Indications for use for palliative patients requiring parenteral diuretics and. Apr 05, 20 may also be given via pca, intrathecally and by syringe driver. Appendix 7 nhs tayside mckinley t34 automated syringe pump. Delivering for health 2005 external link sets out a programme of action for nhs scotland to implement the recommendations of the national framework for service change. Members of staff are required to perform the duties of their post to an acceptable standard. Syringe driver policy derbyshire alliance for end of. Patient safety is the avoidance of unintended or unexpected harm to people during the provision of health care. Southern hsc trust procedures for the use of syringe drivers january 2011 author st syringe driver procedures working. The post holder will be committed to the health improvement of individuals and for the delivery of high quality nursing care to a defined caseload. For many patients the setting up of a syringe driver is a response to unrelieved symptoms. These are two different strong opioids with varying potencies. Delegate responsibilities appropriately within the ward team.
Search by clinical specialty or specific guidelines here. Policy for the subcutaneous admin of medicines by the t34 ambulatory syringe pump for adults requiring symptom management v3. Policy previously known as nhs tayside policy for subcutaneous administration of medicines by the mckinley t34 syringe driver cme t34 syringe pump previously known as the mckinley t34 syringe driver staff training recommendations have been revised. It is safe to infuse the manufactured concentration. Aim purpose the use of a portable battery operated syringe driver for subcutaneous medications is now a wellestablished technique in palliative care. Watchdog the scottish public services ombudsman spso investigated the board after the patient complained. Human resources management of capability policy policy manager lauraine miller policy group moc working group. Nhs tayside epidural policy staffnet tayside area prescribing guide.
If you have any sickness absence during your placement you should adhere to the university policy and also contact the unit on the numbers above to inform us. Clinical guidelines are used at great ormond street hospital by health professionals. Palliative care specialist formulary list nhs tayside. Mckinley t34 syringe pump children resource pack 168919066. Approximately twice as efficacious parentally as orally. Ensure that prior to, and during use the equipment is maintained in line with nhs tayside policy and that the service history is current. Medication via a syringe driver prescription sheet. Patients should be treated in a safe environment and protected from avoidable harm. Single drugs used in a subcutaneous infusion over 24 hours in palliative care tables 1a to 1f diluent.
The aim of this section is to provide you with access to local and national information. Syringe driver policy derbyshire alliance for end of life care. Patient controlled analgesia pca morphine guidelines page 2 of 4. Nhs tayside has apologised to a patient for a delay in referring her to a pain clinic. Appropriately trained staff as per nhs board or organisational policy. You might have been given a syringe driver, to help control pain, sickness, agitation or fits. Nhs tayside apologises to patient for delay evening. Contribute towards the management of patients property and money as per nhs tayside policy. Managing symptoms, including pain, is an important part of end of life care.
Contact the relevant specialty department for uptodate information and advice if youre getting in touch about the childrens acute transport service cats, these clinical guidelines can be found on the cats website. Dispose of needle in sharps container as per local policy. Scotland it identifies that the planning of care and support should be. The project aims to make the region one of the most attractive and sought after biomedical locations in the uk. Administer medicines in a syringe for injection via a subcutaneous device. Follow the links from home page policy and procedures governance nursing and midwifery.
Guideline for the use of just in case boxes in community. Movement of a patient using a syringe pump between settings. The aim of this section is to provide you with access to local and national information that can help you with any health or wellbeing problem. Choose the appropriate syringe size usually 20ml or 30ml is recommended for the volume to be infused.
Using a syringe driver the syringe in the syringe driver is attached to a thin piece of tubing which has a fine needle attached at the other end. Click export csv or ris to download the entire page or use the checkboxes to select. An nhs forth valley just in casesyringe pump prescription and recording. Nhs taysides oral health improvement team provide a service giving advice and support to the population of tayside. East lancashire hospitals nhs trust please note that there are two syringe driver policies on this website one is. They are the maximum amounts of each drug that can be mixed in the syringe and generally be considered physically stable for 24 hours. If you have queries or a question about nhs tayside policies please get in touch corporatepolicies. Please find attached a distribution for the forthcoming mckinley t34 syringe driver training dates available. A syringe driver helps reduce symptoms by delivering a steady flow of injected medication continuously.
If more than 3 drugs are needed in a syringe driver, discuss the situation with your palliative care team. Being cared for in hospital hospice care coping financially nhs continuing healthcare. Syringe driver policy for adult supportive and palliative care. Policy and protocol for the use of the cme mckinley t34. Nhs scotland 2018 scottish palliative care guidelines. Last days of life anticipatory prescribing recommendations for inpatient setting adult. Nhs tayside apologises to patient for delay evening telegraph. The post holder will work within the community nursing service in nhs tayside operating as a staff nurse in cooperation with the district nurse teams. May also be given via pca, intrathecally and by syringe driver. Each person will have different symptoms, depending on their condition and the kind of treatment they may be having. If not taking regular opioid not on regular opioid for previous 7 days. Nhs tayside facilities and time off for trade union duties policy.
Used in the postoperative analgesic regimes for elective hip and knee surgery in nhs tayside. Guidelines for syringe driver management in palliative care developed by. We support providers to minimise patient safety incidents and drive improvements in safety and quality. Syringe driver policy version number 2 page 8 of 18 policy date 31. Wishaw general hospital acute pain service patient controlled analgesia pca morphine guidelines refer to intranet for fentanyl pca guidelines for patients in whom morphine is unsuitable allergy, intolerance, renal or hepatic impairment. Syringe driver policy version number 2 page 4 of 18 policy date 31. Sh cp 18 syringe driver policy for adult supportive and palliative care version 7 november 2018 syringe driver policy for adult supportive and palliative care 1. Guideline for administration of subcutaneous furosemide in. Please ask your nurse for advice on the best place to keep your driver. This policy applies to the use of syringe drivers with subcutaneous sites only. Sometimes a small batteryoperated pump called a syringe driver is used to give medicine continuously under the skin for a period of time, such as 24 hours.
The syringe driver is normally used to deliver medications over a 24. World health organisation definition of palliative care. A syringe driver is a small battery powered medical device for. Subcutaneous infusion of medication and compatibility of drugs that can be given subcutaneously via a syringe driver or syringe pump for the nhs tayside policy for the use of just in case boxes in primary care click here nhs tayside staffnet intranet link only. A policy must be developed locally wherever electronic prescribing is adopted. Side effects histamine release causing itch, rash and hypotension.
Policy statement it is the aim of nhs tayside to ensure that all members of staff are treated in a fair and equitable manner. The procedure outlined in this policy will assist in dealing with capability issues associated with any of the above. Patient controlled analgesia pca morphine guidelines. Yellow form please print on the special yellow paper.
Oct 23, 2017 nhs tayside has apologised to a patient for a delay in referring her to a pain clinic. Syringe pumps scottish palliative care nhs scotland. Follow the procedures set out within nhs tayside safe and secure handling of medicines manual when prescribing and administering medicines via the. Policy and protocol for the use of the cme mckinley t34 syringe driver for adults in palliative care policy no. From the splendour of dundee and perth, to the beauty and variety of the countryside and coastline and with great training and benefits, theres no better place to progress your career within healthcare than nhs tayside. The integrated substance misuse service isms provides recovery orientated treatment for individuals experiencing serious problems with drugs and alcohol in dundee. Cme t34 syringe pump scottish palliative care nhs scotland. Follow bdct syringe driver policy for use of syringe driver. Click on the appropriate heading to viewdownload the policy. Nhs grampian policy and staff guidance on patient and informal. Watchdog the scottish public services ombudsman spso investigated the. During office hours contact pharmacy or the palliative care team for advice. From the splendour of dundee and perth, to the beauty and variety of the countryside and coastline and with great training and benefits, theres no better place to.
The method of prescribing medicines applies to all instances of prescribing within nhs tayside. Nhs tayside, alongside the academic health science partnership, has welcomed funding announced in the tay cities deal to grow the tayside biomedical cluster. Nhs taysides financial woes have deepened with confirmation the cashstrapped health board needs to find an extra. Prescribers will familiarise themselves with the tayside area formulary and the nonmedical prescribing policy and refer to these documents when prescribing.
Nhs grampian policy and staff guidance on patient and informal carer administration. A nurse must verify medication, dose and setting on any. Cyclizine is the drug which seems to precipitate most commonly in the syringe driver and causes problems with poor absorption and site reactions. A new syringe requires only an entry on the pca prescription and observation chart and drug cardex with 2 nurse check signatures on each. The solution should be infused following the local syringe driver guidelines. Nhsl subcutaneous infusion by a mckinley t34 syringe pump for symptom.
Where this standard is not met, members of staff will be offered support. Follow the procedures set out within nhs tayside safe and secure handling of medicines manual when prescribing and administering medicines via the t34 syringe pump. Subcutaneous ketamine infusion in a syringe pump 2 drug combinations. The gp unit, pitlochry community hospital, is an integral part of nhs tayside perth and kinross chp.
Take care when walking around with the syringe driver, use the holster provided or put the syringe driver in a pocket. It is one of four community hospitals which provide inpatient facilities for patients under the care of their own general practitioner. Guidelines for syringe driver management in palliative care. Refer to intranet for paediatric pca guidelines if considering or managing a pca in a paediatric patient managed on a paediatric ward or in an accu setting.
Clinical facilitating anticipatory care at the end. Oct 26, 2012 please find attached a distribution for the forthcoming mckinley t34 syringe driver training. Results for subcutaneous syringe driver 1 10 of 117 sorted by relevance date. Furosemide in the community setting in bradford, airedale, wharfdale and craven. Southern hsc trust procedures for the use of syringe drivers. All gosh clinical guidelines can be found internally on the goshweb intranet and epic electronic patient record systems. The nurse will insert this needle just under the skin on your chest, tummy, the top of your arm or leg and will secure it in place with a clear dressing. Substance misuse service we are committed to enabling people experiencing problematic substance use to journey towards recovery through partnership and collaboration. The figures in these tables are not clinical doses to prescribe. Nhs tayside oral health improvement team home facebook. Within bdct syringe driver policy, dilution is encouraged. Mckinley t34 syringe pump policy nhs lothian policy online.
Pitlochry community hospital is a purpose build busy subactue locality unit providing care for patients. Nhs tayside 2009 policy for the use of just in case boxes in primary care. Policy for the administration of drugs via a mckinley t34 syringe pump for adults in the community 2011. Metabolised to morphine3glucuronide and morphine6glucuronide. In tayside the medicine prescription form used is the tayside prescription and administration record tpar.
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