Pharmacy/Pharmaceutical and Prescribing Protocols

Title Document No. Last Reviewed
Acetylcysteine IV in Acute Paracetamol Overdose SESLHDPR/566 Aug 2016
Anaphlaxis Emergency management for health professionals No number – not a District document  
Adenosine Protocol – Antiarrhythmic SESLHDPR/583 June 2017
Administration of a formulation of a medication other than that ordered within an electronic medication management system SESLHDBR/082 Jan 2018
Antimicrobial Stewardship Policy SESLHDPD/137 Jan 2018
Apixaban SESLHDPR/588 July 2017
Carfilzomib with dexamethasone (Kd) SESLHDPR/586 July 2017
Colistimethate (Colistin) IV (Polymyxin E) Prescribing Protocol for Urinary Tract Infections SESLHDPR/608 Feb 2018
Safe Use of Danaparoid SESLHDPR/600 Dec 2017
Dabigatran SESLHDPR/589 July 2017
Delirium - prevention, diagnosis and management of Delirium in Older People in Acute and Sub Acute Care SESLHDPR/345 Under Review
Dinoprostone SESLHDPR/568  July 2018
Drug Recall Process SESLHDPR/438 July 2018
Electronic Medication Management with MOSAIQ Oncology Information System SESLHNPD/29 Apr 2012
Empagliflozin for Type 2 Diabetes SESLHDPR/599 July 2018
Evolocumab for familial hypercholesterolaemia SESLHDPR/594 Aug 2017
Grazoprevir / Elbasvir in Chronic Hepatitis C SESLHDPR/569 Feb 2017
Hepatitis B, C and HIV detection and management in patients requiring dialysis SESLHDPR/226 May 2016
HYDROmorphone SESLHDPR/584 Sept 2017
Idarucizumab in Urgent Dabigatran Reversal SESLHDPR/571 June 2018
Lorazepam intramuscular injection for acute management of aggressive and agitated behaviour of patients in Mental Health Inpatient Units SESLHDPR/592 June 2017
Medication Administration by Enrolled Nurses SESLHDPD/160 May 2018
Medicine: Checking drug Interactions in iPharmacy System SESLHDPD/284    Mar 2015
Medicine: Drug formulary policy SESLHDPD/183
April 2016
Mar 2017
Mar 2017
July 2017
May 2017
Sept 2017
Medicine: Frusemide use in adult chronic heart failure patients SESLHDPD/169
HB 018
Under Review
Aug 2012
Medicine: Management of Refrigerated Storage of Medicines and Vaccines in Clinical Areas SESLHDPR/300 Jan 2018
Medicine: Off label use of registered medicines & use of unlicensed medicines SESLHDPD/182 July 2015
Medicine: Oseltamivir- emergency access to SESLHDPD/215 Under Review
Medicine: Stockley Interactions alerts display filter SESLHDBR/003 Nov 2016
Medicine: Utilising medication information from the electronic Medical Record (eMR) in the electronic Discharge Referral Summary (eDRS) for medication supply at discharge SESLHDPR/327 Dec 2017
Meglumine Diatrizoate and Sodium Diatrizoate (Gastrografin®) in Adult Adhesional Small Bowel Obstruction SESLHDPR/570 July 2016
Nicotine Replacement Therapy (NRT) SESLHDPR/494 June 2016
Pain management - Epidural Analgesia - Continuous Infusion (Adult) SESLHDPR/324 October 2016
Opioid Withdrawal in Patients on Long Term Opioid Medications SESLHDPR/603 June 2018
Pain management - Implantable Intrathecal Drug Delivery System SESLHDPR/294 Dec 2016
Ketamine Infusions for adult patients with acute and chronic non malignant pain SESLHDPR/371 Mar 2017
Pain management - Methoxyflurane Inhaler for adult patients


Oct 2016
Palliative Care: administration of Adult Subcutaneous fluid SESLHDPR/422 July 2015
Palliative Care: Administration of subcutaneous medications in Palliative Care: Intermittent and via a syringe driver SESLHDPR/175 Dec 2017
Palliative Care: Administration of subcutaneous medications in Palliative Care: Intermittent and via a syringe driver SESLHDPR/175 Dec 2017
Phentolamine use as an antidote for extravasation of peripherally administered noradrenaline SESLHDPR/602 Dec 2017
Polymyxin B IV SESLHDPR/573 Feb 2018
Prescription Forms - Secure Storage SESLHDPR/235 Dec 2015
Rivaroxaban SESLHDPR/601 Dec 2017
Safe Handling and Management of Monoclonal Antibodies SESLHDPR/368 June 2018
Sacubitril+Valsartan (Entresto®) for Systolic Heart Failure SESLHDPR/585 June 2017
Tapentadol in Moderate to Severe Chronic SESLHDPR/587 July 2017
Ticagrelor in ST Elevation Myocardial Infarction (STEMI) SESLHDPR/575
Mar 2018
Tolvaptan in inpatient treatment of hyponatraemia SESLHDPR/576
July 2016
Ulipristal Acetate for Emergency Contraception SESLHDPR/619  June 2018
Use of Bar-code Scanning within the Dispensing Process in SESLHD Pharmacy Department SESLHDBR/078 Aug 2017
Ustekinumab for Crohn’s Disease SESLHDPR/611 Mar 2018
Vaccination - Diphtheria, Tetanus and Pertussis for post natal women SESLHDPD/279  Sept 2014
Vaccination- Hepatitis A - HARP Funded Services SESLHDPR/252 July 2014
Vaccination - Hepatitis B - HARP funded services SESLHDPR/253 July 2014