Patient Treatment Diary

Size: px
Start display at page:

Download "Patient Treatment Diary"

Transcription

1 Human Normal Immunoglobulin (165 mg/ml) For Subcutaneous Human Normal Immunoglobulin (165 mg/ml) for subcutaneous infusion Patient Treatment Diary

2 Human Normal Immunoglobulin (165 mg/ml) For Subcutaneous Patient Treatment Diary This gammanorm treatment diary has been especially designed to help you record details of your treament now that the product has been prescribed by your doctor. A healthcare professional will have already provided you with appropriate training on how to administer gammanorm and they will have also checked that you understand and are proficient in the required techniques; however, should have you any further concerns or questions please call your healthcare professional for more information. In this diary you should record your treatments, how you feel before, during and after each treatment and any other medications you have taken. All side effects should be recorded and reported to your doctor whether or not you think they might be related to your treatment. The information you record in this diary is an important tool for both you and your doctor to monitor and evaluate your on-going health and treatment. This diary should accompany you to all visits to your doctor so that any changes to your treatment can be accurately recorded. Some blank pages for notes/comments have also been included at the back of your diary should you want to record any additional information or to write down questions that you might want to ask your doctor at your next visit. On page 6 of this diary you can find an example of how to enter information into the diary such as the batch number, volume, infusion sites used and potential side effects. This gammanorm therapy diary belongs to: Name: 2 Phone: Hospital/Clinic: Name of treating doctor: Phone number of treating doctor:

3 Healthcare Professional Contact Details: Doctor/Specialist s Name: Hospital/Clinic: Phone: Doctor/Specialist s Name: Hospital/Clinic: Phone: Nurse Consultant Name: Hospital/Clinic: Phone: Nurse Consultant Name: Hospital/Clinic: Phone: General Practitioner Name: Clinic: Phone: Important Phone Numbers: Name and Contact Number for Issues/Questions Related to your Medicine and/or Supplies: Phone: Name and Contact Number for Pump Issues/Questions: Phone: 3

4 Human Normal Immunoglobulin (165 mg/ml) For Subcutaneous Patient Treatment Diary Your Information: Please note that the dose and infusion rate of gammanorm as advised below has been worked out specifically for you by your doctor. Please follow this advice and do not change infusion rates prior to consulting with your doctor. dose of gammanorm per infusion: (grams) or (mls) rate (mls/hr): Number of injection sites to be used at each infusion: to be per site (mls): site(s): refer to the for sites to be used Number of infusions per week: : Signature of Doctor: site(s): (circle appropriate site(s) to be used) 4

5 Changes to Your Information Changed: dose of gammanorm per infusion: (grams) or (mls) rate (mls/hr): Number of injection sites to be used at each infusion: to be per site (mls): site(s): refer to the for sites to be used Number of infusions per week: : Signature of Doctor: 5 6 site(s): (circle appropriate site(s) to be used) 5

6 gammanorm Treatment Diary Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) April 2013 Monthly Reconciliation Record Month Year Number of Reason for gammanorm 2 Feb all 20mL 1 wasted vial Accidentally dropped & broke vial Monthly Record : 1 AywwXzzz1y 40ml 1, 2 1hr runny nose none

7 Monthly Record : 8 AywwXzzz1y 40ml 1, 2 1hr runny nose none : 15 AywwXzzz1y 40ml 3, 4 1hr 5min pain at infusion site panadol : 22 AywwXzzz1y 40ml 1, 2 1hr 10min

8 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

9 Monthly Record

10 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

11 Monthly Record

12 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

13 Monthly Record

14 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

15 Monthly Record

16 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

17 Monthly Record

18 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

19 Monthly Record

20 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

21 Monthly Record

22 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

23 Monthly Record

24 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

25 Monthly Record

26 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

27 Monthly Record

28 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

29 Monthly Record

30 gammanorm Treatment Diary Monthly Reconciliation Record Month Year Name of Medication Product Collected from the Hospital Number of Vials Vials Collected of Vials (i.e. 10mL or 20mL) Number of Reason for Monthly Record

31 Monthly Record

32 Notes/Comments

33 Notes/Comments

34 For further information about your treatment or medical condition, please contact your healthcare professional Octapharma Australia Pty Ltd ABN: Jones Bay Wharf 42/26-32 Pirrama Road Pyrmont NSW 2009 Tel: Fax: Medical Enquiries: AUDE0024/00 Issue : Aug 2013

All Wales Continuous Subcutaneous Infusion Medication Administration Record AWMR10

All Wales Continuous Subcutaneous Infusion Medication Administration Record AWMR10 All Wales Continuous Subcutaneous Infusion ication Administration Record AWMR0 Why do we need a standardised chart? The All Wales Palliative Care Pharmacists Group (AWPCPG) collated information on how

More information

Data Entry onto the National Immunoglobulin Database

Data Entry onto the National Immunoglobulin Database number SCOPE RESPONSIBILITY NHS enter board name here Pharmaceutical Service Populate the National immunoglobulin Database Lead Procurement Officer/Senior Technician Enter local details Data Entry onto

More information

Home therapy with Immunoglobulin

Home therapy with Immunoglobulin Home therapy with Immunoglobulin Turnberg Building Immunology Department 0161 206 5576 All Rights Reserved 2017. Document for issue as handout. You have been diagnosed with antibody deficiency and you

More information

Administration of Medications A Self-Assessment Guide for Licensed Practical Nurses

Administration of Medications A Self-Assessment Guide for Licensed Practical Nurses Administration of Medications A Self-Assessment Guide for Licensed Practical Nurses March 2018 College of Licensed Practical Nurses of Nova Scotia http://clpnns.ca Starlite Gallery, 302-7071 Bayers Road,

More information

Staff Responsible Procedure Rationale/Reason

Staff Responsible Procedure Rationale/Reason Subject: Patient Controlled Analgesia Date: October 2011 UPMC St. Margaret UPMC St. Margaret Harmar Outpatient Center Clinical Practice Council Policy #2005 Overview: To promote appropriate PCA use and

More information

KINGSTON GENERAL HOSPITAL NURSING POLICY & PROCEDURE

KINGSTON GENERAL HOSPITAL NURSING POLICY & PROCEDURE KINGSTON GENERAL HOSPITAL NURSING POLICY & PROCEDURE SUBJECT Documentation - Medication NUMBER PAGE 1 of 7 ORIGINAL ISSUE 1985 April REVIEW REVISION 2014 May Policy: 1. A standardized documentation process

More information

MCKINLEY SYRINGE DRIVER COMPETENCY FOR THE THEORY AND PRACTICAL ASSESSMENT FOR REGISTERED NURSES

MCKINLEY SYRINGE DRIVER COMPETENCY FOR THE THEORY AND PRACTICAL ASSESSMENT FOR REGISTERED NURSES COMPETENCIES MCKINLEY SYRINGE DRIVER COMPETENCY FOR THE THEORY AND PRACTICAL ASSESSMENT FOR REGISTERED NURSES (REGISTERED NURSES UPDATE EVERY TWO YEARS) New Registered Nurses to the Trust COMPETENT TO

More information

Hospira Sapphire PCA/Epidural Pump Handout

Hospira Sapphire PCA/Epidural Pump Handout Important Information You Need to Know 1. Order Sets Have been updated to reflect the new device terminology 2. Terminology: Crosswalk Current (Gemstar) New (Sapphire) Continuous Dose Continuous Rate Bolus

More information

Calculating drip rate cheat sheet

Calculating drip rate cheat sheet Calculating drip rate cheat sheet Search GO Calculating drip rate cheat sheet The nurse's quick guide to I.V. drug calculations Cheat Sheet. Dosage Calculation Conversions You Need to Know in Nursing School....

More information

DRUG CALCULATIONS: WEB PRACTICE

DRUG CALCULATIONS: WEB PRACTICE NURSING TUTORING ESSENTIALS DRUG CALCULATIONS: WEB PRACTICE MAXIMISING POTENTIAL THROUGH INDIVIDUAL ATTENTION BY UTILISING UNIQUE AND REVOLUTIONARY METHODS. NursingTutoringEssentials.com.au info@nursingtutoringessentials.com.au

More information

Creative Minds. Scholarship for current undergraduate students

Creative Minds. Scholarship for current undergraduate students Creative Minds 2017 Scholarship for current undergraduate students 2017 CREATIVE MINDS SCHOLARSHIP Scholarship Overview The Creative Minds scholarship is for current (existing) undergraduate students who

More information

Post-Test/ Evaluation

Post-Test/ Evaluation / Evaluation Outcomes Personal Pharmacist Training Program To obtain ACPE credit, select the electronic /Evaluation link from the training program Main Menu. Completion of this manual test does not award

More information

Supply and Use Midazolam 5mg/ml and 2mg/ml Injections

Supply and Use Midazolam 5mg/ml and 2mg/ml Injections Supply and Use Midazolam 5mg/ml and 2mg/ml Injections Policy Register No: 09077 Status: Public Developed in response to: NPSA/2008/RRR011 Contributes to CQC Outcome number: 9 Consulted With Post/Committee/Group

More information

El Paso Integrated Physicians Group. Overview

El Paso Integrated Physicians Group. Overview El Paso Integrated Physicians Group Protocol Name Protocol Number Infusion Services 01 Effective Date 6/1/2015 Supersedes Protocol Dated N/A Overview This clinical protocol defines requirements and activities

More information

Metric Apothecary Approximate both systems 1L = 1000mL 1T=3t 1g=gr15 1gram=1000mg 1cup=8oz gr1=60mg 1mg=1000mcg or g 1pound=16oz 1t=5mL

Metric Apothecary Approximate both systems 1L = 1000mL 1T=3t 1g=gr15 1gram=1000mg 1cup=8oz gr1=60mg 1mg=1000mcg or g 1pound=16oz 1t=5mL PRACTICE MATH FOR NURSING 333 Instructor: Tricia Wickers Know the following equivalents: Metric Apothecary Approximate both systems 1L = 1000mL 1T=3t 1g=gr15 1gram=1000mg 1cup=8oz gr1=60mg 1mg=1000mcg

More information

Intravenous Fluid Administration and Addition of Medicines to Intravenous Fluids (Drug Additives) (In-Patient Facilities) Interim Nursing Procedure

Intravenous Fluid Administration and Addition of Medicines to Intravenous Fluids (Drug Additives) (In-Patient Facilities) Interim Nursing Procedure This is an official Northern Trust policy and should not be edited in any way Intravenous Fluid Administration and Addition of Medicines to Intravenous Fluids (Drug Additives) (In-Patient Facilities) Interim

More information

PATIENT CARE MANUAL PROCEDURE

PATIENT CARE MANUAL PROCEDURE PATIENT CARE MANUAL PROCEDURE NUMBER III-130 PAGE 1 OF 5 APPROVED BY: CATEGORY: Vice President and Senior Operating Officer, Rural Health Services & Professional Practice Lead Medication Administration

More information

SAFETY ACTION NOTICE By arrangement with the Scottish Executive Health Department

SAFETY ACTION NOTICE By arrangement with the Scottish Executive Health Department SAFETY ACTION NOTICE By arrangement with the Scottish Executive Health Department BAXTER IPUMP, APII AND PCAII INFUSION PUMPS: DELIVERY OF UNREQUESTED PCA DOSES AND/OR AIR TO THE PATIENT SUMMARY Page 1

More information

If viewing a printed copy of this policy, please note it could be expired. Got to to view current policies.

If viewing a printed copy of this policy, please note it could be expired. Got to  to view current policies. If viewing a printed copy of this policy, please note it could be expired. Got to www.fairview.org/fhipolicies to view current policies. Department Policy Entity: Fairview Pharmacy Services Department:

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

Patient Controlled Analgesia Guidelines

Patient Controlled Analgesia Guidelines Patient Controlled Analgesia Guidelines Date: August 2005 Ref : PCD005 Vers : 2 Policy Profile Policy Reference Number PCD005 Version 2 Status Approved Trust Lead Director of Nursing/Acute Pain Team Implementation

More information

ADMINISTRATION OF INSULIN IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS

ADMINISTRATION OF INSULIN IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS Title Purpose ADMINISTRATION OF INSULIN IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS This guideline is to assist: Attendant care service providers (organisations and individuals), participants, stakeholders

More information

CHALLENGE OF NURS 205 (DRUG DOSAGE CALCULATION) AND/OR NURS 212 (PHARMACOLOGY FOR NURSES) BY EXAM

CHALLENGE OF NURS 205 (DRUG DOSAGE CALCULATION) AND/OR NURS 212 (PHARMACOLOGY FOR NURSES) BY EXAM CONTRA COSTA COLLEGE LAVA DIVISION ASSOCIATE DEGREE NURSING PROGRAM CHALLENGE OF NURS 205 (DRUG DOSAGE CALCULATION) AND/OR NURS 212 (PHARMACOLOGY FOR NURSES) BY EXAM POLICY: A nursing applicant who has

More information

NHS HDL (2002) 22 abcdefghijklm

NHS HDL (2002) 22 abcdefghijklm NHS HDL (2002) 22 abcdefghijklm Health Department Dear Colleague SAFE ADMINISTRATION OF INTRATHECAL CYTOTOXIC CHEMOTHERAPY Purpose This circular provides Guidance on the Safe Administration of Intrathecal

More information

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

Purpose This procedure provides guidance on the use and documentation of Controlled Medications

Purpose This procedure provides guidance on the use and documentation of Controlled Medications Controlled Medications HELI.CLI.20 Purpose This procedure provides guidance on the use and documentation of Controlled Medications For Review Aug 2015 1. Introduction 2. Definitions Aeromedical Retrieval

More information

University of South Alabama College of Nursing HSC 342 General Review 5

University of South Alabama College of Nursing HSC 342 General Review 5 University of South Alabama College of Nursing HSC 342 General Review 5. The physician ordered Dilantin (phenytoin) 3-6 24h in four divided s. The drug is available as Dilantin Suspension 25 5ml. If the

More information

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version

Unless this copy has been taken directly from the Trust intranet site (Pandora) there is no assurance that this is the most up to date version Policy No: OP49 Version: 4.0 Name of Policy: Patient Controlled Analgesia in Adult Patients Effective From: 28/11/2017 Date Ratified 21/09/2017 Ratified Medicines Group Review Date 01/09/2019 Sponsor Director

More information

INDEX PAGE #1 of 3. Page # Resident's Name Name of Drug Page # Resident's Name Name of Drug

INDEX PAGE #1 of 3. Page # Resident's Name Name of Drug Page # Resident's Name Name of Drug INDEX PAGE #1 of 3 Page # Resident's Name Name of Drug Page # Resident's Name Name of Drug 1 26 2 27 3 28 4 29 5 30 6 31 7 32 8 33 9 34 10 35 11 36 12 37 13 38 14 39 15 40 16 41 17 42 18 43 19 44 20 45

More information

POLICY TITLE: Administering Medications POLICY NO: 561 PAGE 1 of 5 MEDICATIONS

POLICY TITLE: Administering Medications POLICY NO: 561 PAGE 1 of 5 MEDICATIONS POLICY TITLE: Administering Medications POLICY NO: 561 PAGE 1 of 5 MEDICATIONS The Board of Trustees of the Mountain Home School District recognizes that students attending the schools in this district

More information

2018 Optional Special Interest Groups

2018 Optional Special Interest Groups 2018 Optional Special Interest Groups Why Participate in Optional Roundtable Meetings? Focus on key improvement opportunities Identify exemplars across Australia and New Zealand Work with peers to improve

More information

Medication Math Homework Part 1. Part A. Convert the following patient weights from pounds to kilograms lbs lbs. 6.

Medication Math Homework Part 1. Part A. Convert the following patient weights from pounds to kilograms lbs lbs. 6. Medication Math Homework Part 1 Part A. Convert the following patient weights from pounds to kilograms 1. 22 lbs 4. 150 lbs 7. 250 lbs 2. 80 lbs 5. 180 lbs 8. 300 lbs 3. 100 6. 200 lbs 9. 35 lbs Part B.

More information

Sutherland Heart Clinic

Sutherland Heart Clinic Sutherland Heart Clinic Patient Information Guide Sutherland Heart Clinic Level 2, The Sutherland Hospital The Kingsway, Caringbah Appointment Checklist Don t forget To get blood tests and a chest X-ray

More information

Home Infusion Payment Policy

Home Infusion Payment Policy Home Infusion Payment Policy Policy Blue Cross Blue Shield of Massachusetts (Blue Cross)* reimburses contracted providers for covered, medically necessary home infusion services. General Benefit Information

More information

Managing medicines in care homes

Managing medicines in care homes Managing medicines in care homes http://www.nice.org.uk/guidance/sc/sc1.jsp Published: 14 March 2014 Contents What is this guideline about and who is it for?... 5 Purpose of this guideline... 5 Audience

More information

SUBCUTANEOUS IMMUNE GLOBULIN (SCIG) HOME INFUSION PROGRAM NLBCP-055. Issuing Authority

SUBCUTANEOUS IMMUNE GLOBULIN (SCIG) HOME INFUSION PROGRAM NLBCP-055. Issuing Authority Government of Newfoundland and Labrador Department of Health and Community Services Provincial Blood Coordinating Program SUBCUTANEOUS IMMUNE GLOBULIN (SCIG) HOME INFUSION PROGRAM Office of Administrative

More information

III International Conference on Patient Safety -- Patients for Patient Safety. Patient Safety Solutions

III International Conference on Patient Safety -- Patients for Patient Safety. Patient Safety Solutions III International Conference on Patient Safety -- Patients for Patient Safety Patient Safety Solutions Laura K. Botwinick Co-Director, Joint Commission International Center for Patient Safety Madrid 14

More information

SCIG Home Infusion at The Ottawa Hospital. Lynda Theoret BScN SCIG Program Nurse Coordinator

SCIG Home Infusion at The Ottawa Hospital. Lynda Theoret BScN SCIG Program Nurse Coordinator SCIG Home Infusion at The Ottawa Hospital Lynda Theoret BScN SCIG Program Nurse Coordinator SCIg Home Infusion We will review: Background Difference between IVIG/ SCIG Candidates for SCIG Advantages of

More information

Department Policy. Code: D: MM Entity: Fairview Pharmacy Services. Department: Fairview Home Infusion. Manual: Policy and Procedure Manual

Department Policy. Code: D: MM Entity: Fairview Pharmacy Services. Department: Fairview Home Infusion. Manual: Policy and Procedure Manual Department Policy Code: D: MM-5615 Entity: Fairview Pharmacy Services Department: Fairview Home Infusion Manual: Policy and Procedure Manual Category: Home Infusion Subject: Chemotherapy Purpose: Ensure

More information

To establish a consistent process for the activity of an independent double-check prior to medication administration, where appropriate.

To establish a consistent process for the activity of an independent double-check prior to medication administration, where appropriate. TITLE INDEPENDENT DOUBLE-CHECK SCOPE Provincial, Clinical DOCUMENT # PS-60-01 APPROVAL LEVEL Senior Operating Officer, Pharmacy Services SPONSOR Provincial Medication Management Committee CATEGORY Patient

More information

1. Complete Nurse Training Australia Agent Expression of Interest Form or apply using RTO Manager system.

1. Complete Nurse Training Australia Agent Expression of Interest Form or apply using RTO Manager system. Process for Becoming an Agent 1. Complete Nurse Training Australia Agent Expression of Interest Form or apply using RTO Manager system. 2. We recommend that Agents complete the Australian Government recommended

More information

1. PURPOSE 2. SCOPE 3. RESPONSIBILITIES

1. PURPOSE 2. SCOPE 3. RESPONSIBILITIES 1. PURPOSE The purpose of this standard operating procedure (SOP) is to inform all Alexion personnel, and applicable service providers who become aware of a Pharmacovigilance (PV) Event of their responsibility

More information

FIRST PATIENT SAFETY ALERT FROM NATIONAL PATIENT SAFETY AGENCY (NPSA) Preventing accidental overdose of intravenous potassium

FIRST PATIENT SAFETY ALERT FROM NATIONAL PATIENT SAFETY AGENCY (NPSA) Preventing accidental overdose of intravenous potassium abcdefghijklm Health Department St Andrew s House Regent Road Edinburgh EH1 3DG MESSAGE TO: 1. Medical Directors of NHS Trusts 2. Directors of Public Health 3. Specialists in Pharmaceutical Public Health

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES Medication Administration Observation

DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES Medication Administration Observation : Make random medication observations of several staff over different shifts and units, multiple routes of administration -- oral, enteral, intravenous (IV), intramuscular (IM), subcutaneous (SQ), topical,

More information

Home Infusion Therapy Corporate Medical Policy

Home Infusion Therapy Corporate Medical Policy File name: Home Infusion Therapy File Code: UM.DME.15 Origination: 10/04 Last Review: 03/2018 Next Review: 03/2019 Effective Date: 08/01/2018 Home Infusion Therapy Corporate Medical Policy Description/Summary

More information

VISITOR INFORMATION. Intensive Care Unit (ICU)

VISITOR INFORMATION. Intensive Care Unit (ICU) VISITOR INFORMATION Intensive Care Unit (ICU) This booklet has been compiled by the ICU nursing staff. The nurses are aware of the importance of written information to assist relatives through this challenging

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

MEDICATION TEST NAME: TITLE: SIGNATURE: DATE: 1. In extreme cases of salicylate poisoning, which of the following treatments is used?

MEDICATION TEST NAME: TITLE: SIGNATURE: DATE: 1. In extreme cases of salicylate poisoning, which of the following treatments is used? MEDICATION TEST NAME: TITLE: SIGNATURE: DATE: Instruction: Please select the best answer. 1. In extreme cases of salicylate poisoning, which of the following treatments is used? a. forced emesis b. temperature-regulating

More information

PREPARATION AND ADMINISTRATION

PREPARATION AND ADMINISTRATION LESSON PLAN: 12 COURSE TITLE: UNIT: IV MEDICATION TECHNICIAN PREPARATION AND ADMINISTRATION SCOPE OF UNIT: Guidelines and procedures for preparation, administration, reporting, and recording of oral, ophthalmic,

More information

ASEPTIC TECHNIQUE LEARNING PACKAGE

ASEPTIC TECHNIQUE LEARNING PACKAGE ASEPTIC TECHNIQUE LEARNING PACKAGE Staff Name:... Date:... Table of Contents What is Aseptic technique? 3 Core infection control components 3 Key parts 5 References 6 Aseptic technique questionnaire 7

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

ADMINISTRATION OF INSULIN IN THE COMMUNITY BY SUPPORT WORKERS

ADMINISTRATION OF INSULIN IN THE COMMUNITY BY SUPPORT WORKERS Title Purpose ADMINISTRATION OF INSULIN IN THE COMMUNITY BY SUPPORT WORKERS This guideline is to assist: Service Providers (organisations and individuals), Participants, stakeholders and funders regarding

More information

Monitoring Medication Storage & Administration

Monitoring Medication Storage & Administration Monitoring Medication Storage & Administration Objectives Review F-Tags pertaining to medication management Discuss proper medication storage and administration Understand medication cart and medication

More information

Home therapy programme

Home therapy programme Home therapy programme A guide for GPs Information for GPs Clinical Immunology and Allergy Unit page 2 of 8 Introduction This booklet is to give GPs an outline of the immunoglobulin replacement home therapy

More information

INTRAVENOUS MODULE LEVEL ONE NMDHB IV COMMITTEE

INTRAVENOUS MODULE LEVEL ONE NMDHB IV COMMITTEE INTRAVENOUS MODULE LEVEL ONE NMDHB IV COMMITTEE 2012 Contents Level One Intravenous module 1. NMDB IV therapy policy 2. Standard 1 Assessment of clinical competence in IV therapy 3. Module 1 Mathematics

More information

APPLICATION FOR ASSESSMENT AS A MEDICAL PHYSICIST FOR MIGRATION PURPOSES

APPLICATION FOR ASSESSMENT AS A MEDICAL PHYSICIST FOR MIGRATION PURPOSES OFFICE USE ONLY APPLICATION NUMBER: DATE RECEIVED: APPLICATION FOR ASSESSMENT AS A MEDICAL PHYSICIST FOR MIGRATION PURPOSES Notice to Applicants The Australasian College of Physical Scientists and Engineers

More information

Policy for use of the Royal Marsden Manual of Clinical Nursing Procedures (9th Edition)

Policy for use of the Royal Marsden Manual of Clinical Nursing Procedures (9th Edition) Policy for use of the Royal Marsden Manual of Clinical Nursing Procedures (9th Edition) Document Summary This Policy defines the clinical procedures for all Clinical staff (including temporary staff, contracted

More information

Protocol for the Safe Administration of Intrathecal and Intraventricular Chemotherapy

Protocol for the Safe Administration of Intrathecal and Intraventricular Chemotherapy Protocol for the Safe Administration of Intrathecal and Intraventricular Chemotherapy Version Number 18 Contact details: Debra Robertson, Lead Oncology Pharmacist, Pharmacy, Salisbury District Hospital

More information

Instruction Guidelines

Instruction Guidelines Instruction Guidelines For the Caring Safely at Home Resources and Educational Framework BRISBANE SOUTH PALLIATIVE CARE COLLABORATIVE 2016 Background Palliative care services strive to support patients

More information

icare's Clinical, Care & Medication Management Solution

icare's Clinical, Care & Medication Management Solution icare's Clinical, Care & Medication Management Solution Progress Notes Software Version 2.10 March 2012 Copyright This publication has been prepared and written by icare Solutions Pty Ltd (ABN 58 100 816

More information

Caring for me Advanced Care Planning

Caring for me Advanced Care Planning Caring for me Advanced Care Planning Supporting guidance for Healthcare Professionals and Administrative Staff This care plan is aimed as a guide to treatment and intended to aid the documentation of patient

More information

Aranesp (Darbepoetin) for Renal Anaemia

Aranesp (Darbepoetin) for Renal Anaemia Aranesp (Darbepoetin) for Renal Anaemia Information for patients, relatives and carers Renal Department York and Scarborough Hospitals Tel: 01904 725370 For more information, please contact: Renal Anaemia

More information

ADMINISTRATION OF ORAL MEDICATIONS IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS

ADMINISTRATION OF ORAL MEDICATIONS IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS Title Purpose ADMINISTRATION OF ORAL MEDICATIONS IN THE COMMUNITY BY ATTENDANT CARE SUPPORT WORKERS This guideline is to assist: Attendant care service providers (organisations and individuals), participants,

More information

Primary Care/Community Based Service Palliative Care (Just in Case Medicines) Fylde and Wyre CCG Pete Smith. Community Pharmacy

Primary Care/Community Based Service Palliative Care (Just in Case Medicines) Fylde and Wyre CCG Pete Smith. Community Pharmacy Service Specification No. 1. Service Commissioner Lead Provider Lead Primary Care/Community Based Service Palliative Care (Just in Case Medicines) Fylde and Wyre CCG Pete Smith Community Pharmacy Period

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

Review dates may alter if any significant changes are made

Review dates may alter if any significant changes are made Document Type: PROCEDURE Title: Procedure For Anticipatory Prescribing For Palliative Care Patients using the Subcutaneous, as required and syringe Pump prescription and Administration Record (SPAR booklet)

More information

Raising the Bar On Infusion Safety: A Patient Safety Program at Baylor Scott & White Health Improving Infusion Pump Safety: A Systematic Approach

Raising the Bar On Infusion Safety: A Patient Safety Program at Baylor Scott & White Health Improving Infusion Pump Safety: A Systematic Approach Raising the Bar On Infusion Safety: A Patient Safety Program at Baylor Scott & White Health Improving Infusion Pump Safety: A Systematic Approach July 18, 2016 AAMI Foundation Vision: To drive the safe

More information

PRACTICE SKILLS INVENTORY 6001NBSCAD

PRACTICE SKILLS INVENTORY 6001NBSCAD Personal Tutor Details: : Email: Telephone Number: Faculty of Education, Health & Community BSc (HONS) NURSING Adult Year Three PRACTICE SKILLS INVENTORY 6001NBSCAD Month Year COHORT Student _ Student

More information

How to Fill Out the Admission Best Possible Medication History (BPMH) Tool

How to Fill Out the Admission Best Possible Medication History (BPMH) Tool How to Fill Out the Admission Best Possible Medication History (BPMH) Tool Medication Reconciliation On Admission Updated: August 21, 2014 Medication Reconciliation on Admission How to Fill Out an admission

More information

Valparaiso University Student Health Center lmmunotherapy Check List for Allergy patients

Valparaiso University Student Health Center lmmunotherapy Check List for Allergy patients Valparaiso University Student Health Center lmmunotherapy Check List for Allergy patients I have read and understood the lmmunotherapy policy and procedure. I have signed the Services Utilization Policy

More information

MMPR009 LOCAL PROCEDURE FOR PRESCRIBING, DISPENSING AND ADMINISTERING MEDICATIONS IN LEARNING DISABILITY RESPITE CARE

MMPR009 LOCAL PROCEDURE FOR PRESCRIBING, DISPENSING AND ADMINISTERING MEDICATIONS IN LEARNING DISABILITY RESPITE CARE MMPR009 LOCAL PROCEDURE FOR PRESCRIBING, DISPENSING AND ADMINISTERING MEDICATIONS IN LEARNING DISABILITY RESPITE CARE MMPR009 review May 20 Page 1 of 25 Table of Contents Why we need this Policy... 4 What

More information

Document Details. notification of entry onto webpage

Document Details.  notification of entry onto webpage Document Details Title Patient Group Direction (PGD) Administration of sodium chloride 0.9% injection by registered professionals Trust Ref No 1987-38096 Local Ref (optional) Main points the document As

More information

THE BASICS THE BASICS STAFF EDUCATION DRUG DIVERSION TASK FORCE 4/8/2016. MSHP Annual Meeting 2016

THE BASICS THE BASICS STAFF EDUCATION DRUG DIVERSION TASK FORCE 4/8/2016. MSHP Annual Meeting 2016 /8/01 MSHP Annual Meeting 01 DEA Audit and Investigation Lessons Learned: Training, Reporting, Surveillance, Auditing and Technology Erasmo (Ray) Mitrano, RPh, MS, Senior Director Controlled Substance

More information

OLYMPUS ENDOSCOPE WORKSHOP 2011

OLYMPUS ENDOSCOPE WORKSHOP 2011 OLYMPUS ENDOSCOPE WORKSHOP 2011 For Nurses and Technicians REGISTRATION FORM 2011 Olympus Medical Workshop for Nurses and Technicians CARE AND MAINTENANCE With the increased awareness of the risks associated

More information

A Case Study in Collaboration: The Delaware Cancer Treatment Task Force. Jerry Ewancio, RPh, Director of Pharmacy, Apple Infusion, Salisbury, MD

A Case Study in Collaboration: The Delaware Cancer Treatment Task Force. Jerry Ewancio, RPh, Director of Pharmacy, Apple Infusion, Salisbury, MD A Case Study in Collaboration: The Delaware Cancer Treatment Task Force Jerry Ewancio, RPh, Director of Pharmacy, Apple Infusion, Salisbury, MD Top 4 Things to Know for CE 1. Make sure your BADGE IS SCANNED

More information

Policy Title: Administration of Medication by School Personnel Policy No:

Policy Title: Administration of Medication by School Personnel Policy No: Policy Title: Administration of Medication by School Personnel Policy No: 504.14 The Board of Trustees recognizes that students attending schools in St. Maries Joint School District No. 41 may be required

More information

JOB DESCRIPTION. Revised:1/24/2018

JOB DESCRIPTION. Revised:1/24/2018 JOB DESCRIPTION TITLE: DEPARTMENT: REPORTS TO: FLSA: Nurse Resident Emergency Department Director ED Non-Exempt SUMMARY OF JOB: To provide critical care assessment, intervention and care, including emotional

More information

SHORELINE ALLERGY & ASTHMA ASSOCIATES, LLP

SHORELINE ALLERGY & ASTHMA ASSOCIATES, LLP DORON J. BER, M.D., FAAAAI DANIEL L. WAGGONER, M.D., MAAAAI MAHESH NETRAVALI, M.D.,MAAAAI 23 CLARA DRIVE. BILLING DEPT: 860-536-8375 314 FLANDERS ROAD. MYSTIC, CT 06355 EAST LYME, CT 06333 860-536-2995

More information

Name: Unit: Contact details:

Name: Unit: Contact details: Royal Children s Hospital Generic Oral and Injectable Medication Learning Package 2012. (Part A) Medication Endorsed Enrolled Nurses formerly known as Division 2 Name: Unit: Contact details: The aim of

More information

Clinical Check of Prescriptions in Ward Areas

Clinical Check of Prescriptions in Ward Areas Pharmacy Department Standard Operating Procedures SOP Title Clinical Check of Prescriptions in Ward Areas Author name and Gareth Price designation: Deputy Director of Pharmacy Clinical Services Pharmacy

More information

Chelsea and Westminster Hospital Information Governance Team Chelsea Harbour Harbour Yard Unit 111, 1 st Floor London SW10 0XD 29/12/2015

Chelsea and Westminster Hospital Information Governance Team Chelsea Harbour Harbour Yard Unit 111, 1 st Floor London SW10 0XD 29/12/2015 Chelsea and Westminster Hospital Information Governance Team Chelsea Harbour Harbour Yard Unit 111, 1 st Floor London SW10 0XD 29/12/2015 Our Ref: FOI 2015-577 Dear Requester Thank you for your information

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

Administration of Medicines by Powys Community Nurses and Allied Health Care Professionals to Residents in Glan Irfon

Administration of Medicines by Powys Community Nurses and Allied Health Care Professionals to Residents in Glan Irfon Administration of Medicines by Powys Community Nurses and Allied Health Care Professionals to Residents Document Code PTHB / CDP 013 Date Version Number Review Date May 2014 1 May 2017 Document Owner Approved

More information

STANDARDIZED PROCEDURE HEPATIC ARTERY INFUSION OF CHEMOTHERAPY (Adults, Peds)

STANDARDIZED PROCEDURE HEPATIC ARTERY INFUSION OF CHEMOTHERAPY (Adults, Peds) I. Definition Hepatic arterial infusion (HAI) of chemotherapy is accomplished by a small drug delivery system or pump that is implanted in a subcutaneous pocket in the lower abdomen. The pump reservoir

More information

MINNESOTA. Downloaded January 2011

MINNESOTA. Downloaded January 2011 MINNESOTA Downloaded January 2011 4658.1300 MEDICATIONS AND PHARMACY SERVICES; DEFINITIONS. Subpart 1. Controlled substances. "Controlled substances" has the meaning given in Minnesota Statutes, section

More information

McKinley T34 Ambulatory syringe pump Used in the provision of adult palliative and end of life care

McKinley T34 Ambulatory syringe pump Used in the provision of adult palliative and end of life care Health Guidance McKinley T34 Ambulatory syringe pump Used in the provision of adult palliative and end of life care Publication Code: HCR-0214-083 Publication date: 26 February 2014 Page 1 of 7 Health

More information

Nursing Guidelines on the Administration of Coagulation Factor Concentrate

Nursing Guidelines on the Administration of Coagulation Factor Concentrate Nursing Guidelines on the Administration of Coagulation Factor Concentrate Version Number 2 Date of Issue 2 nd April 2014 Reference Number Review Interval Approved By Name: Fionnuala O Neill Title: Chairperson

More information

Administration of Medication IV Push to Neonatal/Paediatric & Adult Patients Self-Learning Package

Administration of Medication IV Push to Neonatal/Paediatric & Adult Patients Self-Learning Package Administration of Medication IV Push to Neonatal/Paediatric & Adult Patients Self-Learning Package Prepared by Cheryl Owen, CPL Medicine, Rose Owen CPL NICU/SCN; Jan. 2008 Revised by Rose Owen CPL NICU/SCN;

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

COMMISSIONER GREGORY MELBOURNE, 7 APRIL Application for approval of the Estia Health NSW Enterprise Agreement 2016.

COMMISSIONER GREGORY MELBOURNE, 7 APRIL Application for approval of the Estia Health NSW Enterprise Agreement 2016. [2017] FWCA 2009 DECISION Fair Work Act 2009 s.185 Enterprise agreement Estia Investments Pty Ltd T/A Estia Health (AG2016/8092) ESTIA HEALTH NSW ENTERPRISE AGREEMENT 2016 Health and welfare services COMMISSIONER

More information

Language, Literacy and Numeracy Core Skills Survey - (Community Services)

Language, Literacy and Numeracy Core Skills Survey - (Community Services) Language, Literacy and Numeracy Core Skills Survey - (Community Services) Introduction Thank you for choosing to embark on your learning journey with Australian Nursing and Training Services (ANTS) and

More information

Pharmacy inventory specialists will work directly with the wholesaler in the event that product is needed for emergency shipment.

Pharmacy inventory specialists will work directly with the wholesaler in the event that product is needed for emergency shipment. Drug Shortages Affecting MHMH and Action Plans for Specific Shortages Drug Shortage information Action Plan Adenosine inj Pharmacy is unable to obtain the vials currently stocked on the emergency carts

More information

PCC4U PALLIATIVE CARE HIGH FIDELITY SIMULATION SCENARIO

PCC4U PALLIATIVE CARE HIGH FIDELITY SIMULATION SCENARIO PCC4U PALLIATIVE CARE HIGH FIDELITY SIMULATION SCENARIO CONTENTS Introduction 3 Student learning outcomes 4 Pre-reading 4 Simulation scenario 5 Student information 6 Patient simulator set up 7 Scenario

More information

Community DVT Service. Phase 3: Anticoagulation at DVT Treatment Centres

Community DVT Service. Phase 3: Anticoagulation at DVT Treatment Centres Community DVT Service Quick Reference Guide Phase - Anticoagulation Phase : Anticoagulation at DVT Treatment Centres If a Patient has had a positive Ultrasound Scan they attend one of the DVT Treatment

More information

North West Residential Support Services Inc. Policies & Procedures PROCEDURES FOR THE ADMINISTRATION OF MEDICATION IN SHARED HOMES

North West Residential Support Services Inc. Policies & Procedures PROCEDURES FOR THE ADMINISTRATION OF MEDICATION IN SHARED HOMES North West Residential Support Services Inc. Policies & Procedures PROCEDURES FOR THE ADMINISTRATION OF MEDICATION IN SHARED HOMES Number: Effective From: Replaces: Review: NWRSS

More information

Medication Calculation Practice Problems LEVEL II, III and IV 1. The order reads for digoxin mg IM daily. Available to the nurse is digoxin

Medication Calculation Practice Problems LEVEL II, III and IV 1. The order reads for digoxin mg IM daily. Available to the nurse is digoxin Medication Calculation Practice Problems LEVEL II, III and IV 1. The order reads for digoxin 0.125 mg IM daily. Available to the nurse is digoxin 0.25 mg/ml. The nurse would administer how many ml s? 2.

More information

ADMINISTRATIVE PROCEDURES

ADMINISTRATIVE PROCEDURES Batch #4, Redline Edits SHELTON SCHOOL DISTRICT ADMINISTRATIVE PROCEDURES Policy No. 3416P Series 3000 (Students) Page 1 of 8 PROCEDURE - MEDICATION AT SCHOOL Under normal circumstances prescribed or oral

More information

Protocol for patient controlled analgesia (PCA) with morphine in obstetrics (CG567)

Protocol for patient controlled analgesia (PCA) with morphine in obstetrics (CG567) Protocol for patient controlled analgesia (PCA) with morphine in obstetrics (CG567) Approval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee

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

Adverse Drug Events: A Focus on Anticoagulation Steve Meisel, Pharm.D., CPPS Director of Patient Safety Fairview Health Services, Minneapolis, MN

Adverse Drug Events: A Focus on Anticoagulation Steve Meisel, Pharm.D., CPPS Director of Patient Safety Fairview Health Services, Minneapolis, MN Adverse Drug Events: A Focus on Anticoagulation Steve Meisel, Pharm.D., CPPS Director of Patient Safety Fairview Health Services, Minneapolis, MN Fairview Health Services 6 hospitals, ranging from rural

More information