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Nurses/doctors/paramedics - adrenaline

14 replies

DustyLee123 · 05/11/2023 06:40

For those of you working with adrenaline, do you have a PGD for it ?

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CormorantStrikesBack · 05/11/2023 06:43

Don’t routinely give it but it’s on the emergency trolly and am expected to give it if needed obviously without waiting for a prescription. I’d like to think it’s on a pgd but don’t actually know.

DustyLee123 · 05/11/2023 06:44

If there was a PGD you would have signed it

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Wishiwasatailor · 05/11/2023 06:44

Yes for both cardiac and anaphylaxis uses

CormorantStrikesBack · 05/11/2023 06:47

Don’t remember signing any PGD and there’s definitely other stuff we use such as paracetamol on a pgd but I’ve worked there 15 years, maybe I’ve forgotten signing.

RapidlyApproachingEndOfMyTether · 05/11/2023 06:50

Community nurse - all nurses who's role is to administer meds carry adrenaline in their kit bags. Can't remember signing a PGD but presume I must have done!

DustyLee123 · 05/11/2023 06:52

You sign a new PGD every time it expires, so I think you’d remember. If you don’t, it sounds like you don’t have one.

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ChristmasIsComingRealSoon · 05/11/2023 06:59

We use a PSD.
Because adrenaline is specific to the individual. Not to the masses, which a PGD is aimed at.
Can't believe there's clinicians on here saying they don't know or can't remember! Working somewhere 15 years you'd have signed a PGD multiple times, not have no memory of signing one at all.

IDontDrinkTea · 05/11/2023 07:02

It comes under a midwives exemption and thus I can administer without a prescription

CormorantStrikesBack · 05/11/2023 07:10

DustyLee123 · 05/11/2023 06:52

You sign a new PGD every time it expires, so I think you’d remember. If you don’t, it sounds like you don’t have one.

I think it’s probably more likely my incompetent hospital has just never made me sign one. I don’t recall ever signing a PGD for anything, not even paracetamol.

So like a blanket agreement saying I’ve read the pgd policy and know I can give x drug under pgd? Did not know that was a thing!

Strawberryfieldsforeverrr · 05/11/2023 07:43

Do t use it in my day job, but when doing OT at thr mass vaccination centre certainly signed a PSD for it.

Wishiwasatailor · 05/11/2023 07:46

ChristmasIsComingRealSoon · 05/11/2023 06:59

We use a PSD.
Because adrenaline is specific to the individual. Not to the masses, which a PGD is aimed at.
Can't believe there's clinicians on here saying they don't know or can't remember! Working somewhere 15 years you'd have signed a PGD multiple times, not have no memory of signing one at all.

PGD surely as adrenaline is for the “masses” as you don’t know who specifically is going to have a cardiac arrest or anaphylaxis? A PSD is for individually named patients who have been assessed by the prescriber as they don’t fit the pgd criteria?

AnotherVice · 05/11/2023 07:47

I can only give it for anaphylaxis under Schedule 19, no PGD.

fourelementary · 05/11/2023 07:50

No PGD required for us to administer in an emergency in response to anaphylaxis. In saying that- I discovered our stock lives in our cupboard in the Base rather than being taken out into the community- so not much use there! You’ve reminded me I was going to ask about adding it to our kit bags…

Blueuggboots · 05/11/2023 08:23

Yes, PGD. For asthma, anaphylaxis.

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