This is a six page list Medicines Management Procedures, Protocols, Documentation, Risk Assessments and Competencies Index List August 2013 RED = new launch BLUE = new documents for 2013 WIRRAL COMMUNITY TRUST PROTOCOLS, POLICIES AND PROCEDURES Code Date Updated 1. Clinical Protocols (CP) MMCP01 Application of Topical Fluoride Dental June 2011 MMCP02 Self-Administration of Medicines and Administration of medicines by family/informal carers August 2011 MMCP03 The management of patients with diabetes who require insulin in a community setting October 2010 MMCP04 The management of patients prescribed Low Molecular Weight Heparins in the Community May 2011 MMCP05 The prevention of fatalities from medication loading doses Multidisciplinary August 2011 MMCP06 For the development and implementation of Patient Group Directions (PGD) Multidisciplinary November 2012 MMCP07 Clinical Protocol for providing specialist palliative care medicines advice from the Integrated Specialist Palliative Care Team (ISPCT) ISPCT December 2012 MMCP08 Clinical Protocol for Chronic Obstructive Pulmonary Disease (COPD) July 2012 MMCP09 Clinical Protocol for the use of injected local anaesthetics in Community Trust Services Multidisciplinary Oct 2012 MMCP10 Clinical Protocol for controlled drugs within GP Out of Hours and the All-Day Health Centre Multidisciplinary Oct 2012 MMCP11 Clinical Protocol for the Medical Emergency Treatment of Dental Patients Dental February 2013 2. Standard Operating Procedures (SOP) Medicines Management (National Patient Safety Agency & CQC Standards) MMSOP01 Procedure for the Administration of Subcutaneous Fluids by Community and Primary Care Assessment Unit nurses October 2012 1/6
MMSOP02 SOP for the Administration of Medication via a Nebuliser June 2011 MMSOP03 SOP Administration of Intravenous Antibiotics June 2013 Procedure for McKinley Syringe Driver for the Administration of Palliative MMSOP04 Medicines August 2013 MMSOP05 Procedure for Administration of Medication by Injection via The Intramuscular October Route or injection via the Subcutaneous Route 2012 MMSOP06 Procedure for Flushing Totally Implanted Intravenous Access Device Ports October 2011 MMSOP07 Procedure for the Administration of As Required Medication via a Subcutaneous Cannula August 2013 MMSOP08 SOP for Medicine Administration In Community June 2012 MMSOP09 SOP for Transportation of Prescribed Controlled Drugs and Other Urgently Required Medication by Community Nurses December 2012 MMSOP10 SOP for Advanced Preparation of Insulin For Patients to Administer at Home August 2010 MMSOP11 SOP for Administration of Insulin September 2012 MMSOP12 Procedure for Immunisation May 2012 MMSOP13 SOP for Administration of Heparin Flushes via Central Intravenous Access Devices October 2012 MMSOP14 Procedure for Non-Medical Prescribing and the Safe Handling of Prescriptions February 2013 MMSOP15 SOP Administration of Medicines Via Enteral Feeding Tubes June 2011 MMSOP16 SOP Administration of Apomorphine via the Apo-Go Pump February 2012 MMSOP16b SOP Administration of Apomorphine via the Apo-Go Pump using pre-filled syringes May 2013 MMSOP17 SOP Procedure for destruction of patients controlled drugs in the community April 2013 MMSOP18 SOP Standard operating procedure administering opoid medicines in community nursing October 2011 MMSOP19 Procedure for the removal of Copper Bearing Intrauterine Contraception Device (CU-IUD) and Levonorgestrel releasing Intrauterine Contraception System Sexual Health January 2011 (LNG-IUS) MMSOP21 Procedure for the administration of Midazolam for conscious sedation Dental December 2011 2/6
MMSOP22 SOP Unplanned Care Initiation of syringe drivers for community nursing February 2012 MMSOP24 Procedure for Managing an Anaphylactic Emergency Multidisciplinary March 2012 MMSOP25 Safe Handling and Supply or Administration of Pharmaceuticals within Sexual Health Services Sexual Health April 2012 MMSOP26 SOP Safe Handling of Prescriptions for Doctors and Dentists Dental and Dental and April 2012 MMSOP27 SOP for Insertion of Inter Uterine Devices Sexual Health Sexual Health April 2012 Multidisciplinary / MMSOP28 SOP Witnessing destruction of stock controlled drugs within Wirral Community Quality and Trust Services Governance June 2012 Service MMSOP29 SOP For the Safe Prescribing, administration and self- administration of Primary Care medicines in Primary Care Assessment Unit Assessment Unit July 2012 MMSOP30 SOP For Handling, Use and Storage of Emergency Oxygen within Community Trust Services Multidisciplinary July 2012 MMSOP31 SOP For Safe handling of Vaccines Multidisciplinary July 2012 MMSOP32 MMSOP34 Procedure for Cannulation For safe and secure management of Controlled Drugs within Primary Care Division 3/6 Dental and September 2012 Primary Care July 2013 MMSOP35 Progesterone Only Implant Sexual Health December 2012 MMSOP36 SOP Nail Surgery Podiatry February 2013 MMSOP37 SOP for Safe and Secure Management of Midazolam within Community Dental Services Dental February 2013 MMSOP38 SOP for Safe and Secure Management of Controlled Drugs within Minor Injuries Minor Injuries Unit Unit June 2013 MMSOP39 Procedure for Care and Maintenance of Peripherally Inserted Central Catheter July 2013
MMSOP40 Procedure for the Care and Maintenance of Skin Tunnelled Central Catheters July 2013 MMSOP41 Procedure for the Administration of Oral, Buccal or Intranasal Midazolam July 2013 MMSOP42 Safe handling of Prescription Forms for Primary and Unplanned Care August 2013 PIL No. 5 Patient Information Leaflet: Care of your cannula for intravenous antibiotics August 2012 3. MEDICINES MANAGEMENT DOCUMENTATION Record for the Administration of Prescribed Eye Treatments May 2012 Record of Treatment May 2012 Checklist for the Administration of Subcutaneous Fluids May 2012 Patients Own Medication Chart May 2012 Vaccination record form Influenza August 2012 Vaccination record form for Pneumococcal August 2012 4. INSULIN RELATED DOCUMENTATION Insulin labels for vials and pens May 2012 Record Chart of Insulin Administration and Blood Glucose Recording Ordered from printers: Code for ordering WAA840 May 2012 PIL No. 4 Patient Information Leaflet: The Safe Use of Insulin and You August 2012 5. PALLIATIVE CARE MEDICINES RELATED DOCUMENTATION Disposal of Prescribed Controlled Medication for patients own home August 2013 Record of Administration As Required Medication (Must print on yellow paper) May 2012 Record of Administration for Transdermal Patch (Must print on white paper) May 2012 Record of Administration for Medicines for 24 hour via Syringe Driver (Must print on pink paper) May 2012 Stock Control Sheet for use with syringe drivers, Transdermal patches and As Required Medication (Must print on green paper) May 2012 6. MCKINLEY SYRINGE DRIVER DOCUMENTATION Syringe Driver Patient Information leaflet July 2012 4/6
Syringe driver checklist July 2012 Syringe driver care plan August 2013 McKinley Ambulatory Syringe Driver Guide July 2012 7. NON MEDICAL PRESCRIBING Approval to Practice form for Non Medical Prescribers (V300) March 2012 8. CLINICAL GUIDELINES Antimicrobial Guidelines for the Management of Common Infections in Primary Care Multidisciplinary October 2012 Care of the Dying Clinical Guideline Multidisciplinary May 2012 Care of the Dying Severe Renal Failure Clinical Guideline Multidisciplinary May 2012 CG140 NICE Opioids in Palliative Care: Safe and effective prescribing of strong opioids for pain in palliative care of adults ISPCT August 2012 9. REFERRAL FORMS Medication Intervention Referral Form Multidisciplinary May 2012 10. RISK ASSESSMENTS FOR COMMUNITY NURSING Risk assessment for the advanced preparation of insulin April 2008 Risk assessment for the use of topical products containing paraffin April 2008 Risk assessment for home oxygen therapy December 2011 Risk assessment short term memory loss Injectable medicines October 2009 Risk assessment for flushing care and administration via central and peripheral venous access devices December 2012 Risk assessment for Syringe Drivers July 2012 Risk assessment for Sitimplants March 2011 Risk assessment for Translation Services September 2012 11. COMPETENCIES COMMUNITY NURSING Medicines Management Competency for Registered Nurses July 2012 Syringe Driver Competency (Numeracy component shared with assessors) July 2012 5/6
Apomorphine Competency Part 1 / Part Two (new starters only ) June 2011 Apomorphine Competencies Self Assessment Part 1 / Part 2 May 2012 Apomorphine Competency for Registered Nurses using Pre-filled Syringes May 2013 CVAD Competency June 2013 Competency for Second Checking Administration of Medicines March 2013 Medicines Management Competency for Assistant Practitioners Part 1 / Part 2 Feb 2011 12. UNPLANNED CARE Medicines Management in Unplanned Care Competency Part 1 / Part 2 February 2011 13. WOUNDS GUIDANCE Wound Management Dressings List 2013 v2 April 2013 Wound Management Formulary 2013 v2 April 2013 Wound Management Formulary and Guidelines April 2013 6/6