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Pre-registration Study Day - September 15th, 2014

This study day aims to increase awareness of questions to ask enquirers, teach participants how to record enquiries on MI Databank, and improve knowledge of reference sources and adverse drug reaction reporting.

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Pre-registration Study Day - September 15th, 2014

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  1. ABMU Pre-reg study day September 15th2014 Scott Pegler Morriston Nia Sainsbury POW

  2. Plan of day - Morning 9.00 Introductions 9.05 MiDatabank 9.20 Enquiry 1 - eBNF, eMC, Micromedex, Medicines complete 10.30 Tea break 10.45 Up to date, NHS evidence, writing up enquiry 12.00 Enquiry 2 – CKS, patient.co.uk 12.30 Lunch

  3. Plan of day - Afternoon 1.15 Enquiry 3 – eIV guide, Trissel 2.00 Yellow card reporting 2.50 Questions and feedback 3.00 Evaluation forms and finish

  4. Aims of day Increase awareness of questions to ask enquirer. Know how to record enquiries on MI Databank. Increase knowledge of reference sources – how to access and navigate. Know when to report and how to report adverse drug reactions.

  5. Enquiry 1 On MAU a patient has been admitted with a GI bleed which the consultant suggests may be due to citalopram. The junior Dr asks for information on this adverse effect as he has not come across it before. What further information do you need? Should doctor/pharmacist complete a Yellow Card?

  6. Enquiry 1 Enquirers name and contact details – Dr Tom Jenkins, F1 ext 56643 Urgency – 1-2 days Patient details: Edith Williams Dob 20/02/1932 Hosp no: B4036753 Dose = 40mg/day (started 2/12 ago) No other medication

  7. Reference sources  eBNF – clinical systems tab on intranet  eMC www.medicines.org.uk/emc/  Micromedex – via HOWIS/NHS e-library for health/Medicines information – Athens username + password – Username: cymru1 Password: wmic99  MedicinesComplete - www.medicinescomplete.com – nia.sainsbury@bromor-tr.wales.nhs.uk – summer

  8. Reference sources UpToDate – clinical systems tab on intranet NHS evidence - http://www.evidence.nhs.uk

  9. Enquiry 2 Junior Dr rings from A and E. He has diagnosed a pt with Bell’s palsy (not severe) and wishes to discharge her home with medication. He wants to know what medication to prescribe for the management of Bell’s palsy. What further information is needed?

  10. Enquiry 2 Enquirers name, designation and contact details – Dr Jo Smith, F2 bleep 345 Urgency –1 hour Patients name/dob – Sue Howells 14/07/67 Any other medication/allergies – No

  11. Enquiry 3 Nurse asks if furosemide and erythromycin IV can be given via the same site at the same time. What further information do you need?

  12. Enquiry 3 Prospective/retrospective? – Patient specific? ? Who? – How are the drugs prescribed at the moment (dose, diluent, duration of administration etc.?) – Why do you want to mix the drugs? (number of lines available?) – Any other drugs being given IV?

  13. Enquiry 3 Patient is nil by mouth & written to receive erythromycin 1G in 1000ml 0.9% saline IV BD, given as a continuous IV infusion over 12 hours. The patient is also written for furosemide 40mg IV BD. The staff nurse queries if both drugs may be administered via the same site at the same time?

  14. Reference sources eIV guide Trissel available via MedicinesComplete

  15. Enquiry 4 Nurse asks if aspirin and citalopram can be given to a patient via a feeding tube? What other information is needed?

  16. Enquiry 4 Enquirers name and contact details – Sue Johnson Ward 3 ext 2345 Patients details – Mary Owens dob 23/02/32 Urgency – 45 mins What type of feeding tube - PEG Dose of medication – aspirin 75mg om, citalopram 40mg om

  17. Reference sources  eBNF  SPC  Handbook of drug administration via enteral feeding tubes www.medicinescomplete.com – nia.sainsbury@bromor-tr.wales.nhs.uk – summer  NEWT guidelines – Username – thunder2 – Password - pantomime

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