Folder View

The standards required to ensure the safe prescribing, preparation and administration of medicines via enteral feeding tubes within the hospitals of Royal Cornwall Hospitals Trust.Keywords: Enteral Feeding, Enteral, Feeding, NG, NGT, Nasogastric, Naso-gastric, Drug Administration.

The allergy and medication sensitivity status of all patients receiving treatment and care at/by Royal Cornwall Hospital NHS Trust must be known before any treatment is administered. This status must be clearly documented in the notes, on any prescription or electronic prescribing system.The procedure refers to drug allergies and sensitivities in the main, however the same rules and procedures should be followed for food or latex allergy.

Some clinical issues and details of prescribing responsibilities for GP and specialists.

Availability and storage of antidotes within the Royal Cornwall Hospitals NHS Trust.

Prudent antibiotic prescribing.Keywords: Antibiotics, antifungals, antivirals, antimicrobial, prescribing, policy.

Some clinical issues and details of prescribing responsibilities for GP and specialists.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Azathioprine, Mercaptopurine.

This document sets out the standard operating procedure for running BGG vaccination clinics.Keywords: BCG, vaccination.

Description of how biologic biosimilars are to be used.

Management of bone protection post fractured NOF patients.Keywords: Bone protection, NOF, alendronic acid, zolendronic acid, denusomab, colecalciferiol.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Midazolam.

Prescribing considerations for patients admitted on Buvidal.Keywords: Buvidal, buprenorphine long acting injection.

Some clinical issues and details of prescribing responsibilities for GP and specialists.

Details of rules and responsibilities for controlled drugs at RCHT.Keywords: Controlled drug, Controlled drugs.FP10s, FP10, CD, CDs.Non-medical prescribing, NMP.

Arrangements for covid vaccination in patients with severe allergy and adverse reactions.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Dapsone.

Provides clear actions that need to be taken by nursing and medical staff when a dose of medication is delayed or omitted to ensure the requirements of the NPSA RRR009 – Reducing the harm from delayed and omitted medicines in hospital are complied with.Keywords: Missed, Doses, Medicines, Delayed, Omitted, EPMA.

Outlines the RCHT process for Developing, Implementing and Reviewing Patient Group Directions (PGDs).Keywords: Patient Group Directions, PGD, PGDs, Patient specific directive, PSD.

The actions to take to monitor atmospheric oxygen levels and react appropriately to increasing levels.Keywords: Medical gases, oxygen, cylinders, gas, pipeline, medical gas, fire risk.

The actions to take in the event of escalation of oxygen usage.Keywords: Medical gases, oxygen, cylinders, gas, pipeline, medical gas.

Safe and effective prescribing and monitoring of gentamicin.

Guidelines on the Safe and effective prescribing and monitoring of gentamicin.

Some clinical issues and details of prescribing responsibilities for GP and specialists.

Some clinical issues and details of prescribing responsibilities for GP and specialists

How medicines are managed on the wards and the processes for ordering, transfer and discharge.Keywords: Medicines, drugs, medicines management.

This procedural document aims to outline how risks relating to medicines are dealt with within RCHT to ensure a safe system of drug treatment is maintained at RCHT.Keywords: Medicines; Governance.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Somatropin, Somatrogon, Somapacitan, growth hormone.

This policy provides guidance on how Homecare medicines are to be procured, prescribed, supplied and monitored.Keywords: Homecare.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Hydroxycarbamide, Shared Care.

The policy outlines independent prescribing practice within the Royal Cornwall Hospitals NHS Trust and the Cornwall Partnership NHS Foundation Trust; the governance and continuing professional development that supports this. It has been developed to ensure that prescribing is safe and effective within both organisations.Key words: non-medical prescribing, independent prescribing, NMP, independent prescriber, non-medical prescriber.

Describes the process and governance for the prescribing, preparation and administration of injectable medicines within clinical settings.Keywords: Medicines, injectables, intravenous, intramuscular, subcutaneous, epidurals.

Guidance on IV to oral antibiotic switch therapy.Keywords: IVOST, antibiotic stewardship, antibiotic, antibiotics, antimicrobial, antimicrobials, IV, intravenous, switch, oral.

Some clinical issues and details of prescribing responsibilities for GP and specialists.

To provide clear actions that need to be taken by medical, nursing and pharmacy staff when a patient taking lithium is admitted to RCHT. Adherence to the guideline ensures that RCHT is compliant with the NPSA 2009/PSA005 alert "Safer Lithium Therapy".Keywords: Lithium, monitoring.

Guidance on the prescribing and administration of intravenous aminophylline in adults.

Guidance on the prescribing and administration of intravenous amiodarone in adults.

Guidance on the prescribing and administration of intravenous argatroban in adults.

Guidance on the prescribing and administration of intravenous Danaparoid in adults.

Guidance on the prescribing and administration of intravenous digoxin in adults

Guidance on the prescribing and administration of intravenous tirofiban in adults

Guidance on the prescribing and administration of oral amiodarone in adults

Guidance on the prescribing and administration of oral digoxin in adults

Use of Entonox in clinical areas.Key words:Entonox, nitrous oxide.

This guideline provides guidance on the appropriate management of hypokalaemia in adults.Keywords: Hypokalaemia, Potassium.

Guideline on the diagnosis and treatment of hypophosphataemia.

This document sets out the process for staff working within the Vaccination and Health Promotion Team for correctly undertaking health reviews.

This document sets out the process for staff working within the Vaccination and Health Promotion Team for correctly undertaking point of care cholesterol tests.Keywords: Point of Care, cholesterol, testing.

Describes the process required to undertake medicines reconciliation on admission to hospital.Keywords: Medication reconciliation, Medicines, Delayed, Omitted, Drug history, Medication history.

CFT and RCHT are adopting the same electronic prescribing and administration (ePMA) system to support safe transfer of care and improve medicines safety and optimisation. This MOU clarifies the authority and responsibility of the prescription when patients transfer between the two organisations.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Midodrine, postural hypotension.

Some clinical issues and details of prescribing responsibilities for GP and specialists.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Mycophenolate mofetil, Pharmacy, Shared Care.

Process in relation to administration of LAIV vaccinations.Keywords: Vaccinations, influenza.

Guidance on prescribing of NRT and description of inpatient treating tobacco dependency service.Keywords: Nicotine replacement therapy, NRT, smoking.

Some clinical issues and details of prescribing responsibilities for GP and specialists.

Penicillin allergy de-labelling guideline.Keywords: Penicillin, penicillin allergy, de-label, de-labelling.

Penicillin allergy de-labelling guideline.Keywords: Penicillin, penicillin allergy, de-label, de-labelling.

To allow suitably experienced pharmacists to optimise prescriptions, and to ensure that any amendments to prescriptions by RCHT and CFT pharmacists are made in accordance with procedures approved by the Medication Practice Committee and MOSC.

Guidance to aid the prescribing and administration of pantoprazole intravenously.

Thromboprophylaxis and therapeutic doses for enoxaparin.

Appropriate use of Procalcitonin test within RCHT.

Process for contacting the on-call pharmacist, and resources which can be utilised to avoid not needing to phone out of hours. To improve medicines safety out of hours.Keywords: On-Call Pharmacist, out of hours, medication supply, TTO, TPN, pharmacy.

PPI review policy detailing which patients on PPIs admitted to RCHT are permitted to continue therapy and those that fall outside of the permitted indications to be stopped unless reasons for continuation documented.

This guideline detailed the recommendations and monitoring requirements for the treatment and management of renal patients with ANCA positive vasculitis.Keywords:Vasculitis, renal, rituximab, ANCA, kidney, cyclophosphamide.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Rifaximin.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Riluzole, Shared Care.

Clinical guideline on the use of oral or enteral syringes within the Trust.

Description of process by which patients are assess and medicines supplied for the purpose of self-administration.Keywords: SAM, Self-administration, Medicines.

Some clinical issues and details of prescribing responsibilities for GP and specialists

This shared care guideline sets out details for the sharing of care of children and young people affected by major depression, anxiety or OCD requiring pharmacological treatment. These guidelines provide additional information necessary to aid in the treatment of these patients. As with all shared care guidelines they highlight relevant prescribing issues but should be used in conjunction with relevant NICE guidance, the BNF-C, ABPI summary of product characteristics and do not replace them.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Sulfasalazine.

Teicoplanin prescribing and monitoring guidance.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Testosterone, Sustanon.

Outlines the standards for prescribing of medicines at RCHT.Keywords: Medicines, drugs, prescribing, FP10, biosimilars, NICE.

Details of how to order and access medicines both in and out of hours.Keywords: Medicines, ordering, access, out of hours, discharge, TTO, drugs, medications.

Outlines the standards for the safe custody and storage of medicines at RCHT.Keywords: Medicines, drugs, storage, custody.

Outlines the standards for the safe preparation and administration of medicines at RCHT.Keywords: Medicines, drugs, preparation, administration, covert, homely.

Outlines the standards for the safe discharge and other miscellaneous topics relating to the safe use of medicines at RCHT.

Sets out the keys roles and responsibilities of those staff involved in the prescribing, supply and administration of medicines.Keywords: Medicines, medications, drugs.

Guidance on the therapeutical management of adults with COVID-19 in the hospital setting.Keywords: COVID-19, antivirals, Dexamethasone, Tocilizumab, Baricitinib, Paxlovid, Remdesivir.

Some clinical issues and details of prescribing responsibilities for GP and specialists.Keywords: Acromegaly, Octreotide, lanreotide.

Guideline on the diagnosis and treatment of Hypomagnesaemia.Keywords: Hypomagnesaemia, magnesium, electrolyte, electrolytes, replacement, refeeding.

Daniel Hearsey Antimicrobial Pharmacist.Supporting document for the guideline: Treatment for Adult Inpatients with Covid-19 Clinical Guideline.Keywords: COVID-19, antivirals, Dexamethasone, Tocilizumab, Baricitinib, Paxlovid, Remdesivir.

This guidance covers the use of CBD oil in all inpatient areas within RCHT.

Describes the process for treatment with immunoglobulins including patient approval/registration, dosing, administration and follow up.Keyword:Human Normal Immunoglobulin, Flebogamma, Octagam, Kiovig, Privigen, Vigam, Gamunex, Gamten, Panzyga, Intratect, Panel, SRIAP.

This guideline provides guidance on the appropriate dosing and administration of naloxone in adults.Keywords: Naloxone, Opiate, Opioid, Reversal, Overdose.

Dosing and administration instructions for phenytoin in status epilepticus and ongoing maintenance.

This document sets out the process for staff working at different locations within the Vaccination and Health Promotion Team remit.Keywords: Mobile, house visits, care homes, vaccines.

Perinatal Immunisation pathway.Keywords: Perinatal, vaccinations, maternity.

Guidance on the safe and effective prescribing and monitoring of intravenous vancomycin.Keywords: Vancomycin, TDM, Glycopeptides.

Guidance on the safe and effective prescribing and monitoring of intravenous vancomycin - mobile summary.

This document details all aspects of the management of schedule 2 controlled drugs (CDs) and other CDs where special storage or ordering requirements are needed, in clinical areas at RCHT. It sets out the process for appropriate action when a patient is found to have illicit substances in their possession.