies
Patient Group Direction for the Supply of Orlistat (Xenical) from Designated Community Pharmacies Written by: Sheila Brown, Prescribing Adviser Date: September 2006 Reviewed by: Date: Ratified by: East
More informationPPP 1. Continuation, modification, and discontinuation of a medication
PRESCRIBING POLICIES: 4.7 PHARMACIST AUTHORITY The College of Pharmacists of BC Professional Practice Policy (PPP) 58 Medication Management (Adapting a Prescription) became effective April 1, 2009. The
More informationz_4-/01/11 ,c.,u V clf..rm-t PGD for the administration of Phytomenadione (Konakion MM Paediatric 2mg/0.2ml solution for injection) via the oral route
PGD for the administration of Phytomenadione (Konakion MM Paediatric 2mg/0.2ml solution for injection) via the oral route PGD Ref: p G- D f j Effective From: Feb 2.0 }9 Expiry: Feb 2. 0 2 J by Paediatrics
More informationMedication Administration Curriculum INSTRUCTOR S MANUAL. Name State Date
Instructions: Circle the letter of the choice that best completes the statement or answers the question. If select modules were presented, only fill out the questions related to those modules. MODULE 1
More informationPolicy for the safe use of oral methotrexate
Policy for the safe use of oral methotrexate Policy Checklist Name of Policy: Purpose of Policy: Directorate responsible for Policy Name & Title of Author: Does this meet criteria of a Policy? Staff side
More informationMedicines Optimisation Strategy
Clinical Reducing Dosing Errors with Opioid Medicines (Controlled Drug SOP): Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic
More informationDeveloped By Name Signature Date
Patient Group Direction 2156 version 2.0 Administration of Ipratropium 250mcg/ml Nebuliser Solution in Acute Asthma by Registered Practitioners employed by Torbay and South Devon NHS Foundation Date of
More informationAlgorithms 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 informationStandard Operating Procedure for Use of Opioid Transdermal Patches in homes within NHS Sutton CCG
Standard Operating Procedure for Use of Opioid Transdermal Patches in homes within NHS Sutton CCG Introduction This procedure is intended to encourage good practice in the management of opioid transdermal
More informationFionnuala Plumart, Jade Tomes, Nick Rutherford Medicines Management Team, Brighton and Hove CCG
Fionnuala Plumart, Jade Tomes, Nick Rutherford Medicines Management Team, Brighton and Hove CCG Why have we created this role? Processing 100 + repeat requests a day Constant phone ringing Many different
More informationSAMPLE. PGD Reviewed by: Chris Faldon, John Maloney, Tim Patterson, Adrian MacKenzie, Claire Stein
Patient Group Direction for the supply or administration of haemophilus influenzae type B and meningococcal conjugate vaccine to children requiring immunisation as part of the national childhood vaccination
More informationSAMPLE. This direction was authorised on 4/5/2007. The direction will be reviewed by 4/5/2009
Patient Group Direction for the Supply and Administration of Flumazenil 100microgram Injection To Patients requiring reversal of oversedation due to midazolam in association withendoscopy attending Endoscopy
More informationCare 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 informationKetorolac 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 informationTechnician Tutorial: Dispensing Insulin and Other Injectable Meds
(Page 1 of 6) Technician Tutorial: Dispensing Insulin and Other Injectable Meds Insulin is a hormone secreted by the pancreas. It helps the body use glucose as an energy source. Insulin acts like a key
More informationCardiac Catheter Labs Intravenous Drug Therapy Guide
Title of Guideline (must include the word Guideline (not protocol, policy, procedure etc) Contact Name and Job Title (author) Cardiac Catheter Lab IV Medicines Guideline Helen Buxton ( Senior Cath Lab
More informationADMELOG, NOVOLIN, NOVOLOG, and FIASP
ADMELOG, NOVOLIN, NOVOLOG, and FIASP Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Pharmacy
More informationAdministration of Medication
Administration of Medication Prescribed medications must arrive in a container with the original, unaltered prescription label attached. The label must display all legal information required for a pharmacist
More information1. 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 informationWithin the proportion the two outside numbers are referred to as the extremes. The two inside numbers are referred to as the means.
Basic Formulas Speaker: Jana Ogden This lecture will demonstrate the expectations for performing a variety of the more complex calculations. You are expected to refer to your text and complete the designated
More informationSunderland Diabetes Network - Recommendations for safe prescribing of insulin.
Sunderland Diabetes Network - Recommendations for safe prescribing of insulin. Note: High strength insulins and biosimilar insulins are for specialist initiation only. They should not be initiated in primary
More informationSunderland Diabetes Network - Recommendations for safe prescribing of insulin.
Sunderland Diabetes Network - Recommendations for safe prescribing of insulin. Note: High strength insulins and biosimilar insulins are for specialist initiation only. They should not be initiated in primary
More informationSteroid replacement advice. Information for patients Endocrinology
Steroid replacement advice Information for patients Endocrinology Cortisol is a hormone that is essential for life and wellbeing. It is produced in the adrenal glands. Steroid replacement therapy is needed
More informationPROCEDURE REF NO SABP/EXECUTIVE BOARD/0017
PROCEDURE REF NO SABP/EXECUTIVE BOARD/0017 NAME OF PROCEDURE: Medicines Procedure: Patient Group Directions for the Administration of Hepatitis B Vaccine for SABP Drug and Alcohol Teams. PURPOSE OF PROCEDURE:
More information