patient specific directions

patient specific directions

Instructions usually written on a prescription form, which provides information on the supply and/or administration of medicines or treatment. Patient-specific directions may be entered in some medical notes directly (e.g., A & E notes, anaesthetic notes).
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The use of patient specific directions within the vaccination programme has been received well by the health care support workers, who have embraced the challenge of learning new skills and expanding their roles, and by the school nursing team in the delivery of training and staff supervision to support the delivery of this important public health intervention.
The use of patient specific directions can lead to an increased mix of staff involved in the administration of the influenza nasal vaccine
The Human Medicines Regulations 2012 allow the non-medical independent prescriber to sign a patient specific direction (PSD) for health care support workers to administer a specified vaccine to children clearly identified in it.
Box 1: Patient Specific Direction * Is a written instruction for Prescription only medicines to be supplied for administration to a named patient without a prescription * Must be patient specific * Can be administered by any capable person who may not be a registered health professional * Can be signed by a doctor or a non-medical independent prescriber * Liability rests with the prescriber, who will be judged on the appropriateness of the patient specific direction and the appropriateness of delegation * Must include the dose, route and frequency to be supplied or administrated NMC medicines management (2010)
If a child has been named on the patient specific direction the nasal vaccine can be administered by any of the health care support workers who have been assessed as competent.

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