Launch of Supplementary Drug Charts May 2013

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

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

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

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

Anticoagulation chart- side 1 Ordering code STG285

Anticoagulation chart- side 2

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

S/C Insulin Chart- side 1 Ordering code STG289

S/C Insulin Chart- side 2

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

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

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

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

Cardiology Chart Ordering code STG286

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

MRSA Decolonisation Chart - front page Ordering code STG278

MRSA Decolonisation Chart - inside pages

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

Patient Controlled Analgesia Chart - side1 Ordering code STG260

Patient Controlled Analgesia Chart - side 2

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

Contact Details All ward pharmacists will be your first port of call For Anticoagulation chart please contact sara.qureshi@stgeorges.nhs.uk For Insulin charts please contact donna.chorley@stgeorges.nhs.uk For MRSA charts please contact laura.whitney@stgeorges.nhs.uk For PCA chart please contact bleep 6477 (Acute Pain Team) Alison.Moss@stgeorges.nhs.uk For Cardiology chart please contact doris.mensah@stgeorges.nhs.uk

For General enquiries Chris Goldsmith Dr Lila Mayahi Pharmacy Team Leader – Medication Safety Chris.goldsmith@stgeorges.nhs.uk Dr Lila Mayahi Consultant in Clinical Pharmacology and AMU Lila.mayahi@stgeorges.nhs.uk