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Guidelines for the administration of hourly opioids.
Valid To: 17/10/2021
Publication Type: Guidelines
Guidance for effective assessment and documentation of pain
Valid To: 04/06/2022
Publication Type: Guidelines
This policy outlines the safe process for administration of botulinum neuro toxin (Botox/Xeomin) within the Pain Services
Valid To: 05/08/2020
Publication Type: Guidelines
Guidelines for the care of a patient with an Intrathecal Infusion
Valid To: 27/11/2021
Publication Type: Guidelines
Guidelines for nursing staff caring for patients who have received a single dose of spinal or intrathecal anaesthetic of Fentanyl or Diamorphine
Valid To: 06/03/2022
Publication Type: Guidelines
Guidelines for nursing staff caring for patients with an epidural infusion.
Valid To: 20/03/2020
Publication Type: Policies
Guidelines for the management of opiate dependent patients at RCHT with Methadone prescribing advice and opiate withdrawal symptom assessment scale
Valid To: 05/08/2020
Publication Type: Guidelines
Guidelines for nursing care of patients with Intravenous Ketamine Infusions.
Valid To: 24/06/2022
Publication Type: Guidelines
Guidelines for nursing staff administering intravenous morphine in clinical areas.
Valid To: 20/01/2022
Publication Type: Guidelines
Guidance for nursing and medical staff at RCHT, to support the use of ketamine as part of a patient's pain control regime in the treatment of chronic pain or pain in palliative patients.
Valid To: 05/07/2022
Publication Type: Guidelines
Nursing guidelines for the care of a patient with a nerve or wound catheter and the administration of local anaesthetic infusion/infiltration/bolus injection
Valid To: 24/01/2022
Publication Type: Guidelines
Guidelines for managing pain in acute pancreatitis
Valid To: 28/11/2021
Publication Type: Guidelines
Intravenous opioids can be effective for the rapid control of acute pain, and for titration of opioid dosing. Intravenous opioids should not usually be used when pain is persistent and on-going. Inpatients should not be administered opioids by bolus intravenous injection for more than 48 hours, except in exceptional circumstances:- New painful condition arising requiring re-titration of opiate levels, or- Administration via PCA device, or- Specifically sanctioned by the patient's consultant, or- Specifically sanctioned by a pain consultant, or- Specifically sanctioned by MDT Management PlanWhen on-going opioid therapy is considered appropriate after 48 hours of admission, these should be administered by a route other than intermittent intravenous bolus. This policy provides guidance on the use of intravenous opioids.
Valid To: 26/02/2020
Publication Type: Policies
The aim of this document bundle is for patients and clinicians to have a clear understanding of the possible benefits and the potential pitfalls of long-term opioid usage.
Valid To: 17/01/2020
Publication Type: Mobile Guidelines
Nursing protocol for use of patient controlled analgesia (PCA) - Adults
Valid To: 20/01/2022
Publication Type: Guidelines
Guidelines for nursing staff caring for patients with rectus sheath catheters following laparotomy
Valid To: 30/05/2022
Publication Type: Guidelines
Guideline of how to refer to Pain Services for in-patient review
Valid To: 28/02/2022
Publication Type: Guidelines