Tag: pharmacy

Pharmacy 2019

This is Jo Edwards’ 2019 pharmacy presentation. See the timecode to jump to relevant sections! Play at 1.5 speed if you really must! Jo delivers admin pearls that will make your life EASIER.

04:45 patients difficult to get medication lists from
06:45 medication summaries in EMR and printed
08:00 analgesia
11:00 general EMR tips
22:10 Austin toxicology
23:10 NPEP – non-occupational post exposure prophylaxis for HIV
24:55 Special Access Scheme (SAS) drugs
26:45 febrile neutropenia and other protocols
28:45 insulin tips
33:45 iron infusions: an emergency?
35:50 antibiotics
39:55 authority prescriptions
41:30 epipens
42:40 rabies vaccine
45:05 Post partum haemorrhage box in drug fridge
45:55 methadone issues
49:10 after hours medication supplying
51:55 nursing home patients and the IRCMAC
54:35 schedule 8 drug prescribing eg. oxynorm and discharge script tips
58:30 heparin protocol

Anaphylaxis notifications

There are new MANDATORY anaphylaxis notifications that have been issued by the Department of Health that are IN EFFECT as of 1st November 2018.

You can read the entire document below but the most important parts have been extracted below:


What to notify?

ALL cases of anaphylaxis that present to our emergency department – regardless of whether symptoms have improved or not, and regardless of whether the trigger is known or not.

Urticaria or angioedema, if occurring in isolation, do not need to be reported.

Cases of anaphylaxis that occur whilst in hospital, curiously, do not need to be reported.


How to notify?

Where the suspected cause is the consumption of a packaged food:
Notifications are required to be made:

immediately (within 24 hours of diagnosis),
by telephone (1300 651 160, which is staffed 24 hours a day, seven days a week),

• with the details listed in the ‘notification details’, below, to the departmental staff member.
If in doubt about whether the suspected cause was a packaged food, hospitals are advised to
use this notification route.

Where the suspected cause is anything other than packaged food

Notifications are required to be made:
• within five days of initial diagnosis of anaphylaxis,
• electronically via the online form through the department’s website at



and click on the link in the notification table for anaphylaxis,
• with the details listed in ‘notification details’, below.



Anaphylaxis notifications guidance Oct 18

Winter’s Wrap 22.02.2017 – pharmacy, paediatrics


Joanna Edwards –     0435962527 (in hours)




Please chart ongoing doses of analgesia for patients admitted to EOU – headache, back pain…

Refer to the “analgesia guideline” on www.ozemedicine.com/wiki or therapeutic guidelines


Non-occupational Post-exposure Prophylaxis

Take a thorough history, consult on-call ID physician for advice

Available form after hours cupboard


Epipen – educate your patients!

training device is held by nurse in-charge

online videos




Methadone and Buprenorphine

Chart mg (and confirm mg vs ml dose)

Options for analgesia:   PCA


Be generous with opiates




Dr Ilse Spillane


Age appropriate questions

Opportunistic engagement of teenagers


“Look for the common, exclude the deadly and identify the red flags – everyone has a deadly virus, bacteria or tumour until your history or examination proves otherwise”


Make sure you have a “safety net” – a safe discharge plan and education about when to return (documented in the letter)



-unlikely to be ventolin responsive <12 months

– steroids don’t work

– supportive care à air à oxygen à CPAP à intubation

– high flow O2 – close the mouth (dummy or towel to lift chin), NGT to decompress stomach

Updated National Inpatient Medication Chart

All practitioners please note that an updated inpatient medication chart will be rolled out imminently.

Key changes:

  1. dedicated insulin prescribing section and glucose monitoring
  2. dedicated venous thromboembolism prophylaxis checkpoint (see below for VTE prophylaxis prescribing tool)

Read the summary of changes:



VTE prophylaxis prescribing tool:


Pharmacy – 2016

See below to download the presentation by Adrian Weeks, ED pharmacist, from Wednesday teaching on 24/02/16.

Key points / items addressed:

  1. verify patient medications via multiple sources ie. patient / BOSSNet / local pharmacy / ED pharmacist
  2. treat pain: use PRNs on the drug chart and educate patients with written information on discharge
  3. check for patches
  4. anti-retrovirals for HIV post-exposure prophylaxis need ID consultation
  5. Special Access Scheme (SAS) drugs eg. labetalol / esmolol – PLEASE complete paperwork
  6. clear prescribing saves lives
  7. iron infusion – there are TWO types of formulation
  8. antimicrobial approval – approval is ED responsibility if antimicrobials initiated by ED
  9. PBS approval – required to prevent your patient paying full / private price
  10. methadone prescribing – multiple checks to prevent abuse
  11. after-hours pre-packed medications
  12. IRCMAC (interim residential care medication administration chart) – access via BOSSNet
  13. clear prescribing saves lives and time (worth repeating)
  14. discharge letters should include clear details of your prescriptions to assist future providers

Pharmacy – ED – Registrar Training February 2016