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