1.
Responsibility
1.1. Respond as a first responder to any emergency call other than:
· Fire
· Severe Trauma
· Spinal Injuries
· Road Traffic Accidents
· Industrial Accidents
· Any incident involving abuse/violence or aggression
· Alcohol or drug related incidents including overdoses, except where the
· overdose is unintentional by a minor
· Maternity or Gynaecological emergencies
1.2. Community First Responders must not under any circumstances respond using blue lights or sirens.
1.3. CFRs have a responsibility and duty of care to provide a high standard of care commensurate to their skill set.
2. | Skill set |
| 2.1. Primary Survey only 2.1.1. Community responders will not be required to examine intimate areas of a patient, except where not doing so would put the patient at further risk. 2.1.2. Community responders will not carry out any invasive1 or internal2 examinations or procedures 2.2. Administration of specified medications (see list below) 2.3. Semi-automatic defibrillation 2.4. Basic Life Support 2.5. Assisting other clinicians in carrying out Advanced life support (RCUK/ERC Guidelines) – Adult, Child, Infant, Newborn 2.6. Approved equipment list 2.6.1. CFRs must only utilise clinical equipment and consumables as stated in the Responder Policy 2.6.2. CFRs must not work outside their Scope of Practice in relation to equipment or consumables. 2.6.3. Any local agreements must be in place with the Voluntary Services Department relating to any pre-existing equipment owned by a CFR scheme, not currently on the approved
|
1 Invasive procedures can be defined at those which require interrupting the continuity of skin or insertion into body cavities (excluding the oral or nasal cavity)
2 Internal & intimate examinations relate specifically to rectal or vaginal investigations.
equipment list. 2.6.4. The Clinical Quality Working Group will approve or reject any additional equipment proposed for inclusion as part of the Approved Equipment List or Local Agreements. 2.6.5. |
Referral rights |
3.1. Community First Responders must always seek to hand-over patients to qualified operational Ambulance Personnel. 3.2. CFRs must be backed up with qualified operational Trust staff when attending emergency calls. 3.2.1. It is accepted that in exceptional circumstances, back-up may be delayed or not be possible (i.e. adverse weather) 3.3. CFRs cannot stand down other resources 3.4. CFRs cannot make referrals to other health professionals. Any referrals will be made by the operational clinician(s) attending the incident, or in EOC. 3.5. CFRs are not authorised to discharge patients. In exceptional circumstances, a discharge decision may be made by a clinician remotely, but this must not be considered routine 3.6. CFRs cannot make conveyance decisions and must defer to the attending clinician(s). |
4. | Drugs and preparations authorised for use |
| 4.1. JRCALC Drugs3 or other medicines authorised by the Trust. 4.1.1. Please refer to Appendix M
4.2. PGDs 4.2.1. Lay CFRs are not registered health professionals and therefore not legally entitled to issue drugs under a patient group direction
4.3. Medicine management responsibilities 4.3.1. CFRs are responsible for the safe keeping of medications in their possession and must report damage, theft or losses. 4.3.2. Use of medicines must be recorded on the PCR on arrival of NHS equivalent clinician, and must include the CFRs unique PP Number 4.3.3. CFRs must record all drug administration on their Drugs Issue Card (see Medicines Management Manual)
4.4. Medicines administration responsibilities 4.4.1. Medicines must only be administered at the dose stated and via the route stated in the |
JRCALC Drugs are authorised for use via legal mechanisms (depending on grade)
| CFR medicines Prompt Card. 4.4.2. CFRs cannot deviate from training. 4.4.3. CFRs must act as the patients advocate and must make any concerns known to others involved in patient care where a potential and/or imminent drug error could occur. |
5. | Supervision |
| 5.1. Supervises: 5.1.1. Community responders do not provide formal supervision, but may provide mentorship and support to new members of the Community First Responder scheme 5.1.2. Community responders may also provide supervision as part of a training action plan. 5.2. Supervised by: 5.2.1. CFR Team Leader 5.2.2. CFR Senior Team Leader 5.2.3. CFR Associate Trainer 5.2.4. CFR Senior Associate Trainer 5.2.5. NHS equivalent Operational clinicians and managers. 5.2.6. Volunteer Development Coordinators |
6. | Documents related to grade |
| 6.1. JRCALC Clinical Practice Guidelines 6.2. Resuscitation Guidelines 6.3. CFR Drugs Prompt Card 6.4. CFR Foundation Course 6.5. CFR Drug Issue Card |
7. | Pre-requisites for continued voluntary membership of CFR scheme |
7.1. DBS on appointment
7.2. Occupational health check on appointment
7.3. Full, valid UK driving licence held for at least 12 months (up to 3 penalty points)
7.3.1. Appropriate insurance for vehicle being used for responding as a CFR
7.4. Up to date evidence for right to work and reside in the UK.
7.5. References.
7.6. Evidence of competency through Trust-approved process
8.
Specialist Roles and Special Conditions
8.1. CFRs do not have any specialist roles or conditions
Clinical Practice Areas Grade of Staff: Immediate Emergency Care Responder (IECR) Background of personnel Firefighters are familiar with dealing with emergency situations, and are ideally placed to support NHS equivalent in a limited number of clinical presentations. Firefighters are not registered health professionals, and are therefore not familiar with the day to day delivery of clinical services. This appendix describes the scope of practice required to facilitate the benefits of IECR, and to ensure that patient care and safety is optimised. Operational deployment IECR is a different system to other co-responding schemes involving Fire & Rescue Services (FRS) due to having a wider scope of practice than a standard CFR or co-responder, and they can also use their care skills in their own organisation. They also respond to incidents under emergency conditions. Previous and current schemes across the region use personnel from other services, such as FRS, but in a traditional Community First Responder mode. These include; · Fire & Rescue Services, Coastguard etc. o Co-responders from other agencies operate to training levels set within their own organisation by agreed with NHS equivalent. o Immediate Emergency Care (IEC) is based on a national profile and NHS equivalent has added the CFR aspect (IECR) to this in order to make it fit for purpose locally. · IECRs will always be backed up to 999 calls immediately and cannot make conveyance |
9.1. Respond as a first responder to any emergency call other than (and with the exception of incidents suggestive of including cardiac arrest of clear threat to life): · Any incident involving abuse/violence or aggression · Alcohol or drug related incidents including overdoses, except where the overdose is unintentional by a minor · Maternity or Gynaecological emergencies · Incidents involving mental health crises 9.2. IECRs have a responsibility and duty of care to provide a high standard of care commensurate to their skill set. 9.3. IECRs will document any treatment provided on NHS equivalent patient clinical record (PCR) documents. Any PCRs started by an IECR must be handed to the attending NHS equivalent clinician on their arrival as part of the formal handover process 9.3.1. IECRs/FRS’s will not retain any patient identifiable information relating to |
10.1. The Scope of Practice for IECRs has been broken down into three areas; 10.1.1. Directly applied interventions (i.e. oxygen therapy) 10.1.2. Interventions assisted (i.e. assisting paramedic with applying splintage) 10.1.3. Interventions they are given awareness of only (i.e. chest drainage) 10.2. Primary Survey 10.2.1. IECRs will not be required to examine intimate areas of a patient, except where not doing so would put the patient at further risk. 10.2.2. IECRs will not carry out any invasive4 or internal5 examinations or procedures |
4 Invasive procedures can be defined at those which require interrupting the continuity of skin or insertion into body cavities (excluding the oral or nasal cavity)
5 Internal & intimate examinations relate specifically to rectal or vaginal investigations.
10.3. Administration of specified medications (see appendix M) 10.4. Semi-automatic defibrillation 10.5. Basic and Intermediate Life Support 10.6. Assisting other clinicians in carrying out Advanced life support (RCUK/ERC Guidelines) – Adult, Child, Infant, Newborn 10.7. Approved equipment list 10.7.1. IECRs must only utilise clinical equipment and consumables as stated in appendix 5 within the Memorandum of Understanding with each FRS 10.7.2. IECRs must not work outside their Scope of Practice in relation to equipment or consumables and must follow directions given by a healthcare professional (i.e. paramedic) at all times. 10.7.3. The Clinical Quality Working Group will approve or reject any additional equipment proposed for inclusion as part of the Approved Equipment List within appendix 5 of the MoU. | |
11. | Referral rights |
11.1. IECRs will always seek to hand-over patients to qualified operational Ambulance Personnel. 11.2. IECRs must be backed up with qualified operational Trust staff when attending emergency calls. 11.2.1. It is accepted that in exceptional circumstances, back-up may be delayed or not be possible (i.e. adverse weather) in which case, telephone support will be provided 11.2.2. The MoU provides information on when and how to contact the NHS equivalent clinical support desk in the event of delayed or unavailability of back up 11.3. IECRs cannot stand down other resources 11.4. IECRs cannot make referrals to other health professionals. Any referrals will be made by the operational clinician(s) attending the incident, or in EOC. 11.5. IECRs are not authorised to discharge patients. In exceptional circumstances, a discharge |
decision may be made by a clinician remotely, but this must not be considered routine 11.6. IECRs cannot make conveyance decisions and must defer to the attending clinician(s). Patients must not be transported to hospital in FRS vehicles unless specifically agreed by a NHS equivalent clinician and only where there is sufficient insurance by the FRS to facilitate patient movements. FRS patient movements would also be considered an exceptional event and would require completion of an IWR-1 and Bronze level investigation 11.6.1. In the unlikely event of FRS patient transportation, a PCR must have been completed by a NHS equivalent clinician prior to the patient leaving scene. | |
12. | Drugs and preparations authorised for use |
12.1. JRCALC Drugs6 or other medicines authorised by the Trust. 12.1.1. Please refer to Appendix M 12.2. PGDs 12.2.1. IECRs are not registered health professionals and therefore not legally entitled to issue drugs under a patient group direction |
JRCALC Drugs are authorised for use via legal mechanisms (depending on grade) – see Appendix M for information.
12.3. Medicine management responsibilities 12.3.1. IECRs are responsible for the safe keeping of medications in their possession and must report damage, theft or losses. 12.3.2. Use of medicines must be recorded on the PCR on arrival of NHS equivalent clinician, and must include the IECRs unique identity number 12.3.3. IECRs must record all drug administration on their Drugs Issue Card (see Medicines Management Manual) 12.4. Medicines administration responsibilities 12.4.1. Medicines must only be administered at the dose stated and via the route stated in the IECR medicines Prompt Card. 12.4.2. IECRs cannot deviate from training. 12.4.3. IECRs must act as the patients advocate and must make any concerns known to others involved in patient care where a potential and/or imminent drug error could occur. | |
13. | Supervision |
13.1. Supervises: 13.1.1. IECRs do not provide formal supervision, but may provide mentorship and support to new members of the IECR scheme 13.1.2. IECRs may also provide supervision as part of a training action plan. 13.2. Supervised by: 13.2.1. FRS IECR Train the Trainer Leads 13.2.2. NHS equivalent Operational clinicians and managers. 13.2.3. Volunteer Development Coordinators | |
14. | Documents related to grade |
14.1. JRCALC Clinical Practice Guidelines 14.2. Resuscitation Guidelines 14.3. IECR Drugs Prompt Card |
14.4. 14.5. | IECR Curriculum IECR Drug Issue Card | |
15. | Pre-requisites for continuing practice within IECR scheme | |
15.1. | DBS on appointment | |
15.2. | Occupational health check on appointment | |
15.3. | References. | |
15.4. | Evidence of competency through Trust-approved process | |
16. | Specialist Roles and Special Conditions | |
16.1. | IECRs are authorised to use their enhanced care skills on incidents not originating from a | |
999 call to NHS equivalent | ||
16.2. | In these circumstances where care is instigated, NHS equivalent attendance must be requested. |
|
FutureQuals Level 4 Diploma for Associate Ambulance Practitioner Clinical Practice Areas Grade of Staff: Associate Ambulance Practitioner Staff who operate at the Associate Practitioner grade (including Trainee Paramedics*) must be either enrolled, or preparing to enroll, in a recognised paramedic science education programme. This clinical grade is based largely on the Technician scope of practice and is provided as an extended role for Emergency Care Support Workers who are developing towards a paramedic science award. It excludes ALL additional skills associated with Advanced Technicians. The Associate Practitioners role also has different requirements relating to the discharge of patients from scene and must be noted accordingly. *The term paramedic is a legally protected professional title Staff must not represent themselves as qualified paramedics or give patients/public any reason to suggest so, as this would contrary to the legal protection provided to the term “paramedic”. | |
Responsibility | |
1.1. Work in line with the Trust Job Description for the role and adhere to any conditions. 1.2. Provide emergency response 1.3. Single response (car) 1.4. Crew response (DCA) 1.5. A&E duties 1.6. PTS duties 1.7. Maintain and be able to produce evidence of Continuous Professional Development (In line with University entry requirements and APEL (Accreditation of Prior Experiential Learning)) | |
Skill set |
2.1. Manual defibrillation 2.2. 12 lead acquisition 2.3. Advanced life support (RCUK/ERC Guidelines) – Adult, Child, Infant, Newborn 2.4. IM injections 2.5. Advanced driving (Blue light) 2.6. Manual Handling 2.7. Physical assessment skills at BTLS level (auscultation and percussion) 2.7.1. Associate Practitioners are permitted to visually examine intimate areas of a patient as part of essential care (such as childbirth). 2.7.2. Associate Practitioners will not carry out any intimate physical and/or internal examinations (rectal or vaginal) 2.7.3. Associate Practitioners may be required to assist paramedics with intimate or invasive procedures (such as administration of rectal diazepam) but not actually administering any medicines or performing treatment. | |
3. | Referral rights |
3.1. Conveyed patients 3.1.1. Unlimited authority to convey to hospital any patient calling 999. 3.1.2. Consideration must be given to advance directives or other care plans relating to preferred place of care 3.1.3. Authorised to convey to appropriate alternative facility (i.e. Minor injury unit) 3.2. Discharge and Referral 3.2.1. Associate Practitioners are encouraged to consider alternative care pathways 3.2.2. For non-conveyed patients the clinician is authorised to: 3.2.2.1. Refer patients back to their own GP 3.2.2.2. Refer patient to a specialist or advanced paramedic (i.e. PP) |
3.2.2.3. Referral to community teams (either supported by PP or via local pathway arrangements) 3.2.3. For non-conveyed patients the clinician may not (depending on location) be authorised to: 3.2.3.1. Refer patients to Out of Hours providers. (This is due to contractual limitations relating to OOH providers taking referrals from non-registered clinicians – AP’s can still contact the PP Desk to discuss care pathways and to arrange a PP referral if required in these situations) 3.3. For non-conveyed patients the Associate Practitioner is not authorised to: 3.3.1. Discharge patients from scene without first discussing with, and seeking agreement from, an appropriate registered clinician (usually, but not limited to, a PP or Clinical Supervision in EOC) even if the patient appears uninjured or without illness7. 3.3.1.1. All advice and follow-up details must be documented on the PCR 3.3.1.2. Where circumstances prevent contacting a clinician prior to discharge (i.e. due to unsafe environment) this must done as soon as possible after leaving the patients side, and prior to booking clear. Consideration must be given to a clinician calling the patient back in due course. 3.3.1.3. Where telephone contact is not possible, Associate Practitioners must request immediate clinician call-back via a radio call to their Dispatcher. |
7 Unless the patient refuses care plan against the wishes of the crew, and has mental capacity.
3.4. For all patients who are not conveyed, the following convention must be followed on the PCR/ePCR · Worsening care advice: Specific documented advice relating to anticipated signs or symptoms relating to their condition (i.e. headache, nausea etc.) · Safety netting: Specific documented advice relating to what to do if the patient worsens (i.e. push careline, call back on 999) · Left in care of: Who the patient is being cared for after discharge (if applicable) · Shared decision making: Who was liaised with and document agreed decision | |
4. | Drugs and preparations authorised for use |
4.1. JRCALC Drugs8 4.1.1. Please refer to Appendix M 4.1.2. There are certain parenteral medicines which must only be administered autonomously once the clinician has administered the drug five times under supervision from a paramedic (either on scene or via the clinical desk or PP desk) |
4.2. PGDs 4.2.1. Associate Practitioners are not registered health professionals and therefore not legally entitled to issue drugs under a patient group direction 4.3. Medicine management responsibilities 4.3.1. Associate Practitioners are responsible for the safe keeping of medications in their possession and must report damage, theft or losses. 4.3.2. Use of medicines must be recorded on patient documentation provided. 4.3.3. Associate Practitioners are required to complete Patient Clinical Records legibly. 4.3.4. Associate Practitioners are required to complete any drug audits. 4.3.5. Where an Associate Ambulance Practitioners is the senior member of a crew, they are responsible for the recording of drug recording. 4.4. Medicines administration responsibilities 4.4.1. Medicines must only be administered in the dose stated and via the route stated. 4.4.2. Associate Practitioners cannot deviate from training. 4.4.3. Associate Practitioners must act as the patients advocate and must make any concerns known to others involved in patient care where a potential and/or imminent drug error could occur. | |
5. | Supervision |
5.1. Associate Practitioners do not supervise staff but have a duty of care to support staff in order to promote safe patient care. 5.2. First level supervised by: 5.2.1. Clinical Team Leader |
6. | Documents related to grade | |
6.1. | JRCALC Clinical Practice Guidelines | |
7. | Pre-requisites for continued employment | |
7.1. 7.2. 7.3. 7.4. 7.5. | DBS on appointment Occupational health check on appointment Full, valid UK driving licence (up to 9 penalty points; will be monitored by line manager) Up to date evidence for right to work in the UK. Maintain and be able to produce evidence of Continuous Professional Development | |
8. | Specialist Roles and Special Conditions | |
8.1. | Single Response Vehicle working | |
8.1.1. | Driver training | |
8.1.2. | Lone working familiarisation | |
8.2. | Associate Practitioners Officers/Managers | |
8.2.1. | It is recognised that this group of staff operate predominantly in unmarked lease vehicles, | |
which are not as fully kitted as an SRV. | ||
8.2.2. | The scope of practice for these staff is limited by the equipment they have in their vehicles | |
when responding in them. | ||
8.2.3. | Officers/managers are required to be familiar with all equipment, drugs and vehicles | |
commensurate to their grade. |
Clinical Practice Areas Grade of Staff: Technician The Technician role (including Advanced Technician) includes ALL skills practiced at ECSW/Associate Practitioner grades. n.b. Additional Advanced Technician skills are marked with an asterix | |
9. | Responsibility |
9.1. Work in line with the Trust Job Description for the role and adhere to any conditions. 9.2. Provide emergency response 9.3. Single response (car) 9.4. Crew response (DCA) 9.5. A&E duties 9.6. PTS duties 9.7. Maintain and be able to produce evidence of Continuous Professional Development | |
10 | Skill set |
10.1. Manual defibrillation 10.2. 12 lead acquisition 10.3. Advanced life support (RCUK/ERC Guidelines) – Adult, Child, Infant, Newborn 10.4. IM injections 10.5. Advanced driving (Blue light) 10.6. Manual Handling 10.7. Physical assessment skills at BTLS level (auscultation and percussion) 10.7.1. Technicians and Advanced Technicians are permitted to visually examine intimate areas of |
a patient as part of essential care (such as childbirth). 10.7.2. Technicians and Advanced Technicians will not carry out any intimate physical and/or internal examinations (rectal or vaginal) 10.7.3. Technicians and Advanced Technicians may be required to assist paramedics with intimate or invasive procedures (such as administration of rectal diazepam) but not actually administering any medicines or performing treatment. | |
11 | Referral rights |
11.1. Conveyed patients 11.1.1. Unlimited authority to convey to hospital any patient calling 999. 11.1.2. Consideration must be given to advance directives or other care plans relating to preferred place of care 11.1.3. Consideration must be given to advance directives or other care plans relating to preferred place of care 11.1.4. Authorised to convey to appropriate alternative facility (i.e. Minor injury unit) 11.2. Discharge and Referral 11.2.1. Technicians are encouraged to consider alternative care pathways 11.2.2. For non-conveyed patients the clinician is authorised to: 11.2.2.1. Refer patients back to their own GP 11.2.2.2. Refer patient to a specialist or advanced paramedic (i.e. PP) 11.2.2.3. Referral to community teams (either supported by PP or via local pathway arrangements) |
11.2.3. For non-conveyed patients the clinician may not (depending on location) be authorised to: 11.2.3.1. Refer patients to Out of Hours providers. (This is due to contractual limitations relating to OOH providers taking referrals from non-registered clinicians – Technicians can still contact the PP Desk to discuss care pathways and to arrange a PP referral if required in these situations) 11.3. For non-conveyed patients Technician/Advanced Technicians are not authorised to: 11.3.1. Discharge patients (over 12 years of age) with new/acute illness or injury without first discussing with, and seeking agreement from, an appropriate registered clinician (usually, but not limited to, a PP or Clinical Supervision in EOC). 11.3.2. Discharge can be undertaken without support where the patient has a clearly self-limiting condition requiring only simple advice or self-care treatments (i.e. low mechanism slip from chair, broken fingernail) and with no Red Flags (see Urgent Care Handbook for examples). 11.3.3. Instructions for when considering discharging children (12 and under): Please refer to the Discharge procedure 11.3.4. Please refer to the guidance given in the Urgent Care Handbook 1.1.1.1. All advice and follow-up details must be documented on the PCR 1.2. For all patients who are not conveyed, the following convention must be followed on the PCR/ePCR | |
· Worsening care advice: Specific documented advice relating to anticipated signs or symptoms relating to their condition (i.e. headache, nausea etc.) · Safety netting: Specific documented advice relating to what to do if the patient worsens (i.e. push careline, call back on 999) · Left in care of: Who the patient is being cared for after discharge (if applicable) · Shared decision making: Who was liaised with and document agreed decision |
2. | Drugs and preparations authorised for use |
2.1. JRCALC Drugs9 2.1.1. Please refer to Appendix M 2.2. PGDs 2.2.1. Technicians are not registered health professionals and therefore not legally entitled to issue drugs under a patient group direction 2.3. Medicine management responsibilities 2.3.1. Technicians are responsible for the safe keeping of medications in their possession and must report damage, theft or losses. 2.3.2. Use of medicines must be recorded on patient documentation provided. 2.3.3. Technicians are required to complete Patient Clinical Records legibly. 2.3.4. Technicians are required to complete any drug audits. 2.3.5. Where a Technician is the senior member of a crew, they are responsible for the recording of drug recording. |
2.4. 2.4.1. 2.4.2. 2.4.3. | Medicines administration responsibilities Medicines must only be administered in the dose stated and via the route stated. Technicians cannot deviate from training. Technicians must act as the patients advocate and must make any concerns known to others involved in patient care where a potential and/or imminent drug error could occur. | |
3. | Supervision | |
3.1. 3.2. | Technicians do not supervise staff but have a duty of care to support staff in order to promote safe patient care. First level supervised by: 3.2.1. Clinical Team Leader | |
4. | Documents related to grade | |
4.1. | JRCALC Clinical Practice Guidelines | |
5. | Pre-requisites for continued employment | |
5.1. 5.2. 5.3. 5.4. | DBS on appointment Occupational health check on appointment Full, valid UK driving licence (up to 9 penalty points; will be monitored by line manager) Up to date evidence for right to work in the UK. |
5.5. Maintain and be able to produce evidence of Continuous Professional Development | |
6. | Specialist Roles and Special Conditions |
6.1. Single Response Vehicle working 6.1.1. Driver training 6.1.2. Lone working familiarisation 6.2. HART Technicians 6.3. Cycle Response Unit 6.3.1. Additional training in safe cycling skills and lone working. 6.4. Technician Officers/Managers 6.4.1. It is recognised that this group of staff operate predominantly in unmarked lease vehicles, which are not as fully kitted as an SRV. 6.4.2. The scope of practice for these staff is limited by the equipment they have in their vehicles when responding in them. 6.4.3. Officers/managers are required to be familiar with all equipment, drugs and vehicles commensurate to their grade. |
Key:
Name of Medicine (Controlled Drugs highlighted in RED Restricted medicines highlighted AMBER) | Dose | Route(s) | Mechanism | Type of Use (administration, supply, both) | CFR / IECR | Emergency Care Support Worker | Associate Practitioner | Technician/ Advanced Technician |
Activated Charcoal | 1 x bottle | Oral | PGD | Administration |
|
|
|
|
Adrenaline 1:10,000 | 1mg/10ml | IV/IO | S17 / ALS | Administration |
|
|
|
|
Adrenaline 1:1000 | 500mcg | IM | S19 | Administration |
|
| IM | IM |
Only | Only | |||||||
Amiodarone (pre-filled) | 300mg | IV/IO | S17 / ALS | Administration |
|
|
|
|
Amoxicillin | 500mg | PO | PGD | Supply |
|
|
|
|
Aspirin | 300mg | PO | TA | Administration | Yes | Yes | Yes | Yes |
Atropine 600mcg | 600mcg | IV/IO | S19 | Administration |
|
|
|
|
Benzylpenicillin | 600mg | IV/IO | S17 | Administration |
|
|
|
|
Calcium Chloride | 10%/10ml | IV/IO | PGD | Administration |
|
|
|
|
Chlorphenamine | 10mg/1ml | IV/IO (IV | S19 | Administration |
|
| IM | IM |
preferred) IM | Only | Only | ||||||
Clarithromycin | 125mg suspension | PO | PGD | Supply |
|
|
|
|
Clarithromycin | 250mg tablet | PO | PGD | Supply |
|
|
|
|
Clopidogrel | 75mg | PO | TA | Administration |
|
| Yes | Yes |
Co-Amoxiclav | 625mg | PO | PGD | Supply |
|
|
|
|
Co-Amoxiclav | 1.2g | IV | PGD | Administration |
|
|
|
|
Diazemuls IV | 10mg/2ml | IV/IO | S17 | Administration |
|
|
|
|
Diazepam | 2.5mg | PR | TA | Administration |
|
|
|
|
Diazepam | 5mg | PR | TA | Administration |
|
|
|
|
Entonox | NA | Inhaled | TA | Administration |
| Yes | Yes | Yes |
Flumazenil | 100 mcg | IV/IO | PGD | Administration |
|
|
|
|
Furosemide | 20mg/2ml | IV | S17 | Administration |
|
|
|
|
Glucagon | 1mg | IM/SC | S19 | Administration |
|
| Yes | Yes |
Glucogel | 40%/23g | Buccal | TA | Administration |
| Yes | Yes | Yes |
Glucose 10% | 500ml | IV | S17 | Administration |
|
|
|
|
GTN | 400mcg | Sub lingual | TA | Administration |
|
| Yes | Yes |
Heparin | 5000 IU | IV | S17 | Administration |
|
|
|
|
Hydrocortisone | 100mg | IV | S19 | Administration |
|
| IM | IM |
(preferred | Only | Only | ||||||
) IO/IM |
|
| ||||||
Ibuprofen Suspension | 100mg/5ml | PO | PGD | Supply |
|
|
|
|
Ibuprofen Sachet | 100mg/5ml | PO | TA | Administration |
|
| Yes | Yes |
Ibuprofen Tablet | 200mg | PO | PGD | Supply |
|
|
|
|
Ibuprofen Tablet | 200mg | PO | TA | Administration |
|
| Yes | Yes |
Ipratropium Bromide | 250mcg | Nebulised | TA | Administration |
|
| Yes | Yes |
Ketamine | 10mg/1ml | IV/IO | PGD | Administration |
|
|
|
|
Lidocaine (Lignocaine) | 1% | SC | PGD | Administration |
|
|
|
|
Magnesium Sulphate | 2g or 4g (depending on PGD) | IV/IO | PGD | Administration |
|
|
|
|
Magnesium Sulphate | 150mg | Nebulised | PGD | Administration |
|
|
|
|
Midazolam | 5mg/5ml | IV/IO | PGD | Administration |
|
|
|
|
Morphine Sulphate | 10mg/1ml | IV/IO | S17 (PGD**) | Administration |
|
|
|
|
Naloxone Hydrochloride | 400mcg/1ml | IV/IO/IM/I N | S19 | Administration |
|
| IM | IM |
Only | Only | |||||||
Naproxen | 250mg | PO | PGD | Supply |
|
|
|
|
Nitrofurantoin | 50mg | PO | PGD | Supply |
|
|
|
|
Ondansetron | 2mg | IV | S17 | Administration |
|
|
|
|
Oxygen | NA | Inhaled | TA | Administration | Yes | Yes | Yes | Yes |
Oral Rehydration Salts | Sachet | PO | TA | Supply |
|
|
|
|
Paracetamol | 10mg/1ml | IV | S17 | Administration |
|
|
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|
Paracetamol | 120mg/5ml suspension | PO | PGD | Supply |
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Paracetamol | 250mg/5ml suspension | PO | PGD | Supply |
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Paracetamol | 250mg (Fastmelt/ oro- dispersible) | PO | PGD | Supply |
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Paracetamol | 500mg | PO | PGD | Supply |
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Paracetamol | 500mg | PO | TA | Administration |
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| Yes | Yes |
Paracetamol | 120mg/5ml sachet | PO | TA | Administration |
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| Yes | Yes |
(Calpol) | ||||||||
Penicillin V | 250mg | PO | PGD | Supply |
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Phenytoin | 250mg/5ml | IV/IO | PGD | Administration |
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Prednisolone | 5mg | PO | PGD | Supply |
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Prednisolone | 1mg/1ml | PO | PGD | Administration |
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Prednisolone | 1mg/1ml | PO | PGD | Supply |
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Rocuronium | 10mg/1ml | IV/IO | PGD | Administration |
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Salbutamol | 2.5mg | Nebulised | TA | Administration | Yes | Yes | Yes | Yes |
Salbutamol | 5mg | Nebulised | TA | Administration | Yes | Yes | Yes | Yes |
Sodium Chloride Ampoule | 0.9% 10ml | IV/IO | S17 | Administration |
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Sodium Chloride | 0.9% 150ml | IV/IO | S17 | Administration |
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Sodium Chloride | 0.9% 500ml | IV/IO | S17 | Administration |
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Sodium Chloride (hypertonic) | 5% 500ml | IV/IO | PGD | Administration |
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Tenecteplase | 10,000 units | IV | S17 | Administration |
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Ticagrelor | 90mg | PO | PGD | Administration |
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Tranexamic Acid | 100mg | IV | PGD | Administration |
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Trimethoprim | 200mg | PO | PGD | Supply |
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Water for Injection | NA | IV/IO | Diluent | Administration |
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