Just say "no" !
I agree with you Katie, the most important bit of the process is the skilled
assessment by a mental health trained nurse. I know that GPs and PNs "can"
be trained to do it, along with IV's at home, supervising gold therapy etc,
etc, however sadly inadequate resources to take on this new task without
funding following work :-)
Paul Galloway
-----Original Message-----
From: Katie Law <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 05 September 1998 16:54
Subject: Depixol Injections
>
>We have, along I suspect with all practices, a small problem with
>depixol injections.
>
>Last week a patient came up to treatment room for his injection because
>work commitments prevented him from making an appointment with his CPN.
>The practice nurses are understandably worried about giving these, as
>they have no training in the use of this drug.
>The duty doctor advised the nurse to give it *on doctor's orders* for
>that day, but also felt not fully conversant with all the possible
>problems with depixol.
>
>The CMHT decide who starts this treatment, and the CPNs are tasked with
>administering it.
>If the CPN is contacted by the practice nurses about similar occasions
>she usually advises *give it anyway*.
>
>My feeling is that the administration of this injection is part of the
>CPNs regular assessment of these patients with "longstanding severe
>mental illness".
>It should not be part of the Practice Nurses job to give them.
>
>I appreciate the *convenience for the patient* element.
>I am also aware of the *heavy workload*situation for CPNs.
>
>I would be interested to know what happens in other practices ...
>
>
>--
>Katie
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