Accessing The Provincial Parenteral Manual

Report
The provincial parenteral manual is a patient safety
initiative lead by Alberta Health Services in partnership
with Covenant Health.
This is an electronic manual and will be updated and
maintained by AHS.
Covenant Health staff will use the manual as a reference
to guide the administration of parenteral medications
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Provincial Parenteral Manual
Learning Resource
Fall, 2013
Background
• The Provincial Parenteral Monographs (PPM) are approved by
the Provincial Medication Management Committee (PMMC) and
are maintained by Drug Information Services
• The new provincial monographs are a compilation of the diverse
parenteral monographs of the former health regions and Alberta
Cancer Board
• The new PPM is a convenient, accessible and reliable reference for
drug therapy guidelines and parenteral drug information
• The new provincial monographs are NOT a comprehensive
drug reference - if the information required is not found, consult
alternate sources (i.e. Drug Information Services:
http://insite.albertahealthservices.ca/1521.asp)
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Parenteral Monograph Rollout
• Will take place in a phased rollout – the 1st monographs will
be implemented fall of 2013
• Monographs will be rolled out as the therapeutic drug classes
are completed.
• Will be accessed electronically
NOTE:
 Existing site specific monographs are to be used until a
new provincial monograph is available
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Transitioning to the
New Provincial Parenteral Monographs
AHS
Insite
AHS
Provincial
Parenteral
Manual
Clinical
tools
Employee
tools
New AHS
parenteral
monographs
Yes
No
Old legacy sites
will link to new
AHS monographs
Use existing old
legacy parenteral
monographs
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Accessing The Provincial Parenteral Manual
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Accessing The
Provincial Parenteral Manual
Pharmacy Services Landing Page
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Pharmacy Services Landing Page
• Pharmacy services landing page will have links to all
the old legacy monographs
• If new monograph available-will link through old site
• Use legacy monographs for your former
region/zone/site.
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Landing Page
Direct access to
provincial parenteral
manual
Legacy
monograph
Links-access
legacy
monographs
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Accessing From Insite Home Page
Click on this “Hot Button” (Icon) found on AHS
Insite home page
Will take you directly to the new AHS Provincial
Parenteral Manual
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Provincial Parenteral
Manual
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Changes to Provincial Parenteral Monographs
• Hyperlinks
• Required Education, Equipment, or Monitoring
• Specialized Clinical Competencies
• Who May Give
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Hyperlinks-Access to specific areas of Monograph
13
Hyperlinks-Body of Monograph
14
Printable Version
15
Required Education, Equipment or Monitoring
• The required monitoring outlined in the monographs must be
performed and documented
• Know your Specialized Clinical Competencies (SCC) (where
applicable to Site/Zone)
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Specialized Clinical Competencies
• Definition: competencies that require application of expert
level knowledge, skills, judgment, and critical thinking
• Acquired through additional education and practice
• It is the responsibility of the Healthcare Provider to be aware
of their professional and/or site/zone specific Specialized
Clinical Competencies
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Who May Give
• “Who May Give” - This section is not included in the PMM
• Health care professionals are expected to work within their
scope of practice and area of expertise (See Specialized
Clinical Competencies) and are responsible for their own
investigation when the question of “Who May Give” arises
(ex, consult your manager, or the Professional Practice office
at [email protected] for answers)
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Dosage and Administration
Neonate, Children, Adult Identifiers
• Dosage and Administration sections will be clearly
marked as to:
– Neonate
– Infants/children
– Adult
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Dosage and Administration
Neonate, Children, Adult Identifiers
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EMS and the Monographs
• Inter-facility transfers:
– For patients with existing parenteral medications infusingUse of the AHS monograph is appropriate
– Nursing staff and EMS staff work together to ensure
appropriate information is shared
– For example-nursing staff can print off current monograph
and ensure EMS aware of pertinent information.
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Questions
Medication Management
[email protected]
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