Dr G Murphy, Woodbrooke Medical Practice The Doctor’s Bag - the unexpurgated story Dr Gerard Murphy Woodbrooke Medical Practice January 1999

Dr G Murphy, Woodbrooke Medical Practice The Early Treatment Centre - The End of the Doctor’s Bag

Dr G Murphy, Woodbrooke Medical Practice Introduction n Other Equipment n The Bag n Medical Equipment n Official Documentation n Personal Documentation n Technology Growth Areas n Stock

Dr G Murphy, Woodbrooke Medical Practice Other Equipment n Volumatic / Nebuhaler n Aerochambre n Nebuliser n Ambu bag n i.v. fluids n Tackle box –needles –syringes –abc ampoules

Dr G Murphy, Woodbrooke Medical Practice The Bag n Price n Size n Weight n Materials n Layout n Security Locks n Space inside for charts n Storage (4 - 25C)

Dr G Murphy, Woodbrooke Medical Practice Medical Equipment n Diagnostic Set n Digital Thermometer n Pinard / Ordinary n Spatulas n Patella Hammer n Hand Lens n Tape Measure n Tourniquet n Plastic gloves / KYJ n Venflons / Butterflies / Tape n N-Labstix

Dr G Murphy, Woodbrooke Medical Practice Official Documents n BNF n Scripts n Out Of Hours Consults Pad n Referral forms / envelopes n Form 3 / Form 1 for Psyche Compulsory Admission + way of contacting “Approved SW” n Proforma / Death Certificates n Emergency Rx Forms n FP1001 / Med Certs n Take-in rotas / Emergency Obs

Dr G Murphy, Woodbrooke Medical Practice Personal Documents n Meningitis Rx doses / routes n Meningitis prophylaxis regimes and mean wts (<16yrs / adults) n An Easy Guide To Taking Your Medications n Maps n Phone numbers - especially pharmacies (on a laminated A4 page e.g. photocopy of yellow pages entry n Practice notepaper n Rx Room forms

Dr G Murphy, Woodbrooke Medical Practice Technology n Mobile phone n Psion Series 3a / 5 n Nokia 9000 / 9000i / 9110 n Ordnance Survey Maps n Notebook PC / EMIS n Digital Network + Palmtop + Internet / NHS Network Access - the true information age??

Dr G Murphy, Woodbrooke Medical Practice Stock n Keep list of all stock –record Batch Numbers & Expiry Dates of all stock n Check Stock every 6 mths - replace expired stock n Observe EC Regulations for dispensing on home visits to pass on liability to drug companies –use envelope / container labelled with date, drug name, dose, frequency, amount & patient’s name + record same + batch no / expiry date in patient’s notes

Dr G Murphy, Woodbrooke Medical Practice DDA’s - mandatory recording n Vitally important to be able to account for DDA’s n Legal requirement to keep a DDA book n Record dates / drug names / drug amounts / pharmacist name both on receipt and on disposal of DDA’s

Dr G Murphy, Woodbrooke Medical Practice DDA’s - optional extra recording n Record date, time / name, address, dob of patient / drug name, dose and site of administration for each DDA administered n You will always be able to account for your DDA’s in any event

Dr G Murphy, Woodbrooke Medical Practice Prescribing DDA’s for patient n Oral MST, Sevredol etc - prescribe on computer to keep track of amounts, intervals to ensure use only for patient n BUT write out script on ordinary script pad with total amount in numbers and in words n Same for Diamorphine for syringe drivers - any left over will be destroyed by nurse with relatives as witnesses

Dr G Murphy, Woodbrooke Medical Practice Stock Lists (1) n Pain –narcotics / narcan –rectal / deep im voltarol n Vomiting –buccastem / valoid n Asthma –prednesol / deltacortril / HC n Antibiotics –oral / parenteral n Hepsal

Dr G Murphy, Woodbrooke Medical Practice Stock Lists (2) n Myocardial Infarction –Soluble aspirin 300mg –Atropine n Infections –Crystapen n LVF –Frusemide n Diazemuls / Stesolid n Syntocinon n Glucose / Glucagon n Imigran

Dr G Murphy, Woodbrooke Medical Practice Stock Lists (3) njnj