A Patient Specific Direction (PSD) is an instruction to administer a medicine to a list of individually named patients where each patient on the list has been individually assessed by that prescriber.
What is a PSD in healthcare?
A Patient Specific Direction is an instruction from a doctor, dentist, or non-medical prescriber for medicines to be supplied and/or administered to a named patient after the prescriber has assessed the patient on an individual basis. There is no set protocol for PSDs written into the Legislation.
What is the difference between a PSD and a prescription?
In practice, a PSD is may be referred to as a “prescription” by those who write and follow them because this indicates that it is written by a prescriber. But this should not be confused with an FP10 or other written prescription given to the patient for supply from a pharmacy or dispensary.
What should a PSD contain?
What should the PSD include?
- Name of patient and/or other individual patient identifiers including age if a child.
- Name, form and strength of medicine (generic or brand name where appropriate)
- Route of administration.
- Date of treatment/number of doses/frequency/date treatment ends as applicable.
Who can use PSD?
- A PSD is used once a patient has been assessed by a prescriber and that. …
- Any suitably trained member of staff in health or social care can administer medicines that have been prescribed, by an authorised prescriber, for an individual patient.
Is paracetamol a PGD?
Yes. This PGD authorises prophylactic use of paracetamol following MenB immunisation. It advises three 60mg (2.5mL of 120mg/5mL) prophylactic doses are provided to infants post MenB vaccination and advises that infants developing a fever may be treated with paracetamol for up to 48 hours post immunisation.
Can assistant practitioners give medication?
However, in certain circumstances where health care assistants (HCAs) or assistant practitioners (APs) have been through the appropriate training and have been deemed to be competent then they may administer certain medicines.
What does the black triangle mean in the BNF?
The black triangle symbol identifies newly licensed medicines that require additional monitoring by the European Medicines Agency. Such medicines include new active substances, biosimilar medicines, and medicines that the European Medicines Agency consider require additional monitoring.
Can nursing associates give PGDs?
Currently Nursing Associates, as a new profession, are not on the list of professions lawfully allowed to administer medicines under a PGD. Nursing Associates cannot be added to this list until they become a regulated role.
How long is a PGD valid for?
In line with the recommendations made in NICE MPG 2 (2017) the total valid period of a PGD should not exceed three years from the date the PGD was authorised.
Who can administer PGD?
Who can supply or administer under a PGD
- chiropodists and podiatrists.
- dental hygienists.
- dental therapists.
- occupational therapists.
What is PGD prescribing?
Patient Group Directions (PGDs) provide a legal framework that allows some registered health professionals to supply and/or administer specified medicines to a pre-defined group of patients, without them having to see a prescriber (such as a doctor or nurse prescriber).
Who can Authorise a PGD?
Legislation requires that a PGD must be signed by a doctor (or dentist) and a pharmacist and guidance states that they should be involved in the development of the PGD.
Can dental nurses work under a PGD?
Doctors and dentists cannot supply or administer medications under a PGD or Written Instruction. This page gives further detail on why this is the case.
Can an ODP administer drugs?
ODPs are currently able to use patient specific directions (PSDs) to administer or supply a medicine.
Can tramadol be supplied under a PGD?
Specifically note that since their reclassification as Schedule 3 controlled drugs (CD No Register POM) tramadol, gabapentin and pregabalin may not be supplied and administered under a PGD.