This guideline is for nursing staff within the Pain Services assisting with the administration of botulinum toxin.

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "This guideline is for nursing staff within the Pain Services assisting with the administration of botulinum toxin."

Transcription

1 CLINICAL GUIDELINE FOR THE SAFE ADMINISTRATION OF BOTULINUM NEURO TOIN FOR INJECTION within the PAIN SERVICE. Botox and eomin (trade names) 1. Aim/Purpose of this Guideline This guideline is for nursing staff within the Pain Services assisting with the administration of botulinum toxin. 2. The Guidance This procedure should only be undertaken by health care professionals appropriately trained. 2.1 Indications for use Botulinum toxin is indicated for the symptomatic relief of several conditions. It acts as a muscle relaxant. 2.2 Contraindications Individuals with known hypersensitivity to Clostridium Botulinum type A neurotoxin complex (150/900kD) or to any of the excipients. - Presence of myasthenia gravis or Eaton Lambert Syndrome - Infection at the proposed injection site Anaphylaxis may occur rarely and therefore anti-anaphylactic measures, including adrenaline, should be easily available anywhere Botulinum Toxin is being administered. 2.3 Ordering This should be done in advance of the procedure. The order from pharmacy should include the patients name, hospital number and date of birth. 2.4 Storage Do not store with food. eomin Unopened vials should be stored in a locked drug cupboard (not exceeding 25 c). Botox - Unopened vials should be stored at between 2-8 o C (in a pharmaceutical grade fridge). After reconstitution, immediate use of the solution is recommended. However stability has been demonstrated for 24 hours when stored at 2-8 o C. In this case it should be labelled with the date and time it was re-constituted. This label should also include how it was reconstituted and by who. Page 1 of 7

2 2.5 Spillages The contaminated surface should be wiped up either using absorbent material impregnated with sodium hypochlorite <1% eg. Clinell Clorox. 2.6 Disposal All vials and sharps should be disposed of as clinical waste into a Prescribed Only Medications (purple lidded) sharps bin. All other non-sharp equipment must be disposed of in a yellow waste bag with purple stripe (UN 3291). 2.7 Equipment Dressing pack with plastic lined paper towel Plastic aprons Non-sterile, non-latex gloves Vial of eomin / Botox for injection and sterile Sodium Chloride 0.9 % or levobupivacaine. Prescribed only medications bin (POMS) - Purple lidded sharps bin. Waste bag yellow with purple stripe (UN 3291). 2.8 Procedure PROCEDURE RATIONALE 1 Explain the procedure to the patient To obtain appropriate informed consent. To reduce anxiety 2 Assist to position the patient into the To promote safety and comfort appropriate position. 3 All staff undertaking and assisting with the procedure should wash hands, put on gloves aprons. Universal health and safety precautions. 4 Prepare the botulinum toxin for injection by reconstituting the vial with sterile Sodium Chloride 0.9 % or levobupivacain in accordance with the manufacturers guide. The smaller the volume the less discomfort and spread of toxin in the injected muscle occurs. 5 The practitioner injects the diluent gently into the vial. Discard the vial if a vacuum does not pull the diluent. 6 After the procedure place all sharps immediately in a POMS prescribed only medicines sharps container (purple lidded) and all other equipment into the waste bag as described above. 7 The used vial of eomin/ Botox should be placed in a POMS prescribed only medicines sharps bin (purple lidded) sharps container. eomin /Botox is denatured by bubbling or similar violent agitation. Universal health and safety precautions. Safe disposal in accordance to the generic waste management policy. Safe disposal in accordance to the generic waste management policy. 8 Remove gloves, aprons and goggles. Wash hands universal health and safety precautions 9 The practitioner documents the whole process, including the batch number of the eomin / Botox Effective record keeping Page 2 of 7

3 References Allergan Ltd (2014) Botox information UK Summary of Product Characteristics Full prescribing information (2015) 3. Monitoring compliance and effectiveness Element to be monitored Lead Tool Frequency Reporting arrangements Acting on recommendations and Lead(s) Change in practice and lessons to be shared The safe practice of handling, storage, administration and disposal of Botulinum Toxin within the Pain Service. Pain Services staff - Kate Fleming The policy above is available in clinic. Whenever the procedure is carried out within clinics. Any deviations from policy will be challenged at time of procedure These will be highlighted with relevant staff and noted at dept or nurse meetings as appropriate. The department managers will be responsible for interrogating the required actions. The designated leads i.e. department managers will forward any change in practice where appropriate to the whole department. 4. Equality and Diversity 4.1. This document complies with the Royal Cornwall Hospitals NHS Trust service Equality and Diversity statement which can be found in the 'Equality, Diversity & Human Rights Policy' or the Equality and Diversity website Equality Impact Assessment The Initial Equality Impact Assessment Screening Form is at Appendix 2. Page 3 of 7

4 Appendix 1. Governance Information Document Title Date Issued/Approved: 28 th August 2017 Clinical guideline for the safe administration of botulinum neuro toxin for injection within the Pain Service Date Valid From: 28 th August 2017 Date Valid To: 28 th August 2020 Directorate / Department responsible (author/owner): Pain Services, Kate Fleming Theatres and Anaesthetics Contact details: / Brief summary of contents This policy outlines the safe process for administration of botulinum neuro toxin within the Pain Services Suggested Keywords: Target Audience Executive Director responsible for Policy: Date revised: July 2017 This document replaces (exact title of previous version): Approval route (names of committees)/consultation: Pain Service, Botulinum Toxin, Botox, eomin RCHT PCH CFT KCCG Director of Nursing, Midwifery and Allied Health Professionals. Guidelines for the Safe Preparation and Administration of Botulinum Toxin (Botox) for Injection Infection Control, Waste Management Team, Senior pharmacist Divisional Manager confirming approval processes Name and Post Title of additional signatories Signature of Executive Director giving approval Publication Location (refer to Policy on Policies Approvals and Ratification): Document Library Folder/Sub Folder Links to key external standards Related Documents: Dr Alison Moore n/a {Original Copy Signed} Internet & Intranet Intranet Only Clinical / Pain/ Botox/ Pain/ Pain Services na na Page 4 of 7

5 Training Need Identified? No Version Control Table Date Versio n No April 2008 V th August 2014 V2.0 Summary of Changes Initial Issue produced by Document had been removed as out of date. Amended and updated for the use of Pain Services. Changes Made by (Name and Job Title) Jan Orr and Di Morris Ward manager ENT Outpatients Kate Fleming lead pain nurse specialist 25 th July 2017 V3.0 Document amended and updated for the use of the Pain service. Jayne Thomas. Lead Pain specialist nurse All or part of this document can be released under the Freedom of Information Act 2000 This document is to be retained for 10 years from the date of expiry. This document is only valid on the day of printing Controlled Document This document has been created following the Royal Cornwall Hospitals NHS Trust Policy on Document Production. It should not be altered in any way without the express permission of the author or their Line Manager. Page 5 of 7

6 Appendix 2. Initial Equality Impact Assessment Form Name of Name of the strategy / policy /proposal / service function to be assessed (hereafter referred to as policy. Clinical guideline for the safe administration of botulinum neuro toxin for injection within the Pain Service Directorate and service area: Pain Services Theatres and Anaesthetics Name of individual completing assessment: Kate Fleming 1. Policy Aim* Who is the strategy / policy / proposal / service function aimed at? Is this a new or existing Policy? New replacement for removed G18 guideline Telephone: : /2792 To standardise safe handling, storage, administration and disposal of botulinum toxin within the Pain Service for staff and patients. 2. Policy Objectives* Ensure that everyone follows the same procedure Health and Safety of patients and staff Ensure Practice is evidence based 3. Policy intended Outcomes* As above 4. *How will you measure the outcome? 5. Who is intended to benefit from the policy? 6a) Is consultation required with the workforce, equality groups, local interest groups etc. around this policy? b) If yes, have these *groups been consulted? C). Please list any groups who have been consulted about this procedure. Observation Audit Staff and Patients Yes Yes Infection Control Department Senior Pharmacist Waste Manager Estates Department 7. The Impact Please complete the following table. Are there concerns that the policy could have differential impact on: Equality Strands: Yes No Rationale for Assessment / Existing Evidence Age Page 6 of 7

7 Sex (male, female, transgender / gender reassignment) Race / Ethnic communities /groups Disability - learning disability, physical disability, sensory impairment and mental health problems Religion / other beliefs Marriage and civil partnership Pregnancy and maternity Procedure carried out following the attainment of patient verbal consent The best interests of the patient are considered at every consultation. Sexual Orientation, Bisexual, Gay, heterosexual, Lesbian You will need to continue to a full Equality Impact Assessment if the following have been highlighted: You have ticked Yes in any column above and No consultation or evidence of there being consultation- this excludes any policies which have been identified as not requiring consultation. or Major service redesign or development 8. Please indicate if a full equality analysis is recommended. Yes No no 9. If you are not recommending a Full Impact assessment please explain why. Full statement of commitment to policy of equal opportunities is included in the policy Signature of policy developer / lead manager / director Kate Fleming Date of completion and submission 28/08/2014 Names and signatures of members carrying out the Screening Assessment 1. Kate Fleming 2. Keep one copy and send a copy to the Human Rights, Equality and Inclusion Lead, c/o Royal Cornwall Hospitals NHS Trust, Human Resources Department, Knowledge Spa, Truro, Cornwall, TR1 3HD A summary of the results will be published on the Trust s web site. Signed Date Page 7 of 7

Loading Dose Worksheet for Oral Amiodarone

Loading Dose Worksheet for Oral Amiodarone This applies to adult patients only Key: General Notes ED/MAU/SRU/Acute GP/Amb-Care GP/SWASFT In-patient wards Start Prescribe as per loading dose worksheet below End 1. Aim/Purpose of this Guideline 1.1.

More information

CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline

CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline CLINICAL GUIDELINE FOR REFERRAL TO PAIN SERVICE 1. Aim/Purpose of this Guideline To provide guidance for appropriate referral to the acute pain service for in-patient review. 2. The Guidance PAIN SERVICES

More information

Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary.

Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary. Clinical Guideline for Nurse-Led Indocyanine Green Angiography Summary. Obtain brief medical history including allergies & renal function. Informed verbal consent gained and documented and procedure and

More information

Diagnostic Test Reporting & Acknowledgement Procedures. - Pathology & Clinical Imaging

Diagnostic Test Reporting & Acknowledgement Procedures. - Pathology & Clinical Imaging Diagnostic Test Reporting & Acknowledgement Procedures V2.0 November 2014 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5.

More information

CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0

CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0 CLINICAL GUIDELINE FOR THE ADMISSION OF PATIENTS TO PAEDIATRIC HIGH DEPENDANCY UNIT V4.0 Page 1 of 13 Abbreviation (P/A)HDU (P/A)ICU GCS IPPV CPAP BiPAP DKA Reg Meaning (Paediatric/Adult) High Dependency

More information

2.1. It is essential that promoting and safeguarding the welfare of children and young people is integral to all NHS Trust policies and procedures.

2.1. It is essential that promoting and safeguarding the welfare of children and young people is integral to all NHS Trust policies and procedures. Was Not Brought, Cancellation and Refusal of Appointments Policy for Children and Young People up to the Age of 18 Years (up to the age of 25 years for people with a Learning Disability) 1. Aim/Purpose

More information

OXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0

OXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0 OYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0 1. Aim/Purpose of this Guideline 1.1 To provide guidance on the assessment and management of infants requiring oxygen therapy

More information

Newborn Hearing Screening Programme Policy

Newborn Hearing Screening Programme Policy Newborn Hearing Screening Programme Policy V3.0 December 2015 Page 1 of 16 Summary - Screening Pathway for Newborn Hearing Screening Newborn hearing screening Check eligibility Eligible for screening Not

More information

Diagnostic Testing Procedures in Neurophysiology V1.0

Diagnostic Testing Procedures in Neurophysiology V1.0 V1.0 10 September 2012 Table of Contents 1. Introduction... 3 2. Purpose of this Policy/Procedure... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the

More information

MANAGEMENT OF HEREDITARY SPHEROCYTOSIS IN THE NEONATAL PERIOD CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

MANAGEMENT OF HEREDITARY SPHEROCYTOSIS IN THE NEONATAL PERIOD CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline MANAGEMENT OF HEREDITARY SPHEROCYTOSIS IN THE NEONATAL PERIOD CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1 This guideline aimed at all clinical staff responsible for the management of infants

More information

Diagnostic Testing Procedures for Ophthalmic Science

Diagnostic Testing Procedures for Ophthalmic Science V4.0 01/08/17 Table of Contents 1. Introduction... 3 2. Purpose of this Policy... 3 3. Scope... 3 4. Definitions / Glossary... 3 5. Ownership and Responsibilities... 3 5.2. Role of the Managers... 3 5.3.

More information

CEREBRAL FUNCTION MONITORING (aeeg). NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline

CEREBRAL FUNCTION MONITORING (aeeg). NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline CEREBRAL FUNCTION MONITORING (aeeg). NEONATAL CLINICAL GUIDELINE 1. Aim/Purpose of this Guideline 1.1. To provide guidance on the operation and interpretation of Cerebral Function Monitoring (CFM) in neonates.

More information

Health and Safety Policy and Guidance for Staff Working During Night Time Hours V2.0

Health and Safety Policy and Guidance for Staff Working During Night Time Hours V2.0 Health and Safety Policy and Guidance for Staff Working During Night Time Hours V2.0 January 2016 Summary Purpose of the document: The purpose of this policy is to provide an outline of the requirements

More information

Occupational Health Surveillance Policy V2.1

Occupational Health Surveillance Policy V2.1 Occupational Health Surveillance Policy V2.1 May 2016 Table of Contents 1. Introduction... 2 2. Purpose of this Policy... 2 3. Scope... 2 4. Definitions/Glossary... 3 5. Ownership and Responsibilities...

More information

Hand Hygiene Policy V2.1

Hand Hygiene Policy V2.1 V2.1 October 2017 Summary. Effective hand hygiene is shown to significantly reduce the carriage of potential pathogens and decrease the risk and occurrence of healthcare associated infections. Each individual

More information

Medical Needs Policy. Policy Date: March 2017

Medical Needs Policy. Policy Date: March 2017 Medical Needs Policy Policy Date: March 2017 Renewal Date: March 2017 Equality Statement This policy takes into account the provisions of the Equality Act 2010 and advances equal opportunities for all.

More information

Intravenous Medication Administration via a Central Venous Line

Intravenous Medication Administration via a Central Venous Line Standard Operating Procedure 11 (SOP 11) Intravenous Medication Administration via a Central Venous Line Why we have a procedure? This procedure is to assist/ inform healthcare professionals on how to

More information

FOR MEDICINE ADMINISTRATION IN COMMUNITY NURSING

FOR MEDICINE ADMINISTRATION IN COMMUNITY NURSING STANDARD OPERATING PROCEDURE FOR MEDICINE ADMINISTRATION IN COMMUNITY NURSING Issue History Issue Version One Purpose of Issue/Description of Change To promote safe and effective medicine administration

More information

Systemic anti-cancer therapy Care Pathway

Systemic anti-cancer therapy Care Pathway Network Guidance Document Status: Expiry Date: Version Number: Publication Date: Final July 2013 V2 July 2011 Page 1 of 9 Contents Contents... 2 STANDARDS FOR PREPARATION AND PHARMACY... 3 1.1 Facilities

More information

The Newcastle Upon Tyne Hospitals NHS Foundation Trust. Unlicensed Medicines Policy

The Newcastle Upon Tyne Hospitals NHS Foundation Trust. Unlicensed Medicines Policy The Newcastle Upon Tyne Hospitals NHS Foundation Trust Unlicensed Medicines Policy Version.: 2.4 Effective From: 13 October 2016 Expiry Date: 13 October 2018 Date Ratified: 12 October 2016 Ratified By:

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Decontamination of Healthcare Equipment following Patient Use and Prior to Service or Repair

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Decontamination of Healthcare Equipment following Patient Use and Prior to Service or Repair The Newcastle upon Tyne Hospitals NHS Foundation Trust Decontamination of Healthcare Equipment following Patient Use and Prior to Service or Repair Version No.: 5.0 Effective From: 27 December 2017 Expiry

More information

STANDARD OPERATING PROCEDURE THE TRANSPORTATION OF PRESCRIBED CONTROLLED DRUGS AND OTHER URGENTLY REQUIRED MEDICATION BY COMMUNITY NURSES

STANDARD OPERATING PROCEDURE THE TRANSPORTATION OF PRESCRIBED CONTROLLED DRUGS AND OTHER URGENTLY REQUIRED MEDICATION BY COMMUNITY NURSES STANDARD OPERATING PROCEDURE THE TRANSPORTATION OF PRESCRIBED CONTROLLED DRUGS AND OTHER URGENTLY REQUIRED MEDICATION BY COMMUNITY NURSES Issue History Issue Version Purpose of Issue/Description of Change

More information

Patient Group Direction for the supply of Fusidic Acid Cream 2% to patients aged over 2 years old receiving treatment from NHS Borders.

Patient Group Direction for the supply of Fusidic Acid Cream 2% to patients aged over 2 years old receiving treatment from NHS Borders. Patient Group Direction for the supply of Fusidic Acid Cream 2% to patients aged over 2 years old receiving treatment from NHS Borders. This document authorises the supply of Fusidic Acid Cream 2% by registered

More information

Helicopter Landing Site (HLS) Policy, Procedure and Guidance (HSP025) V2.0

Helicopter Landing Site (HLS) Policy, Procedure and Guidance (HSP025) V2.0 Helicopter Landing Site (HLS) Policy, Procedure and Guidance (HSP025) V2.0 May 2016 Summary Process for the notification of works that may require closure of the ED Helipad Project Manager (PM) identifies

More information

The Newcastle Upon Tyne Hospitals NHS Foundation Trust. Strategy for Non-Medical Prescribing

The Newcastle Upon Tyne Hospitals NHS Foundation Trust. Strategy for Non-Medical Prescribing The Newcastle Upon Tyne Hospitals NHS Foundation Trust Strategy for Non-Medical Prescribing Version No: 2.2 Effective From: 19 October 2016 Expiry Date: 19 October 2019 Date Ratified: 12 October 2016 Ratified

More information

Other (please specify): Note: This policy has been assessed for any equality, diversity or human rights implications

Other (please specify): Note: This policy has been assessed for any equality, diversity or human rights implications Post holder responsible for Procedural Document Author of Policy Division/ Department responsible for Procedural Document Contact details Judy Potter, Lead Nurse, Infection Prevention & Control Judy Potter,

More information

BLOOD AND BODILY FLUID GUIDELINES

BLOOD AND BODILY FLUID GUIDELINES BLOOD AND BODILY FLUID GUIDELINES Version Number 3.1 Version Date January 2016 Policy Owner Author First approval or date last reviewed Staff/Groups Consulted Director of Infection Prevention and Control

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Implementation Policy for NICE Guidelines The Newcastle upon Tyne Hospitals NHS Foundation Trust Implementation Policy for NICE Guidelines Version No.: 5.3 Effective From: 08 May 2017 Expiry Date: 02 March 2019 Date Ratified: 23 February 2017

More information

NBCP PO C Administration of injections

NBCP PO C Administration of injections POLICY CATEGORY: POLICY FOCUS: POLICY NAME: Administration of injections policy (EN) LAST UPDATED: February 2014 MOTION NUMBER: C-14-02-08 OTHER: GM-PP-I-03 (Supplement to administration of injections

More information

Person/persons conducting this assessment with Contact Details Marilyn Rees Lead VTE Nurse ext 48729

Person/persons conducting this assessment with Contact Details Marilyn Rees Lead VTE Nurse ext 48729 Appendix 2 - Equality Impact Assessment - Thromboprophylaxis Policy for Adult In-Patients Section A: Assessment Name of Policy Thromboprophylaxis Policy for Adult In-Patients Person/persons conducting

More information

Leaflet 17. Lone Working

Leaflet 17. Lone Working Leaflet 17 Lone Working Contents 1. Introduction 2. Purpose 3. Definitions 4. Risk Assessment 5. Environment 6. Communication 7. Monitoring & Effectiveness Appendix 1 - Environmental Precautions Appendix

More information

Medicine Protocol for the Administration of Inactivated Influenza Vaccine (Split Virion) BP Version 1, June 2017

Medicine Protocol for the Administration of Inactivated Influenza Vaccine (Split Virion) BP Version 1, June 2017 Medicine Protocol for the Administration of Inactivated Influenza Vaccine (Split Virion) BP to nurses, midwives, healthcare workers, agency staff, contract workers and volunteers by registered nurses and

More information

Health Authority Abu Dhabi

Health Authority Abu Dhabi Health Authority Abu Dhabi Document Title: HAAD Standards for administration of medication in schools Document Ref. Number: HAAD/AMDS/SD/1.0 Version 1.0 Approval Date: 13 August 2012 Effective Date: August

More information

BEREWOOD PRIMARY SCHOOL

BEREWOOD PRIMARY SCHOOL BEREWOOD PRIMARY SCHOOL Intimate Care Policy February 2015 Revised by School June 2014 Responsible Person Sue Patrick (head teacher) Responsible Committee Full Governing Body Ratified by GB February 2015

More information

Infection Control Safety Guidance Document

Infection Control Safety Guidance Document Infection Control Safety Guidance Document Lead Directorate and Service: Corporate Resources - Human Resources, Safety Services Effective Date: June 2014 Contact Officer/Number Garry Smith / 01482 391110

More information

Standard Precautions for Infection Control

Standard Precautions for Infection Control Standard Precautions for Infection Control Author(s) & Designation Lead Clinician if appropriate In consultation with To be read in association with Ratified by Suzanne Golding-Ellis, Head of Patient Safety

More information

St George s school: Supporting pupils at school with medical conditions

St George s school: Supporting pupils at school with medical conditions St George s school: Supporting pupils at school with medical conditions This policy applies to all pupils in St George's School Edgbaston, inclusive of those in the EYFS. Contents: Statement of intent

More information

MEDICAL CONDITIONS AND MEDICATION POLICY

MEDICAL CONDITIONS AND MEDICATION POLICY Round Oak School, Support Service & Sports College MEDICAL CONDITIONS AND MEDICATION POLICY Reviewed: June 2013 Next Review: Summer 2016 (unless it is necessary to be revised sooner) Reviewed: Autumn 2016

More information

Health Care Support Worker. Job description

Health Care Support Worker. Job description Health Care Support Worker Job description Date: December 2015 Context Barts Health NHS Trust is one of Britain s leading healthcare providers and the largest trust in the NHS. It was created on 1 April

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Pre-Operative Marking

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Pre-Operative Marking The Newcastle upon Tyne Hospitals NHS Foundation Trust Pre-Operative Marking Version.: 6.1 Effective From: 01 April 2015 Expiry Date: 01 April 2018 Date Ratified: 17 December 2014 Ratified By: Theatre

More information

Provision of Wigs Policy

Provision of Wigs Policy Post holder responsible for Procedural Document Author and post holder of Policy Division/Department responsible for Procedural Document Contact details Lead Cancer Nurse Tina Grose, Lead Cancer Nurse

More information

Community Infection Prevention and Control Guidance for Health and Social Care. Waste Management

Community Infection Prevention and Control Guidance for Health and Social Care. Waste Management Community Infection Prevention and Control Guidance for Health and Social Care Waste Management Version 1.01 May 2015 Harrogate and District NHS Foundation Trust Waste Management May 2015 Version 1.01

More information

Other (please specify): Note: This document has been assessed for any equality, diversity or human rights implications

Other (please specify): Note: This document has been assessed for any equality, diversity or human rights implications Post holder responsible for Procedural Document Author of Policy Division/ Department responsible for Procedural Document Contact details Lead Nurse/Director for Infection Prevention and Control Judy Potter,

More information

Supply of Fusidic acid 2% cream for impetigo by Community Pharmacists Protocol Number 472 version 2

Supply of Fusidic acid 2% cream for impetigo by Community Pharmacists Protocol Number 472 version 2 Supply of Fusidic acid 2% cream for impetigo by Community Pharmacists Protocol Number 472 version 2 Date protocol prepared: October 2017 Date protocol due for review: October 2019 Expiry date: October

More information

Non-Medical Prescribing Passport. Reflective Log And Information

Non-Medical Prescribing Passport. Reflective Log And Information Non-Medical Prescribing Passport Reflective Log And Information Non-Medical Prescribing Continued Profession Development Log NMPs must refer to their regulatory bodies requirements for maintaining and

More information

Clinical and Offensive Waste

Clinical and Offensive Waste Standard Operating Procedure 1 (SOP 1) Why we have a procedure? Clinical and Offensive Waste In accordance with HTM 07-01: Safe management of healthcare waste, waste must be segregated. It is the staff

More information

Access to Health Records Procedure

Access to Health Records Procedure Access to Health Records Procedure Version: 1.0 Ratified by: Date ratified: 11/03/2015 Name of originator/author: Name of responsible individual: Information Governance Group Medical Records Manager, Jackie

More information

Mandatory Competency Assessment for Medicines Management (Not Injectable Medicines) for Registered Practitioners IN HOSPITAL

Mandatory Competency Assessment for Medicines Management (Not Injectable Medicines) for Registered Practitioners IN HOSPITAL Mandatory Competency Assessment for Medicines Management (Not Injectable Medicines) for Registered Practitioners IN HOSPITAL Document Author Written by: Lead Pharmacist/Lead Technician Medicines Use and

More information

AAFE Frontline TMJ, Headache and Orofacial Pain Therapy Course. Please read this important information carefully

AAFE Frontline TMJ, Headache and Orofacial Pain Therapy Course. Please read this important information carefully AAFE Frontline TMJ, Headache and Orofacial Pain Therapy Course Please read this important information carefully We need some important information before you attend the course. Please fill out the Reservation

More information

The Medicines Policy. Chapter 6: Standards of Practice. MISCELLANEOUS and DISCHARGE

The Medicines Policy. Chapter 6: Standards of Practice. MISCELLANEOUS and DISCHARGE Chapter 6: Standards of Practice MISCELLANEOUS and DISCHARGE V2.1 Date: October 2015 CHAPTER 6 CONTENTS 6.5. Miscellaneous... 3 6.5.1 Patients Moving Between Healthcare Trusts... 3 6.5.1.1 Transfer of

More information

Supply of Fusidic acid 2% cream for impetigo by Community Pharmacists Protocol Number 472 version 1

Supply of Fusidic acid 2% cream for impetigo by Community Pharmacists Protocol Number 472 version 1 Supply of Fusidic acid 2% cream for impetigo by Community Pharmacists Protocol Number 472 Date protocol prepared: December 2015 Date protocol due for review: December 2017 This patient group direction

More information

Central Alerting System (CAS) Policy

Central Alerting System (CAS) Policy Document Title Reference Number Lead Officer Author(s) (name and designation) Ratified By Central Alerting System (CAS) Policy NTW(O)17 Gary O Hare Executive Director of Nursing and Operations Tony Gray

More information

Unlicensed Medicines Policy

Unlicensed Medicines Policy Unlicensed Medicines Policy This procedural document supersedes: PAT/MM 4 v.3 Policy and Procedure for the Use of Unlicensed Medicines Did you print this document yourself? The Trust discourages the retention

More information

Medication Administration Using the Home Pump (Eclipse)

Medication Administration Using the Home Pump (Eclipse) Medication Administration Using the Home Pump (Eclipse) Phone Number: Nurse/Contact: Receiving IV Therapy in the Home Your doctor has ordered for you to receive your IV medication at home. Receiving IV

More information

South Tyneside NHS Foundation Trust. Clinical Policy. Chaperoning Policy. Review Date June 2011

South Tyneside NHS Foundation Trust. Clinical Policy. Chaperoning Policy. Review Date June 2011 South Tyneside NHS Foundation Trust Clinical Policy Chaperoning Policy Date Approved by Version Issue Date June 2009 2 June Executive 2009 Director of Nursing & Clinical Services Procedure /Policy number

More information

Supporting Pupils with Medical Conditions

Supporting Pupils with Medical Conditions Saint Edmund s Catholic Primary School Together we learn and grow through worship and celebration Supporting Pupils with Medical Conditions Committee responsible for policy Community Approved by Committee/FGB

More information

Administration and Storage of Medication Policy

Administration and Storage of Medication Policy Name of School Corbets Tey School Policy Adopted 01/12/11 Next Review 01/12/12 Reviewed by Governors Name: Governors Signature: Administration and Storage of Medication Policy 1. The Board of Governors

More information

GUIDELINE FOR STEP-DOWN TRANSFER OF PATIENTS FROM CRITICAL CARE AREAS

GUIDELINE FOR STEP-DOWN TRANSFER OF PATIENTS FROM CRITICAL CARE AREAS GUIDELINE FOR STEP-DOWN TRANSFER OF PATIENTS FROM CRITICAL CARE AREAS This guidance does not override the individual responsibility of health professionals to make appropriate decision according to the

More information

St. Michael s Middle School. Intimate Care Policy

St. Michael s Middle School. Intimate Care Policy Principles St. Michael s Middle School Intimate Care Policy February 2011 1.0 The Governing Body will act in accordance with Section 175 of the Education Act 2002 and Safeguarding Children and Safer Recruitment

More information

NEWBORN LIFE SUPPORT - CLINICAL GUIDELINE NLS FLOWCHART

NEWBORN LIFE SUPPORT - CLINICAL GUIDELINE NLS FLOWCHART NEWBORN LIFE SUPPORT - CLINICAL GUIDELINE NLS FLOWCHART All staff have a responsibility to prepare, check, and be familiar with using any resuscitation equipment available. Community births should have

More information

COMPETENCIES FOR HEALTHCARE ASSISTANT IN SEXUAL HEALTH (BAND 3)

COMPETENCIES FOR HEALTHCARE ASSISTANT IN SEXUAL HEALTH (BAND 3) COMPETENCIES FOR HEALTHCARE ASSISTANT IN SEXUAL HEALTH (BAND 3) Dimension Level Indicators Areas of application to nursing practice Achieved - Signature and Date 1. Communication Level 2 Communicate with

More information

Clinical Audit Procedure

Clinical Audit Procedure SH NCP 7 Clinical Audit Procedure Summary: Keywords (minimum of 5): (To assist policy search engine) Target Audience: Clinical audit is the process of health professionals evaluating the quality of care

More information

Delegation to Band 3 and 4 Nursing Unregistered Support Workers Guidance for Staff and Managers. Version No.1 Review: November 2019

Delegation to Band 3 and 4 Nursing Unregistered Support Workers Guidance for Staff and Managers. Version No.1 Review: November 2019 Livewell Southwest Delegation to Band 3 and 4 Nursing Unregistered Support Workers Guidance for Staff and Managers Version No.1 Review: November 2019 Notice to staff using a paper copy of this guidance

More information

03/09/2014. Infection Prevention and Control A Foundation Course. Linen management

03/09/2014. Infection Prevention and Control A Foundation Course. Linen management Infection Prevention and Control A Foundation Course 2014 Standard Precaution Element 6 : Spillages, Laundry and Waste Management Niamh Allen CNMII Hygiene Co-ordinator Dip H Ed Nursing, H DIP (Hons) Gerontology

More information

Quality and Equality Integrated Impact Assessment Policy

Quality and Equality Integrated Impact Assessment Policy Subject: Quality and Equality Integrated Impact Assessment Policy Meeting: NHS MK CCG Shadow Board Date of Meeting: 2 October 2012 Report of: Alison Jamson, NHSMK&N Introduction NHS Milton Keynes Clinical

More information

Immunizations Criminal Background check Infection Control HIPPA Health Insurance Portability and Accountability Act

Immunizations Criminal Background check Infection Control HIPPA Health Insurance Portability and Accountability Act Reedsburg Area Senior Life Center Welcome to Reedsburg Area Senior Life Center for your clinical! We hope you will have a positive and rewarding learning experience. If you have any questions during your

More information

One of the recommendations of the Free to Lead, Free to Care, Empowering Ward Sisters/Charge Nurses Ministerial Task and Finish Group: was that

One of the recommendations of the Free to Lead, Free to Care, Empowering Ward Sisters/Charge Nurses Ministerial Task and Finish Group: was that INTRODUCTION One of the recommendations of the Free to Lead, Free to Care, Empowering Ward Sisters/Charge Nurses Ministerial Task and Finish Group: was that All ward sister/charge nurses should have access

More information

CLINICAL PROCEDURE PROCEDURE FOR AN EXPECTED DEATH OF AN ADULT PATIENT FOR COMMUNITY NURSING

CLINICAL PROCEDURE PROCEDURE FOR AN EXPECTED DEATH OF AN ADULT PATIENT FOR COMMUNITY NURSING CLINICAL PROCEDURE PROCEDURE FOR AN EXPECTED DEATH OF AN ADULT PATIENT FOR COMMUNITY Issue History Issue Version One Purpose of Issue/Description of Change Planned Review Date To ensure all deceased individuals,

More information

JOB DESCRIPTION. Pathology CHFT

JOB DESCRIPTION. Pathology CHFT JOB DESCRIPTION POST TITLE: POST REFERENCE: Bank Medical Laboratory Assistant (Blood Sciences) BAND: AFC Band 2 ACCOUNTABLE TO: RESPONSIBLE TO: LINE MANAGEMENT RESPONSIBILITY FOR: BASE: Laboratory Manager,

More information

Uncontrolled when printed NHS AYRSHIRE & ARRAN CODE OF PRACTICE FOR MEDICINES GOVERNANCE. SECTION 9(a) UNLICENSED MEDICINES

Uncontrolled when printed NHS AYRSHIRE & ARRAN CODE OF PRACTICE FOR MEDICINES GOVERNANCE. SECTION 9(a) UNLICENSED MEDICINES Uncontrolled when printed NHS AYRSHIRE & ARRAN CODE OF PRACTICE FOR MEDICINES GOVERNANCE SECTION 9(a) UNLICENSED MEDICINES BACKGROUND and PURPOSE Under the Medicines Act 1968 (EEC Directive 65/65), a company

More information

Peripherally inserted central catheter (PICC line) Information to accompany consent

Peripherally inserted central catheter (PICC line) Information to accompany consent Peripherally inserted central catheter (PICC line) Information to accompany consent Exceptional healthcare, personally delivered What is a PICC line? PICC stands for peripherally inserted central venous

More information

Chapter 6 Planning for Comprehensive RH Services

Chapter 6 Planning for Comprehensive RH Services Chapter 6 Planning for Comprehensive RH Services This section outlines the steps to take to be ready to expand RH services when all the components of the MISP have been implemented. It is important to

More information

Gloucestershire Hospitals

Gloucestershire Hospitals Gloucestershire Hospitals NHS Foundation Trust TRUST POLICY THE WOMEN S CENTRE CATERING OPERATIONAL POLICY: GLOUCESTERSHIRE ROYAL HOSPITAL B0670 Any hard copy of this document is only assured to be accurate

More information

RECEIPT OF APPLICATIONS FOR DETENTION UNDER THE MENTAL HEALTH ACT 1983

RECEIPT OF APPLICATIONS FOR DETENTION UNDER THE MENTAL HEALTH ACT 1983 Reference Number: UHB 340 Version Number: 1 Date of Next Review 10 th Dec 2018 Previous Trust/LHB Reference Number: N/A RECEIPT OF APPLICATIONS FOR DETENTION UNDER THE MENTAL HEALTH ACT 1983 Introduction

More information

Kevin Chapman Tissue Viability - Modern Matron

Kevin Chapman Tissue Viability - Modern Matron Tissue Viability Policy - Practice Guidance Note Aseptic Non Touch Technique V01 Date issued Issue 1 Jan 16 Planned review January 2019 TV-PGN-03 Part of NTW(C)18 Tissue Viability Policy Author/Designation

More information

Defense Logistics Agency Instruction. Lactation Program

Defense Logistics Agency Instruction. Lactation Program Defense Logistics Agency Instruction Lactation Program DLAI 7306 September 2, 2010 DLA Installation Support Occupational Safety and Health Releasability: UNCLASSIFIED. For Public Release. 1. REFERENCES.

More information

REVISED FIP BASEL STATEMENTS ON THE FUTURE OF HOSPITAL PHARMACY

REVISED FIP BASEL STATEMENTS ON THE FUTURE OF HOSPITAL PHARMACY REVISED FIP BASEL STATEMENTS ON THE FUTURE OF HOSPITAL PHARMACY Approved September 2014, Bangkok, Thailand, as revisions of the initial 2008 version. Overarching and Governance Statements 1. The overarching

More information

Document Title: Research Database Application (ReDA) Document Number: 043

Document Title: Research Database Application (ReDA) Document Number: 043 Document Title: Research Database Application (ReDA) Document Number: 043 Version: 1 Ratified by: Committee Date ratified: 30 September 2014 Name of originator/author: Directorate: Department: Name of

More information

St Andrew s Primary School, Ramsbottom

St Andrew s Primary School, Ramsbottom St Andrew s Primary School, Ramsbottom As a community, including children, staff, parents and governors, we seek to encourage the faith and educational journey of all our members. We exist to identify

More information

Hand Hygiene Policy. Documentation Control

Hand Hygiene Policy. Documentation Control Documentation Control Reference CL/CGP/039 Approving Body Trust Board Date Approved 3 Implementation date 3 Supersedes NUH Version 2 (May 2009) Consultation undertaken Infection Prevention and Control

More information

Administering Medicine Policy

Administering Medicine Policy Administering Medicine Policy Date Agreed: November 2015 Review Date: November 2016 Hove Junior School is committed to safeguarding and promoting the welfare of children and young people and expects all

More information

NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST MEDICINES IN THE OPERATING THEATRE AND RECOVERY

NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST MEDICINES IN THE OPERATING THEATRE AND RECOVERY NOTTINGHAM UNIVERSITY HOSPITALS NHS TRUST Reference CL/MM/014 Approving Body Senior Management Team Date Approved 6 September 2016 Implementation Date 6 September 2016 Summary of Changes from Previous

More information

HANDLING OF LAUNDRY POLICY

HANDLING OF LAUNDRY POLICY HANDLING OF LAUNDRY POLICY Version: 6 Ratified by: Date ratified: November 2015 Title of originator/author: Title of responsible committee/group: Senior Managers Operational Group Facilities Manager Estates

More information

Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1

Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1 Managing medicines in care homes Social care guideline Published: 14 March 2014 nice.org.uk/guidance/sc1 NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-ofrights).

More information

MLT Administering Medicines

MLT Administering Medicines MLT Administering Medicines Date Last Reviewed: October 2016 Reviewed by: Executive Principal (Primary) Approved by: Next Review Due: October 2017 Maltby Learning Trust 1 POLICY STATEMENT The Maltby Learning

More information

Healthcare Associated Infection (HAI) inspection tool

Healthcare Associated Infection (HAI) inspection tool Healthcare Associated Infection (HAI) inspection tool Hospital: Ward/Department: Inspector: Date: Guidance note: This tool is designed to assist HEI inspectors assess NHS boards compliance with NHS Quality

More information

ADMINISTRATION OF MEDICINES POLICY

ADMINISTRATION OF MEDICINES POLICY ADMINISTRATION OF MEDICINES POLICY INTRODUCTION 1. This policy sets out the basis on which the school may agree to administer medicines to students. It is based on the March 2008 guidance document from

More information

Medical Policy. (Supporting pupils with medical conditions)

Medical Policy. (Supporting pupils with medical conditions) Medical Policy (Supporting pupils with medical conditions) Date if issue Approval Review date September 2014 Headteacher April 2017 Rushmere Hall Primary School wishes to ensure that pupils with medical

More information

Document Title: Research Database Application (ReDA) Document Number: 043

Document Title: Research Database Application (ReDA) Document Number: 043 Document Title: Research Database Application (ReDA) Document Number: 043 Version: 1.1 Ratified by: Committee Date ratified: 23 February 2017 Name of originator/author: Rachel Fay Directorate: Medical

More information

Policies and Procedures. RNSP: RN Procedure. I.D. Number: 1067

Policies and Procedures. RNSP: RN Procedure. I.D. Number: 1067 Policies and Procedures RNSP: RN Procedure Title: CHEMOTHERAPY BLADDER INSTILLATION (INTRAVESICAL) CARE OF CLIENT I.D. Number: 1067 Authorization: [] SHR Nursing Practice Committee Source: Nursing Date

More information

ACUTE CARE BUSINESS UNIT THEATRE OPERATIONAL POLICY

ACUTE CARE BUSINESS UNIT THEATRE OPERATIONAL POLICY ACUTE CARE BUSINESS UNIT THEATRE OPERATIONAL POLICY Review date: October 2017 Mr U Khan : Clinical Director Mrs G Bird : Directorate Manager Critical Care Mr M Cawley : Theatre Manager Theatre Operational

More information

Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication

Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication Procedure to Allow Nursing Staff to Dispense Leave and Discharge Medication Version 2 minor update June 2013 Procedure Number Replaces Policy No. Ratifying Committee N/a PPPF Date Ratified April 2009 Minor

More information

JOB DESCRIPTION. SENIOR PHARMACY ASSISTANT TECHNICAL OFFICER Aseptic Services

JOB DESCRIPTION. SENIOR PHARMACY ASSISTANT TECHNICAL OFFICER Aseptic Services JOB DESCRIPTION JOB DETAILS Job Title: SENIOR PHARMACY ASSISTANT TECHNICAL OFFICER Aseptic Services Band: Band 3 Department / Ward: Pharmacy Department Division: Clinical Support Your normal place of work

More information

Equality and Diversity strategy

Equality and Diversity strategy Equality and Diversity strategy 2016-2019 DRAFT If you would like this document in a different format, please telephone 0117 9474400 or e-mail getinvolved@southgloucestershireccg.nhs.uk Executive Summary

More information

JOB DESCRIPTION. 2. To participate in the delivery of medicines administration depending on local need and priorities.

JOB DESCRIPTION. 2. To participate in the delivery of medicines administration depending on local need and priorities. JOB DESCRIPTION JOB TITLE: Clinical Pharmacy Technician PAY BAND: 5 DEPARTMENT/DIVISION: BASED AT: REPORTS TO: PHARMACY/A5 University Hospitals Birmingham Pharmacy Support Manager PROFESSIONALLY RESPONSIBLE

More information

Medication Guidelines

Medication Guidelines Guidelines March 2015 Medication Guidelines MEDICATION MARCH 2015 i Approved by the College and Association of Registered Nurses of Alberta () Provincial Council, March 2015. On September 22, 2017 Provincial

More information

A-Z Hospitals NHS Trust (replace with your employer name)

A-Z Hospitals NHS Trust (replace with your employer name) Department of Health will be issuing new guidance relating to the monitoring of equality in April 2013. The equality and diversity sections within NHS Jobs application forms will be reviewed and updated

More information

Section 5: Premises, Equipment and Storage

Section 5: Premises, Equipment and Storage Section 5: Premises, Equipment and Storage Date Commenced Name Role Review of Premises, Equipment and Storage The purpose of this section is to help you review your pharmacy premises and equipment, and

More information

U: Medication Administration

U: Medication Administration U: Medication Administration Alberta Licensed Practical Nurses Competency Profile 199 Competency: U-1 Pharmacology and Principles of Administration of Medications U-1-1 U-1-2 U-1-3 U-1-4 Demonstrate knowledge

More information