Administration Worcestershire Health and Care Qa NHS Trust PATIENT GRouP DIRECTION (PGD) FoR SopIUM CHLORIDE 0. -9% INJECTION FOR PARENTERAL ADMINISTRATION YOU MUST BE AUTHORISED BY NAME, UNDER THE CURRENT VERSION OF THIS PGD BEFORE Yo U ATTEMPT TO WORK ACCORDING TO IT Clinical Condition = Indication Inclusion criteria An isotonic solution used to maintain the patency of intravenous and subcutaneous cannulae or for reconstitution of injections : ad fe Patients with an intravenous or subcutaneous cannula in situ who require a flushing agent: Prior to and after administration of individual drugs or fluids e.g blood, to avoid incompatibilities or to ensure that the complete dose is flushed through the cannula. OR to maintain cannula patency in between drug administration OR as a required diluent for medication | Exclusion criteria If any of the following apply the PGD CANNOT be used | and the patient must be [teferred toa prescriber Cautions - Seek further advice from doctor Patients who have any evidence of extravasations, pain, discomfort, swelling, soreness, phlebitis or reddening around the cannula site prior to administration of sodium chloride 0.9%. Ensure that the drug/fluid being flushed through the line is. compatible with sodium chloride 0.9% Loris excluded before proceeding and | Check for signs of blockage document advice Check for compatibility if using as diluent Action if patient declines | Refer fo doctor | Drug Details — en Name, form & strength | Sterile ampoules of Sodium chloride 0.9 of medicine infusion Legal status [Prescription Only Medicine (POM) Route/Method Intravenous via cannula Dosage Long line IV cannula - 10 -20mis flush over 5 minutes when required (Sml for children under 12 years of age) Peripheral IV cannula ~ 5ml flush (2.5ml in children under 12) _ | Frequency __| As required to flush line or assess cannula patenc Quantity to administer | As needed see above Side effects [None fikel Date approved: Feb 2022 Ref : DA/37 Expiry date Feb 2025 Page 1 of 3Worcestershire Health and Care [ize] NHS Trust Administration PATIENT GRouP DIRECTION (PGD) FOR SODIUM CHLORIDE 0.9% INJECTION FOR PARENTERAL ADMINISTRATION | Staff Characteristics Ee = [a Professional Registered nurses, paramedics and other professionals eligible qualifications to use PGDs with the relevant training, see below. ‘A registered nurse, after discussion and agreement with the | service/departmental lead Has undertaken appropriate training for working under PGDs for the supply and administration of medicines. Also completed recognised training in intravenous administration of medicines 7 with updates every two years Continuing education & | The practitioner should be aware of any change to the training recommendations for the medicine listed. It is the responsibility of the individual to keep up-to-date with clinical developments as part oftheir continued professional development | Referral Arrangements and Audit Trail E Records/audit trail Along with the active drug the patient's name, address, date of x birth. Contact details of GP (if registered). Diagnosis. Advice given to patient (including side effects). Signature/name of staff who administered the medication. Details of any adverse drug reaction and actions taken including documentation in the patient's medical record Referral arrangements (including self-care) Record the use of the PGD in the departmental log. References/Resources | BNF, Marsden Nursing Guide and comments Clinical Authorisatiot = Se Lead Doctor Dr John Devapriam, Medical Director os | Signature: tH. Date: 4 h, lee Lead Pharmacist Dr Alex Johnson, Prescribing Support Pharmacist -{Signatue Date|2-|.22 nisational Authorisation On behalf of Michelle Greatorex, Director of Nursing & Quality Worcestershire Health & Care NHS Trust Signature NA Creenkrey _Date: D\\>. Pt Senior Nurses Date approved: Feb 2022 Expiry date Feb 2025 Ref: DA/37 Page 2 of 3Worcestershire Health and Care [i7#E} NHS Tea Administration . Patient GRouP DIRECTION (PGD) FoR SODIUM CHLORIDE 0.9% INJECTION FOR PARENTERAL ADMINISTRATION _ Individual Authorisation _ PGDs DO NOT REMOVE INHERENT PROFESSIONAL OBLIGATIONS OR ACCOUNTABILITY. It is the responsibility of each professional to practice only within the bounds of their own competence and in accordance with their own Code of Professional Conduct. Note to Authorising Managers: authorised staff should be provided with an individual copy of the clinical content of the PGD and a photocopy of the document showing their authorisation. Authorising managers should be sure that staff signed up to use the PGD. have the necessary competence, training and knowledge to apply it. Ihave read and understood the Patient Group Direction and agree to supply/administer this medicine only in accordance with this PGD. | confirm that | have the necessary competence, training and knowledge to apply it Name of Signature Authorising Date Professional Manager Date approved: Feb 2022 Expiry date Feb 2025, Ref : DA/37 Page 3 of 3