POLICY FOR ANTICIPATORY PRESCRIBING FOR PATIENTS WITH A TERMINAL ILLNESS Just in Case

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "POLICY FOR ANTICIPATORY PRESCRIBING FOR PATIENTS WITH A TERMINAL ILLNESS Just in Case"

Transcription

1 POLICY FOR ANTICIPATORY PRESCRIBING FOR PATIENTS WITH A TERMINAL ILLNESS Just in Case DOCUMENT NO: DN116 Lead author/initiator(s): Sarah Woodley Community Health Services Pharmacist Developed by: Originally developed in Cambridge City and South Cambridgeshire PCT by Sarah Woodley and Dr Angela Steele GP Macmillan Facilitator in March Updated by the Palliative Care Policy task and finish group in Cambridgeshire Community Services in 2008 and Version 3 has been updated and harmonised across the Trust by Sarah Woodley in consultation with the Pan Cambridgeshire Palliative Medication Task and Finish Group, November Approved by: Cambridgeshire Community Services NHS Trust Medicines Safety and Governance Group Approval date: 17 th December 2012 Review date: December 2014 Version no: 4 For office use only: Ratified by: (enter Board of Directors or Sub-committee of BoD) Date ratified: 18 January 2013 Version Control And Revisions: Quality Improvement and Safety Committee 1 First published for CCS NHS Trust March 2008 Version Page/Para No. Description of change Date approved 2 October Whole document Reformatted and rearranged with minor September 2010 amendments to text with no change in meaning. Changed references to PCT and CCS to refer to CCS NHS Trust. 1.0 Introduction Referred to Department of Health End of Life care Strategy, Combined aims and objectives into one Policy for Anticipatory Prescribing for Patients with a Terminal Illness Just in Case Page 1 of 12

2 2.0 Objectives 3.3 Responsibilities 5.1 Process paragraph. Changed telephone number for ordering bags, leaflets and charts Included recommendation that medicines are prescribed in a quantity that can be dispensed in the manufacturer s original pack where possible. Added that recommended brand for sublingual lorazepam (Genus) and a note that this is unlicensed method of use. Included details of how medicines should be prescribed on the prescription chart. Included midazolam (Schedule 3 CD) 5.3 Managing in Just in case bag in the home 5.4 Administration from the bag 5.5 Disposal 6. Risk Management 7. Training Appendices Added reference to the new Controlled Drug Balance Record Form for Domiciliary Use. Added that the nurse must also record midazolam (Schedule 3 CD) Amended to The nurse must check the contents of the Just in Case bag after one week and carry out a risk assessment for each individual patient to decide how often the just in case medicines need to be checked, this must be documented. The Just in Case medicines must be checked at least once every 4 weeks. Amended to if the nurse cannot account for all of the controlled drugs, after enquiry with the family and healthcare team, the team leader must inform the Accountable Officer and complete an incident form. Added: The nurse must reassess / review the frequency of checks in accordance with the patient s needs. Amended to a family member should return all medicines to a community pharmacy or dispensary Added that medicines must not be returned to stock Included reference to NPSA alert on reducing dosing errors with opioid medicines Reference to audit undertaken. Added every member of the healthcare team has a responsibility to check that the intended dose of an opioid medicine is safe for the individual patient. When opioid medicines are prescribed, dispensed or administered, the healthcare practitioner concerned should be familiar with the usual starting dose, frequency of administration, standard dosing increments, symptoms of overdose and common side effects. Removed leaflets (these will be available separately on the CCS NHS Trust website) and audit form. 4 Policy Harmonisation across the Trust December 2012 THIS IS A CONTROLLED DOCUMENT Page 2 of 12

3 Whilst this document may be printed, the electronic version maintained on the CCS NHS Trust Intranet is the controlled copy. Any printed copies of this document are not controlled. Cambridgeshire Community Services NHS Trust. Not to be reproduced without written permission. Page 3 of 12

4 DOCUMENT CONTROL SHEET Purpose of document: Dissemination: Implementation: Review: This document supports: Key related documents: Equality & Diversity: Financial Implications: Contact point for queries: Key word search To provide a safe framework for anticipatory prescribing and administration of medicines for patients with a terminal illness in line with national guidance, legislation and best practice. This policy replaces the Cambridgeshire Community Services Policy for Anticipatory Prescribing in Patients with a Terminal Illness Sept 2010 Available on the Trust intranet and external website link All healthcare staff in the Trust will be informed via the Communication Cascade Other individuals / organisations will be informed as appropriate e.g. Cambridgeshire and Peterborough Clinical Commissioning Group, GPs, Thorpe Hall Hospice, Cambridgeshire and Luton Local Intelligence Networks, Mount Vernon Cancer Network, local acute NHS Trusts This policy is to be implemented throughout all of the organisations operational and geographical areas by service managers, clinical managers and healthcare staff. By Sarah Woodley, Community Health Services Pharmacist Review date December 2014 or earlier if there is new national guidance, changes in treatment or legislation. Misuse of Drugs Act 1971 Misuse of Drugs Regulations 1997 and 2001 and subsequent amendments Care Quality Commission, essential standards of quality and safety Outcome 9 Management of Medicines National Patient Safety Agency (NPSA) alerts NHS Litigation Authority Risk Management Standards - - Standard 5 Criterion 10 Medicines Management and Medicinal Products: Prescription by Nurses Act 1992 Department of Health End of Life care Strategy 2008 Gold Standards Framework Cambridgeshire Community Services NHS Trust Medicines Management Policy and associated Medicine Management Standard Operating Procedures MMSOP for the Management of Controlled Drugs in Patients Homes Cambridgeshire Palliative Care Guidelines Group Fact sheets on Symptom Management Mount Vernon Cancer Network Planned or Emergency Anticipatory Prescribing (Just in Case) Guidance November 2011 Cambridgeshire Community Services NHS Trust will ensure that this document is applied in a fair and reasonable manner that does not discriminate on such grounds as race, gender, disability, sexual orientation, age, religion or belief This document may have financial implications on the organisation including purchase of Just in Case bags, leaflets and prescription charts. Sarah Woodley: Community Health Services Pharmacist anticipatory drugs, anticipatory prescribing, anticipatory medicine, just in case bag, just in case drugs, JIC, palliative care, end of life care Page 4 of 12

5 Contents Page 1. Introduction Objectives Duties Managers and Team leaders Prescriber Registered Nurse Training Guidance Setting up Anticipatory Prescribing Managing the Anticipatory Medicines in the Home Administration of Anticipatory Medicines Disposal Risk Management and Monitoring Specialist Advice and Information References Appendix 1 Flow Chart of Process Page 5 of 12

6 1. Introduction Many patients nearing the end of life wish to remain in their own home for as long as possible. However, they often experience distressing symptoms or become unable to swallow essential medicines such as analgesics or anti-emetics. It is essential that patients and the healthcare professionals looking after them have timely access to the medicines that can help if their condition changes suddenly at any time of the day or night, preventing unnecessary crises e.g. emergency admission to hospital, or prolonged / undue distress. Anticipatory prescribing ensures that there is no delay in responding to a symptom if it occurs. For patients in the community who are in the last few weeks of life, it is good practice for the prescriber (usually the GP) to prescribe a range of medicines which are kept in the home so that they are available for an attending healthcare professional to administer, if appropriate, following clinical assessment. Although each patient is an individual with individual needs, many acute events during the palliative period can be predicted and management measures put in place in advance. The decision to prescribe anticipatory medicines should be based on a risk / benefit assessment, and it is essential to discuss the need for anticipatory prescribing within the context of end of life care with both the patient and their carer as well as healthcare professionals involved. 2. Objectives This policy aims to: 3. Duties Improve access to palliative care medicines in the community by encouraging prescribers to anticipate common symptoms in the last few weeks of life e.g. pain, nausea and vomiting, respiratory secretions, agitation and anxiety, and prescribe sufficient quantities of the appropriate medicines which are dispensed and kept in the patient s home. Avoid distress in patients, carers and healthcare staff who do not have the correct medicine readily available, and help prevent unnecessary hospital admissions. Ensure prescribing complies with current legislation and takes place in a clear and safe manner that is understood by healthcare staff responsible for dispensing and administering the medication. Provide a safe framework for the use of anticipatory medicines in the home. 4.1 Managers and Team leaders Ensure that: The most recent version of the policy is available for use and any previous versions are removed from use. Relevant staff have read and understood the policy and have the necessary training and competencies. Medicines are handled in accordance with all Trust medicines management policies, and that the necessary equipment and supplies are available. Incidents and near misses are reported using the web-based Incident Reporting System (DATIX). A supply of Just in Case bags, leaflets and community prescription charts are available in all areas where they may be used. Page 6 of 12

7 4.2 Prescriber (The term prescriber includes doctor, independent prescriber, or supplementary prescriber working in accordance with individual patient clinical management plan.) Identify appropriate patients and prescribe anticipatory medicines in accordance with current legislation and the guidance in this policy. 4.3 Registered Nurse Identify appropriate patients and liaise with the prescriber regarding prescriptions and supply of anticipatory medicines in accordance with the guidance in this policy. Ensure adequate supplies of equipment (e.g. needles, syringes, sharps bin etc) are available in the home. Ensure adequate stocks of Just in Case bags, leaflets and prescription charts are available in all areas where they are used. Supplies are obtained from Arthur Rank House Hospice, Cambridge , Community Nursing Office, City Care Centre, Peterborough and Community Nursing Team, Luton on Ensure the patient and carers know whom to contact out of hours should any symptoms or problems occur. Ensure that appropriate records of receipt and administration of Schedule 2 Controlled Drugs (e.g. diamorphine and midazolam) are kept and that CDs are handled in accordance with the MMSOP for the Management of Controlled Drugs in Patients Homes. Check the anticipatory medicines regularly in accordance with this policy. Ensure that anticipatory medicines are disposed of in accordance with Trust policy. Ensure that all medicines are stored and handled in accordance with Trust policies and procedures. Ensure that they have received the necessary training and maintain and update their knowledge and skills in the relevant areas of practice. A record of CPD must be maintained as evidence. 4. Training This policy will be made available to all relevant healthcare staff. New healthcare staff to whom it applies are required to read the policy on induction. All healthcare staff must read the policy and seek further advice from their clinical manager or the Medicines Management Team if there are any aspects of the policy that they do not fully understand. Medicines should only be prescribed, dispensed and administered by staff that have the necessary knowledge and skills and are confident and competent to carry out this practice. Healthcare staff must identify their own training needs and inform their manager. The requirements for safe management of medicines may change due to changes in legislation or best practice guidance. It is therefore essential that all healthcare staff keep up to date with current practice. Staff should reflect on their medicines-related learning needs when discussing their Personal Development Plans with their manager. Page 7 of 12

8 5. Guidance See Appendix 1 Flow Chart of Process Anticipatory prescribing should be considered for all patients who are in the last few weeks of life. Some patients and / or carers may be unwilling to have anticipatory medicines; they may misinterpret anticipatory prescribing as provision for euthanasia or it may cause increased anxiety that death is near. However, good communication, reassurance and the explanatory leaflet should help to allay fears. Caution is needed where there is a history of drug misuse by the patient, family members, carers or visitors to the house, and a risk assessment should be undertaken. Consider prescribing smaller quantities of controlled drugs or using a lockable box for storage Setting up Anticipatory Prescribing Healthcare professionals should identify relevant patients ahead of need. The prescriber must prescribe the appropriate anticipatory medicines on an FP10 prescription to reflect the individual needs of the patient, taking into account current use of medicines for symptom control. The prescription should include one medicine for each of the following indications: pain, nausea and vomiting, respiratory secretions, agitation and anxiety. At least 5 ampoules of each medicine should be prescribed, but it is recommended that medicines are prescribed in a quantity that can be dispensed in the manufacturer s original pack where possible. The prescription is likely to include: Diamorphine or an alternative for pain Diluent (either sodium chloride 0.9% injection or water for injections) Haloperidol or levomepromazine for nausea and vomiting Midazolam for agitation / restlessness Glycopyrronium or hyoscine butylbromide (Buscopan ) for respiratory secretions Oral lorazepam tablets (Genus brand) for sublingual use by the patient for anxiety. N.B. This is an unlicensed method of administration. More information on the recommended medicines and doses used locally are included on the community prescription chart: Cambridgeshire and Peterborough chart (yellow) or Luton chart (blue). For further information on prescribing see 6 and 7. In addition to writing the FP10 prescription, the prescriber must write each of the subcutaneous anticipatory medicine on the As required / Anticipatory medicines section of the community prescription chart with clear instructions for use, including: Medicine name Dose Route Frequency Indication for use and maximum dose in 24 hours. Each entry must be signed and dated. Page 8 of 12

9 The syringe pump prescription should not normally be completed at this stage as it is not usually appropriate to anticipate an individual patient s requirements for continuous subcutaneous infusion of medicines in advance. The prescriber must explain the purpose of anticipatory prescribing / the Just In Case bag to patient and carer and explain that the medicines are for professional use only apart from the lorazepam tablets which can be self-administered by the patient or administered by the carer in accordance with the instructions on the label and the written leaflet supplied. The prescriber should ensure that the patient and / or carer know who to contact out of hours should any symptoms or problems occur. The prescriber should place a note on the patient s record to indicate that anticipatory medicines are held in the home, inform the Out of Hours Service and update the electronic palliative care register ( share my care ) where available. Supplies of Just in Case bags, leaflets and community prescription charts are available from Arthur Rank House Hospice, Cambridge , Community Nursing Office, City Care Centre, Peterborough , Community Nursing Team, Luton on Leaflets are also available on the Trust intranet Managing the Anticipatory Medicines in the Home Once dispensed, the nurse should put the anticipatory medicines into a Just in Case bag if available, or clearly mark and store the medicines so that they can be easily identified in the patient s home. In addition, each patient receives: o A leaflet explaining the purpose of the anticipatory medicines / Just in Case bag o A leaflet explaining how and when the lorazepam tablets are used The nurse must: o Ensure that adequate supplies of equipment are available in the home for administration. o Record receipt of the anticipatory medicines in the patient s notes and complete the contact details for the patient / carer. o Record the strength and quantity of injectable Schedule 2 Controlled Drugs and midazolam (Schedule 3) received on the Controlled Drug Balance Record Form. The quantity of the Controlled Drug must be counted and recorded each time it is used or each time the bag is checked. (It is not necessary to record the balance of other injections or tablets). o Check the anticipatory medicines after one week and carry out a risk assessment for each patient and document how often the anticipatory medicines need to be checked. (However, they must be checked at least once every 4 weeks to ensure that nothing has been removed, used or expired without a record being made). o If the nurse cannot account for all of the controlled drugs, after enquiry with the family and health care team, the nurse must inform the team leader / manager who must inform the Accountable Officer and complete an incident form. The prescriber must: o Review the prescription at least once a month or after any changes to circumstances to ensure that the anticipatory medicines are appropriate both in terms of strength and type (NB - requirements may go up or down). o Update the community prescription chart if required. Page 9 of 12

10 5.3. Administration of Anticipatory Medicines When an anticipatory subcutaneous anticipatory medicine is administered from the bag: The administering healthcare professional must: o Record the medicine and dose given on the community prescription chart and update the balance record of any controlled drugs used. (It is not necessary to record administration of the oral lorazepam on the chart, but a record should be made in the notes stating the reason for use.) o Inform the patient s GP. o The nurse must reassess / review the frequency of checks in accordance with the patient s needs. The GP / prescriber must: o Review the patient s symptoms the patient may need a change in dose or medicine prescribed. o Prescribe replacement medicine if needed via FP10 prescription. o Consider a regular prescription for symptom control. o Update the community prescription chart for any new medicines or changes in dose / instructions Disposal When the episode of care finishes: A family member should return all medicines to a community pharmacy or dispensary for disposal as soon as possible, including Controlled Drugs. In exceptional circumstances, the registered nurse may return the drugs in accordance with the Trust Medicines Management policy and MMSOP for Management of Controlled Drugs in Patients Homes. All medicines are prescribed for the named patient only and must never be used for any other patient or returned to stock. 6. Risk Management and Monitoring The subcutaneous route is recommended for all injections. Many medicines administered via the subcutaneous route are not licensed for subcutaneous administration; therefore their use is off label. However, the effective use of medicines via the subcutaneous route is well documented and the prescriber should be conversant with such evidence and follow local policy on unlicensed medicines. The NPSA Safer Practice Notice 12 (May 2006) advises caution when prescribing parenteral diamorphine and morphine for patients who had not previously received doses of opiates. However, it is also important that clinicians have appropriate access to medicines of sufficient strengths and a good understanding of which medicine can be used to best effect. High dose morphine and diamorphine injections The NPSA Rapid Response Report (July 2008) aimed to reduce dosing errors with opioid medicines caused by a lack of understanding of how opioid medicines are dosed correctly, or inadequate checks on previous doses resulting in mismatching the needs of the patient with the dose prescribed. Every member of the healthcare team has a responsibility to check that the intended dose of an opioid medicine is safe for the individual patient. When opioid medicines are prescribed, dispensed or administered, the healthcare practitioner concerned should be familiar with the usual Page 10 of 12

11 starting dose, frequency of administration, standard dosing increments, symptoms of overdose and common side effects. Reducing dosing errors with opioid medicines Anticipatory prescribing in Cambridgeshire was audited in December 2009 and updated in 2011 in order to collect data relating to usage, cost and wastage of the anticipatory medicines and this identified that there were many benefits to patients, healthcare professionals and the organisation. This audit should be repeated when required. Healthcare professionals and /or carers may be asked to complete a questionnaire to determine the problems and benefits of the scheme. Any incidents or near misses concerning Anticipatory Prescribing, and remedial action taken must be reported through the web based incident reporting system and any areas of concern will be incorporated into the annual audit programme. 7. Specialist Advice and Information For further prescribing information refer to: o Cambridgeshire Palliative Care Guidelines Group Fact sheets at o Thorpe Hall Hospice, Peterborough local guidelines o Mount Vernon Cancer Network Planned or Emergency Anticipatory Prescribing (Just in Case) Guidance November 2011 Specialist advice is available from your local hospice or specialist palliative care team: o Arthur Rank House Hospice, Cambridge (24 hour advice line) o Thorpe Hall Hospice, Peterborough o Keech Hospice, Luton and South Bedfordshire (24 hour advice line) o Luton Macmillan Specialist Palliative Care team (in working hours) o St Johns Hospice, Bedfordshire References Cambridgeshire Palliative Care Guidelines Group Fact sheets at Gold Standards Framework; Examples of Good Practice Resource Guide Just in Case Boxes August 2006 Department of Health End of Life care Strategy 2008 Misuse of Drugs Regulations 2001 NICE guidance Improving Supportive and Palliative Care for Adults with Cancer Department of Health Guidance Securing Proper Access to Medicines in the Out of Hours Period National Patient Safety Agency NPSA National Patient Safety Agency Focus on Anticipatory Prescribing for end of life care. GPC guidance April 2012 Page 11 of 12

12 Appendix 1 Flow Chart of Process District Nurse / Clinical Nurse Specialist / GP identifies relevant patient ahead of need The prescriber prescribes appropriate anticipatory medicines on FP10 prescription The prescriber writes the anticipatory medicines (except Lorazepam) on the community prescription chart in the as required / anticipatory medicine section The GP, District Nurse or Clinical Nurse Specialist explains the purpose of the anticipatory medicines / JIC bag to patient and carer and that all items are for professional use only (except lorazepam which can be used in accordance with the label and written leaflet supplied) and ensures that the patient and / or carer knows who to contact out of hours should any symptoms or problems occur The prescriber puts a note on the patient s to record that anticipatory medicines are held in the home, informs the OOH Service and updates the electronic palliative care register ( share my care ) where available The nurse puts the dispensed anticipatory medicines into a Just in Case bag if available, or clearly marks and stores the medicines so that they can be easily identified in the patient s home. The nurse ensures adequate supplies of equipment are available in the home for administration The nurse records receipt of the anticipatory medicines in the patient s nursing notes. The strength and quantity of Schedule 2 Controlled Drugs and midazolam (Schedule 3) received is recorded on the CD balance record form. The nurse checks the anticipatory medicines / Just in Case bag after one week and carries out a risk assessment for individual patient to decide how often the anticipatory medicines need to be checked, this must be documented. The anticipatory medicines must be checked and recorded at least once every 4 weeks. The prescriber reviews the prescription / medicines at least once a month or after any changes to circumstances When items are used: The administering nurse / doctor records the medicine and dose given on the community prescription chart and informs the patients GP. The prescriber reviews the patient s symptoms, prescribes replacement medicines if needed via FP10 prescription, considers a regular prescription for symptom control and updates the prescription chart for any new medicines or changes in dose / instructions. When episode of care finishes: A family member returns all medicines to a pharmacy for disposal as soon as possible including Controlled Drugs. (In exceptional circumstances, the registered nurse may return the drugs in accordance with the Trusts Medicines Management policy). Returned medication must never be reused for any other patient or returned to stock. Page 12 of 12

Scottish Palliative Care Guidelines Rapid Transfer Home in the Last Days of Life

Scottish Palliative Care Guidelines Rapid Transfer Home in the Last Days of Life Rapid Transfer Home in the Last Days of Life Management Follow five steps below to: facilitate a peaceful death in the patient s preferred place facilitate seamless transfer from hospital or hospice to

More information

SOMERSET HEALTH COMMUNITY JUST IN CASE BOX PROTOCOL STANDARD OPERATING PROCEDURE

SOMERSET HEALTH COMMUNITY JUST IN CASE BOX PROTOCOL STANDARD OPERATING PROCEDURE SOMERSET HEALTH COMMUNITY JUST IN CASE BOX PROTOCOL STANDARD OPERATING PROCEDURE Version: 2.3 Ratified by: Date ratified: Patient Safety and Quality Assurance Committee Somerset Clinical Commissioning

More information

Medicines Management in the Domiciliary Setting (Adults)

Medicines Management in the Domiciliary Setting (Adults) Medicines Management in the Domiciliary Setting (Adults) DOCUMENT NO: Lead author/initiator(s): (enter job titles) Developed by: (enter Team/Group etc.) Approved by: (enter management group/committee)

More information

Lead Clinician (if appropriate): Group Medicines Management Policy Syringe Driver Policy/Guidelines. To be read in association with:

Lead Clinician (if appropriate): Group Medicines Management Policy Syringe Driver Policy/Guidelines. To be read in association with: Anticipatory prescribing of Just in Case medication for symptom control in the last days of life in adult community palliative care patients STANDARD OPERATING PROCEDURE AND CLINICAL GUIDELINES FOR BRISTOL,

More information

Palliative Care Anticipatory Prescribing

Palliative Care Anticipatory Prescribing Palliative Care Anticipatory Prescribing Guidelines Gippsland Region Palliative Care Consortium Clinical Practice Group Policy No. Title Keywords Ratified GRPCC-CPG008 Anticipatory Prescribing Guidelines

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

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

Medicines Management in the Domiciliary Setting (Adults) Policy

Medicines Management in the Domiciliary Setting (Adults) Policy Policy Author: Sponsor/Executive: Responsible committee: Ratified by: Consultation & Approval: (Committee/Groups which signed off the policy, including date) This document replaces: Original author Principal

More information

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Injectable Medicines Policy

The Newcastle upon Tyne Hospitals NHS Foundation Trust. Injectable Medicines Policy The Newcastle upon Tyne Hospitals NHS Foundation Trust Injectable Medicines Policy Version No.: 4.3 Effective From: 24 March 2017 Expiry Date: 21 January 2019 Date Ratified: 11 January 2017 Ratified By:

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

Top tips for prescribing in palliative care. Dr Stephanie Lippett

Top tips for prescribing in palliative care. Dr Stephanie Lippett Top tips for prescribing in palliative care Dr Stephanie Lippett contents Tips Pain management Anticipatory prescribing DNACPR 3 things that primary care can do to improve things for patients/themselves

More information

Recommendations from National Patient Safety Agency alerts that remain relevant to the Never Events list 2018

Recommendations from National Patient Safety Agency alerts that remain relevant to the Never Events list 2018 Recommendations from National Patient Safety Agency alerts that remain relevant to the Never Events list 2018 January 2018 We support providers to give patients safe, high quality, compassionate care within

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

Medicines Reconciliation: Standard Operating Procedure

Medicines Reconciliation: Standard Operating Procedure Clinical Medicines Reconciliation: Standard Operating Procedure Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation

More information

MEDICATION POLICY FOR DOMICILIARY CARE IN CEREDIGION

MEDICATION POLICY FOR DOMICILIARY CARE IN CEREDIGION MEDICATION POLICY FOR DOMICILIARY CARE IN CEREDIGION Authors Ceredigion Social Services Ceredigion Local Health Board Date of publication Review Date Final Version 1 01.12.08 LOGOS 1 1. INTRODUCTION These

More information

May Just in Case Box: GUIDELINES

May Just in Case Box: GUIDELINES May 2016 Just in Case Box: GUIDELINES Contents Context 1 Vision, Aims, Objectives and Scope 2 Vision 2 Aims 2 Objectives 2 Scope 2 Service Delivery Principles 3 Patient Controlled Care 3 Engagement 3 Access

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

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

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

Just in Case Medication

Just in Case Medication Just in Case Medication Information leaflet for Patients and Carers Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please call: 01253 955588

More information

JOB DESCRIPTION. 1 year fixed term. Division A Pharmacy. University Hospitals Birmingham. Advanced Clinical Pharmacist Trials.

JOB DESCRIPTION. 1 year fixed term. Division A Pharmacy. University Hospitals Birmingham. Advanced Clinical Pharmacist Trials. JOB DESCRIPTION JOB TITLE: Pharmacy Technician Haematology Clinical Trials PAY BAND: Agenda for change - Band 5 TERMS AND CONDITIONS DEPARTMENT/DIVISION: BASED AT: REPORTS TO: PROFESSIONALLY RESPONSIBLE

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

PROCEDURE FOR MEDICINES RECONCILIATION BY NURSING STAFF FOR PATIENTS ADMITTED TO THE COMMUNITY HOSPITALS OUT OF HOURS

PROCEDURE FOR MEDICINES RECONCILIATION BY NURSING STAFF FOR PATIENTS ADMITTED TO THE COMMUNITY HOSPITALS OUT OF HOURS PROCEDURE FOR MEDICINES RECONCILIATION BY NURSING STAFF FOR PATIENTS ADMITTED TO THE COMMUNITY HOSPITALS OUT OF HOURS Policy Details NHFT document reference MMPr030 Version 22/02/16 Date Ratified May 2016

More information

Unit 301 Understand how to provide support when working in end of life care Supporting information

Unit 301 Understand how to provide support when working in end of life care Supporting information Unit 301 Understand how to provide support when working in end of life care Supporting information Guidance This unit must be assessed in accordance with Skills for Care and Development s QCF Assessment

More information

Administration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure

Administration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure Administration of IV Medication in the Community by the Children s Community Nursing Team Standard Operating Procedure DOCUMENT CONTROL: Version: 1 Ratified by: Clinical Quality and Standards Group Date

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

Central Alerting System (CAS) Policy

Central Alerting System (CAS) Policy Central Alerting System (CAS) Policy Reference No: P_CIG_03 Version 3 Ratified by: LCHS Trust Board Date ratified: 12 th July 2016 Name of responsible committee / Individual Date issued: July 2016 Review

More information

Section 2 Medication Orders

Section 2 Medication Orders Section 2 Medication Orders 2-1 Objectives: 1. List/recognize the components of a complete medication order. 2. Transcribe orders onto the Medication Administration Record (MAR) correctly use proper abbreviations,

More information

Queen Elizabeth's Girls' School

Queen Elizabeth's Girls' School Queen Elizabeth's Girls' School Supporting Students with Medical Needs Policy POLICY TITLE: STATUS: REVIEWED BY: DATE of LAST REVIEW: Supporting Students with Medical Needs Statutory Achievement and Behaviour

More information

Patient Experience Strategy

Patient Experience Strategy Patient Experience Strategy 2013 2018 V1.0 May 2013 Graham Nice Chief Nurse Putting excellent community care at the heart of the NHS Page 1 of 26 CONTENTS INTRODUCTION 3 PURPOSE, BACKGROUND AND NATIONAL

More information

STANDARD OPERATING PROCEDURE ADMINISTRATION OF HEPARIN FLUSHES VIA CENTRAL INTRAVENOUS ACCESS DEVICES

STANDARD OPERATING PROCEDURE ADMINISTRATION OF HEPARIN FLUSHES VIA CENTRAL INTRAVENOUS ACCESS DEVICES STANDARD OPERATING PROCEDURE ADMINISTRATION OF HEPARIN FLUSHES VIA CENTRAL INTRAVENOUS ACCESS DEVICES First Issued Issue Version One Purpose of Issue/ Description of Change To promote the safe administration

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

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

JOB DESCRIPTION. Pharmacy Technician

JOB DESCRIPTION. Pharmacy Technician JOB DESCRIPTION Pharmacy Technician Issued by AT Medics Primary Care Pharmacy Technician Job Description Job Title: Reporting to: Location: Salary: Job status: Contract: Notice Period: Primary care pharmacy

More information

NHS GREATER GLASGOW AND CLYDE POLICIES RELATING TO THE MANAGEMENT OF MEDICINES SECTION 9.1: UNLICENSED MEDICINES POLICY (ACUTE DIVISION)

NHS GREATER GLASGOW AND CLYDE POLICIES RELATING TO THE MANAGEMENT OF MEDICINES SECTION 9.1: UNLICENSED MEDICINES POLICY (ACUTE DIVISION) SECTION 9.1: UNLICENSED MEDICINES POLICY (ACUTE DIVISION) CONTENTS POLICY SUMMARY... 2 1. SCOPE... 4 2. AIM... 4 3. BACKGROUND... 4 4. POLICY STATEMENTS... 5 4.1. GENERAL STATEMENTS... 5 4.2 UNLICENSED

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

Supporting pupils at school with medical conditions Policy

Supporting pupils at school with medical conditions Policy KENILWORTH SCHOOL & SIXTH FORM Supporting pupils at school with medical conditions Policy JUNE 2016 POLICY DETAILS Date of policy: April 2016 Date of review: April 2017 Member of staff responsible for

More information

Medicines Reconciliation Standard Operating Procedures

Medicines Reconciliation Standard Operating Procedures Creator Sam Carvell, Amber Wynne, Sue Coppack Version 1 Review Date Medicines Reconciliation Standard Operating Procedures Purpose of SOP This standard operating procedure (SOP) provides a framework for

More information

New v1.0 Date: Cathy Riley - Director of Pharmacy Policy and Procedures Committee Policy and Procedures Committee

New v1.0 Date: Cathy Riley - Director of Pharmacy Policy and Procedures Committee Policy and Procedures Committee Clinical Pharmacy Services: SOP Document Control Summary Status: Version: Author/Owner/Title: Approved by: Ratified: Related Trust Strategy and/or Strategic Aims Implementation Date: Review Date: Key Words:

More information

Pharmacist (Palliative Care) December 2014 Page 1

Pharmacist (Palliative Care) December 2014 Page 1 Job Profile Job Title: Department: Main Location: Hospice Palliative Care Pharmacist 7 NHS (8SRC) Less than full time(0.8) Full time equivalent around 36,300 Head of Clinical Services 1. Main Purpose of

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

Medical Conditions at Schools Policy

Medical Conditions at Schools Policy Medical Conditions at Schools Policy Date Review Date Co-ordinator Responsible Body September 2016 September 2017 Headteacher The Good Shepherd Trust 1. This school is an inclusive community that aims

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

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

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

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

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

Appendix 2 to NMP policy Prescribing Governance Framework Standards for Supplementary and Independent Non-Medical Prescribers at SCH

Appendix 2 to NMP policy Prescribing Governance Framework Standards for Supplementary and Independent Non-Medical Prescribers at SCH Appendix 2 to NMP policy Prescribing Governance Framework Standards for Supplementary and Independent Non-Medical Prescribers at SCH All prescribers and their managers/professional leads should ensure

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

INTEGRATED CARE PATHWAY FOR THE DYING PATIENT PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY.

INTEGRATED CARE PATHWAY FOR THE DYING PATIENT PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY. PATIENT S NAME.. UNIT NUMBER. DATE.. DATE OF BIRTH.. DATE OF IN PATIENT ADMISSION DIAGNOSIS: PRIMARY. SECONDARY.. A Care Pathway is intended as a guide to treatment and an aid to documenting patient progress.

More information

Unlicensed Medicines Policy Document

Unlicensed Medicines Policy Document Unlicensed Medicines Policy Document Effective: February 2002 (Intranet 2006) Review date: February 2007 A. Introduction In order to ensure that medicines are safe and effective the manufacture and sale

More information

NORTH CAROLINA. Downloaded January 2011

NORTH CAROLINA. Downloaded January 2011 NORTH CAROLINA Downloaded January 2011 10A NCAC 13D.2306 MEDICATION ADMINISTRATION (a) The facility shall ensure that medications are administered in accordance with standards of professional practice

More information

MODULE 5: RECORDING & ERRORS

MODULE 5: RECORDING & ERRORS MODULE 5: RECORDING & ERRORS 5.1 Recording Administration Using a Medication Administration Record (MAR) Chart Care providers are responsible for maintaining an up-to-date record of medication administered.

More information

ACCREDITATION PROGRAMME FOR ORAL SYSTEMIC ANTI-CANCER THERAPIES (SACT) COUNSELLING BY PHARMACY STAFF

ACCREDITATION PROGRAMME FOR ORAL SYSTEMIC ANTI-CANCER THERAPIES (SACT) COUNSELLING BY PHARMACY STAFF - ACCREDITATION PROGRAMME FOR ORAL SYSTEMIC ANTI-CANCER THERAPIES (SACT) COUNSELLING BY PHARMACY STAFF 1 Scope of Document... 3 2 Background... 3 3 Outline... 4 4 Accreditation Pathway... 6 5 Suggested

More information

Medication Administration Policy Community Health & Social Care

Medication Administration Policy Community Health & Social Care Medication Administration Policy Community Health & Social Care Social Care Workers Version 2 April 2016 For review April 2018 NHS SHETLAND DOCUMENT DEVELOPMENT COVERSHEET* Name of document Medication

More information

Noah s Ark Nursery. Administering Medicines Policy

Noah s Ark Nursery. Administering Medicines Policy Noah s Ark Nursery Administering Medicines Policy NOAH S ARK NURSERY Administering Medicines Policy Version: Unique Identifier: Ratified by (name of Committee): Date ratified: Date issued: Expiry date:

More information

Felpham Community College Medical Conditions in School Policy

Felpham Community College Medical Conditions in School Policy Felpham Community College Medical Conditions in School Policy The Governing Body of Felpham Community College adopted the Medical Conditions in School Policy on 6 July 2016. 1. Introduction Statement of

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

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

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

MEDICINES POLICY. All staff working within the Trust who are involved in any way with the use of medicines. This includes locum and agency staff.

MEDICINES POLICY. All staff working within the Trust who are involved in any way with the use of medicines. This includes locum and agency staff. MEDICINES POLICY To be read in conjunction with: Antimicrobial Prescribing Policy; Clozapine Policy, Controlled Drugs Policy (see also section 28.2), and Medical Gases Policy. Version: 10 Date issued:

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

Nurse prescribing in substance misuse February 2005, updated May 2005

Nurse prescribing in substance misuse February 2005, updated May 2005 Nurse prescribing in substance misuse February 2005, updated May 2005 1. Introduction This briefing aims to clarify the current situation in relation to nurse prescribing in the substance misuse sector.

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

Policy on Medicines in School (including administering paracetamol)

Policy on Medicines in School (including administering paracetamol) Document Control - Document Details Document Name Oathall Community College Medicines in School Policy Purpose of Document Policy and statement of intent for Managing Medicines in school at Oathall. Document

More information

Transcribing Medicines for Adults Policy. Policy Register No:09076 Status: Public. NHSLA Risk Assessment standards

Transcribing Medicines for Adults Policy. Policy Register No:09076 Status: Public. NHSLA Risk Assessment standards ` Transcribing Medicines for Adults Policy Policy Register No:09076 Status: Public Developed in response to: Contributes to CQC Core Standard number: Dept of Health Medicines Regulations, NHSLA Risk Assessment

More information

Uffculme Academy Trust. Supporting Students with Medical Conditions Policy

Uffculme Academy Trust. Supporting Students with Medical Conditions Policy Uffculme Academy Trust Supporting Students with Medical Conditions Policy Uffculme School Uffculme Primary School This policy was adopted on 25 September 2014 Contents: 1. Policy Statement p2 2. Policy

More information

Setting up and running a community IV therapy clinic

Setting up and running a community IV therapy clinic Setting up and running a community IV therapy clinic Moving care to the community has been a UK-wide health and social care priority for more than a decade (Royal College of Nursing [RCN], 2013). With

More information

Assistance and Administration of Medication for Domiciliary Care Staff

Assistance and Administration of Medication for Domiciliary Care Staff This is an official Northern Trust policy and should not be edited in any way Assistance and Administration of Medication for Domiciliary Care Staff Reference Number: NHSCT/12/543 Target audience: Domiciliary

More information

Licensed Pharmacy Technicians Scope of Practice

Licensed Pharmacy Technicians Scope of Practice Licensed s Scope of Practice Adapted from: Request for Regulation of s Approved by Council April 24, 2015 DEFINITIONS In this policy: Act means The Pharmacy and Pharmacy Disciplines Act means an unregulated

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

Alert. Patient safety alert. Actions that can make anticoagulant therapy safer. 28 March Action for the NHS and the independent sector

Alert. Patient safety alert. Actions that can make anticoagulant therapy safer. 28 March Action for the NHS and the independent sector Patient safety alert 18 Alert 28 March 2007 Immediate action Action Update Information request Ref: NPSA/2007/18 Actions that can make anticoagulant therapy safer Anticoagulants are one of the classes

More information

Document Title: Study Data SOP (CRFs and Source Data)

Document Title: Study Data SOP (CRFs and Source Data) Document Title: Study Data SOP (CRFs and Source Data) Document Number: SOP047 Staff involved in development: Job titles only Document author/owner: Directorate: Department: For use by: RM&G Manager, R&D

More information

Guidance on End of Life Care-Updated July 2014

Guidance on End of Life Care-Updated July 2014 Guidance on End of Life Care-Updated July 2014 INTRODUCTION Definition of End of Life Care: End of Life care helps all those with advanced, progressive, incurable illness to live as well as possible until

More information

MEDICINE SICK DAY RULES CARDS INTERIM EVALUATION

MEDICINE SICK DAY RULES CARDS INTERIM EVALUATION INTRODUCTION MEDICINE SICK DAY RULES CARDS INTERIM EVALUATION Report by: Clare Morrison, Lead Pharmacist (North), NHS Highland Dr Martin Wilson, Consultant Physician, Raigmore Hospital, NHS Highland Correspondence

More information

This controlled document shall not be copied in part or whole without the express permission of the author or the author s representative.

This controlled document shall not be copied in part or whole without the express permission of the author or the author s representative. This document is also available in large print and other formats and languages, upon request. Please call NHS Grampian Corporate Communications on (01224) 551116 or (01224) 552245. This controlled document

More information

COMMUNITY PHARMACY MINOR AILMENTS SERVICE

COMMUNITY PHARMACY MINOR AILMENTS SERVICE COMMUNITY PHARMACY MINOR AILMENTS SERVICE SUPPORTING SELF-CARE OCTOBER 2010 CONTENTS Index Page No 1 Introduction 3 2 Service Specification 4 3 Consultation Procedure 7 4 Re-ordering Documentation 10 Appendices

More information

CONSULTANT PHARMACIST INSPECTION LAW REVIEW

CONSULTANT PHARMACIST INSPECTION LAW REVIEW CONSULTANT PHARMACIST LAW REVIEW Florida Consultant Pharmacist s are required in: a. Class I Institutional Pharmacies b. Class II Institutional Pharmacies c. Modified Class II Institutional Pharm. d. Assisted

More information

ACCESS TO HEALTH RECORDS POLICY & PROCEDURE

ACCESS TO HEALTH RECORDS POLICY & PROCEDURE ACCESS TO HEALTH RECORDS POLICY & PROCEDURE Document Number 2009/45 Version 3 Document Title Access to Health Records Policy & Procedure Author Karl Perryman Author s Job Title Head of Legal Services Department

More information

Administration of Medication Policy and Procedures Sources of reference: see Appendix A POLICY

Administration of Medication Policy and Procedures Sources of reference: see Appendix A POLICY Administration of Medication Policy and Procedures Sources of reference: see Appendix A POLICY 1. Smiley Stars is dedicated to providing the best possible service for parents and children. Although staff

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

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

Medication Policy. Revised March 2013

Medication Policy. Revised March 2013 Medication Policy Revised March 2013 Contents page Content Page No. Covert Medication Background 3-4 Domestic Medicines 5 Medication 6-7 Non-Compliance with Medication 8 Use of Oxygen Policy Statement

More information

Adult Discharge Policy

Adult Discharge Policy Adult Discharge Policy This document is uncontrolled once printed. Please check on the Trust s Intranet site for the most up to date version. Version: 2 Ratified by: Trust Patient Safety and Quality Committee

More information

H5V0 04 (SCDHSC3122) Support Individuals to Use Medication in Social Care Settings

H5V0 04 (SCDHSC3122) Support Individuals to Use Medication in Social Care Settings H5V0 04 (SCDHSC3122) Support Individuals to Use Medication in Social Care Settings Overview This standard applies to social care workers and identifies the requirements when supporting individuals to use

More information

Disability Discrimination Act 1995; Equality Act 2010; and Multicompartment

Disability Discrimination Act 1995; Equality Act 2010; and Multicompartment Contract and IT January 2016 PSNC Briefing 01/16: Equality Act 2010 This briefing updates PSNC Briefing 084/13: Equality Act 2010 on the Equality Act 2010 (incorporating its predecessor legislation the

More information

Policy for Supporting Pupils with Medical Conditions

Policy for Supporting Pupils with Medical Conditions Policy for Supporting Pupils with Medical Conditions Introduction At Hadfield Nursery School, children with medical conditions, in terms of both physical and mental health, will be properly supported in

More information

Medical Support for Pupils

Medical Support for Pupils Medical Support for Pupils Version: 3.0 Approval Status: Approved Document Owner: Darren Yarnell Classification: External Review Date: 16/01/2017 Effective from: 1 July 2015 Table of Contents 1. Policy

More information

Supporting Students with Medical Conditions

Supporting Students with Medical Conditions Aims and Key Principles MEDICAL POLICY Supporting Students with Medical Conditions Cannock Chase High School aims to: ensure that children with medical conditions are supported in school so that they can

More information

This is a repository copy of Non-medical prescribing in palliative care: a regional survey.

This is a repository copy of Non-medical prescribing in palliative care: a regional survey. This is a repository copy of Non-medical prescribing in palliative care: a regional survey. White Rose Research Online URL for this paper: http://eprints.whiterose.ac.uk/879/ Version: Accepted Version

More information

Macmillan Pharmacist Facilitator Project. Year 3 (2012) Final Report

Macmillan Pharmacist Facilitator Project. Year 3 (2012) Final Report Macmillan Pharmacist Facilitator Project Year 3 (2012) Final Report 1 st February 2013 This report presents work undertaken by the NHS Greater Glasgow and Clyde Macmillan Pharmacist Facilitator Project

More information

Guidelines for Developing or Updating a Repeat Prescribing Protocol

Guidelines for Developing or Updating a Repeat Prescribing Protocol Guidelines for Developing or Updating a Repeat Prescribing Protocol Version: 3 Ratified by: GMS/PMS Committee Date ratified: 26 th April 2012 Name of originator/author: Anne Kingham, Senior Pharmaceutical

More information

Medicines Management in Special Schools

Medicines Management in Special Schools Medicines Management in Special Schools Medicines Management in Special Schools (Special School Nursing) Document Type Operational Policy Unique Identifier CL-207 Document Purpose To provide a framework

More information

The use of Homely Remedies in Care Homes

The use of Homely Remedies in Care Homes Good Practice Guidance: The use of Homely Remedies in Care Homes The aim of this guidance is to: Support and advise care homes in the development of a homely remedy policy that adheres to the NICE good

More information

Supporting Pupils with Medical Conditions Policy

Supporting Pupils with Medical Conditions Policy Supporting Pupils with Medical Conditions Policy PURPOSE This paper outlines the Ark approach to supporting pupils with medical conditions. Date of last review: Date of next review: April 2016 Author:

More information

Nationally Recognised Framework for Accreditation of Pre and In-Process Checking within Aseptic Services

Nationally Recognised Framework for Accreditation of Pre and In-Process Checking within Aseptic Services NHS Working Group for development of training and accreditation of checking activity carried out in aseptic services. Nationally Recognised Framework for Accreditation of Pre and In-Process Checking within

More information

Procedures for the Prescribing Recording and Administration of Medicines

Procedures for the Prescribing Recording and Administration of Medicines The Newcastle Upon Tyne Hospitals NHS Trust Procedures for the Prescribing Recording and Administration of Medicines SIXTH EDITION January 2006 The Prescribing, Recording and Administration of Medicines

More information

Prescribing in Specialist Palliative Care Our Journey

Prescribing in Specialist Palliative Care Our Journey Prescribing in Specialist Palliative Care Our Journey M A I M U R P H Y C N S R N P M A R Y C O R C O R A N C N S R N P L A O I S / O F F A L Y S P E C I A L I S T P A L L I A T I V E C A R E S E R V I

More information

Supporting Pupils with Medical Needs. Policy

Supporting Pupils with Medical Needs. Policy Supporting Pupils with Medical Needs Policy On 1 September, 2014, a new duty came into force under the Children and Families Act which placed a duty on governing bodies to make arrangements to support

More information

Patient Self Administration of Intravenous (IV) Antibiotics at Home

Patient Self Administration of Intravenous (IV) Antibiotics at Home Trust Policy Document Ref. No: PP(16)319 Patient Self Administration of Intravenous (IV) Antibiotics at Home For use in: For use by: For use for: Document owner: Status: Clinical Areas Clinical Staff Patient

More information

Patient Advice and Liaison Service (PALS) policy

Patient Advice and Liaison Service (PALS) policy Patient Advice and Liaison Service (PALS) policy Incorporating Have Your Say (HYS) First Issued May 04 by Birkenhead & Wallasey PCT. Responsibility of Wirral PCT since October 2006 Issue Purpose of Issue/Description

More information