Volume 12 Key Amendments Since the original manual posting February 2012

Volume 12 Key Amendments
Since the original manual posting February 2012
Policy Amendments
Month of
LAST
amendment
Key amendment/s –
Please Note: Please ensure you read the whole policy, only versions with major
changes will be listed here.
Patient Self Medication
Aug 2014
Medications must be in a labelled self-med box. These medications should be stored securely in the
patients locker, e.g. in a locked compartment or other suitable container. See policy for exceptions
Peripheral IV
Aug 2014
Addition of point 1.2.5 - Intermittent disconnecting of the IV line added in Sept 2013 and update on 1.2.5 in
January 2014. New paragraphs Aug 2014 – flushing intermittent med. lines
CVAD
Aug 2014
Lymph vessel damage – leaking at the insertion site, added to complications section
PICC certification competency inclusions - please read
Oral Medications
Aug 2014
Addition of pharmacy flowchart on admin via enteral feeding, reference to AH Transportation of meds
which outlines appropriate method for transfer any medication between wards/facilities
Eye medications
Aug 2014
Single use only
Drug Access, Key/Card and
Lost Drug Keys
Aug 2014
Information on lost drug key procedures added to policy from Vol D divisional policy manuals
Subcutaneous Injection and
Infusion
Aug 2014
Feb 2014 Insertion angle degree depends on manufacturers and clinical decision. The requirement to
draw back on the plunger before administration has been removed, still avoid the umbilical area. Aug 2014
Directions for selection of gauges of needles for infusions has been updated.
Students Responsibilities
April 2014
All updates are in the respective tables of responsibilities and highlighted in yellow
Controlled Drugs
July 2013
Addition to include EN’s authorisation to collect CD’s from pharmacy
Vol 12 Key amendments
Fluid and Medication Management Committee 2014 update
Volume 12 Key Amendments
Since the original manual posting February 2012
Massive Transfusion Protocol
(MTP)
Sept 2013
Removed from the Blood and Blood Products policy and flowchart updated with new practice requirements
Intragam – in Blood and Blood
Products Policy
Oct 2013
Incorporation of paediatric protocol for rates of infusion and paediatric specific information
Peripheral Cannulation
March 2014
Transitioned EN’s added to the scope, section added appropriate method for blood taking
Perioperative Management of
Diabetes Mellitus
December
2013
Inclusion of new Adult protocol requirements and review of Nephrology management section
New Policies
Date of Post
Associated information
Methadone
April 2014
Prescribing, Supply and Administration information
Adult Ketamine Infusions
Feb 2014
Adult Ketamine infusions overseen by the Acute Pain Management Service for limited clinical areas
AH Medication transportation
between facilities
Feb 2014
Policy for transporting medications afterhours between facilities excludes Ashburton and Rural who have
their own processes
Nasal High Flow Oxygen
policy (Airvo)
Aug 2014
Policy for prescription and use of Nasal High flow oxygen in the ward areas via the Airvo. Includes
guidelines for disinfection
Vol 12 Key amendments
Fluid and Medication Management Committee 2014 update