Patient Group direction Flashcards
what is a pgd
-patient group direction
-written instruction that allows the supply/administration of a specified medicine by authorised health professional to a group of patients without needing a prescription for each individual
what are examples of PGDs
-flu jab services
-travel vaccination
-malaria prevention
-chickenpox vaccinations
where can PGDs be used
-GPs
-Dental practices
-walk in centres
how are PGDs creating
multi-disciplinary group including doctors, pharmacists and representative of a professional group expected to supply medicines under PGDs
why are PGDs used
-same medicine given to many people
-doctor doesn’t need to do a full clinical assessment
-time efficient
what must be included in a PGD
-name of business who owns direction
-start and end date of PGD
-the class of health professional who can supply/administer the medicine
-signature of the doctor/dentist etc.
-signature of an appropriate organisation e.g. NHS trust
-the specified condition to be treated
-description of patients excluded from treatment under direction
-description of when you should get more advice from a doctor and arrangement for referral
-details of the medicine
-relevant warnings
-details for necessary follow ups
-statement of the record to be kept for audit
what can you not supply under a PGD
-unlicensed medicines
-dressing/appliances, devices
-radiopharmaceuticals
-abortifacients
how often should directions be reviewed
2 years
who should sign the appropriate documents in PGDs
-multidisciplinary group
-clinical governance lead
-individuals working under the direction
what is indemnity insurance
-Protects the healthcare professional if something goes wrong when providing care
-covers legal cost and compensation if you’re sued
what are the CD requirement on PGDs
-no schedule 1 drugs and most of schedule 2 or 3 either
-schedule 5 and 4 for some cases
-morphine, buprenorphine and midazolam can be used
-no methadone
-ONLY FOR PALLITATIVE CARE (improving quality of life) OR LIFE SAVING TREATMENT
what are the requirements of antimicrobials supplied under PGD
-must be regularly audited
-microbiologist must be involved in the PGDs
TIGHTLY CONTROLLED DUE TO ANTIBIOTIC RESISTANCE
requirements for black triangle drugs under PGDs
These are new medicines or newly licensed indications under additional monitoring
-patient must be aware of the intensive surveillance of this medicine
-must be able to strongly justify6r the PGD
