1. Launch of Supplementary Drug Charts
May 2013

2. Current inpatient prescription chart
Front page where you can
indicate which
supplementary charts to be used
Ordering code STG195

3. List of the supplementary charts
These charts provide information about monitoring, prescribing and administration where required.
Anticoagulant Monitoring and Dosing Chart
Insulin
Blood Glucose Monitoring and Insulin Prescription and Administration Chart (S/C Insulin Chart)
Variable Rate Intravenous Insulin Infusion (VRIII)
DKA – design in progress
HSS – design in progress
MRSA decolonisation prescription and administration Chart
Coronary Care and Cardiology
Patient Controlled Analgesia

4. How will this presentation help
The following slides will give you a snap shot of the new charts
You are also provided with new codes to order these charts
They are to be ordered from procurement
You are provided with some contact details if you have any queries

5. 1. Anticoagulation chart
It is a prescription and monitoring chart
It has instructions and space for prescription and monitoring of un-fractioned heparin infusion
It has information to make you think about other antithrombotic agents including the novel anticoagulants
It is a referral form for anticoagulant clinic
It has 6 pages

6. Anticoagulation chart- side 1
Ordering code STG285

7. Anticoagulation chart- side 2

8. 2. Insulin S/C
It is a prescribing, monitoring and administrating chart
It gives an opportunity for patients to self administer if they wish to do so after being assessed
It has a glucose monitoring section that is designed to alert prescribers/ administrators if the patient blood glucose is not stable
You can now document site of insulin injection at each dose
There is information about how to treat hyopglycaemic patient
It has 4 pages

9. S/C Insulin Chart- side 1
Ordering code STG289

10. S/C Insulin Chart- side 2

11. 3. Variable rate intravenous insulin infusion chart (VRIII)
Designed for NIL by mouth patients on insulin whom are awaiting a procedure
It gives instructions on initiation, continuation and stopping of the insulin infusion
It has a section to document the Capillary Blood Glucose (CBG) and electrolytes
It has a section for intravenous fluid to be running along the insulin infusion
It has 6 pages

12. Variable rate intravenous insulin infusion chart (VRIII) – side 1
Ordering code STG296

13. Variable rate intravenous insulin infusion chart (VRIII) – side 2

14. 4. Cardiology Chart Designed for the cardiac wards only
Mimics exactly what we have at the moment
You would have to order it from the procurement
It has 2 pages

15. Cardiology Chart
Ordering code STG286

16. 5. MRSA Decolonisation charts
Simple and clear 5 different protocols
Your patient would need to be on only one and you will be advised which one by infection control nurses
You would have to order this from procurement
It has 3 pages

17. MRSA Decolonisation Chart - front page
Ordering code STG278

18. MRSA Decolonisation Chart - inside pages

19. 6. Patient Controlled Analgesia Chart (PCA)
Pre-printed common opiates used with the details of routes and rates
Space for any other opiates prescriptions
Section for patient controlled analgesia nursing observation
Information on pain, sedation and nausea score
You order it from procurement
It has 4 pages

20. Patient Controlled Analgesia Chart - side1
Ordering code STG260

21. Patient Controlled Analgesia Chart - side 2

22. How to order these charts?
You need to order them from procurement
The order codes are as following:
Main Drug Chart STG195
PCA chart STG260
MRSA chart STG278
Anticoagulant chart STG285
Cardiology chart STG286
Insulin s/c STG287
Insulin VRIII STG296

23. Contact Details All ward pharmacists will be your first port of call
For Anticoagulation chart please contact
For Insulin charts please contact
For MRSA charts please contact
For PCA chart please contact bleep 6477 (Acute Pain Team)
For Cardiology chart please contact

24. For General enquiries Chris Goldsmith Dr Lila Mayahi
Pharmacy Team Leader – Medication Safety
Dr Lila Mayahi
Consultant in Clinical Pharmacology and AMU