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The Doctor’s Bag - the unexpurgated story Dr Gerard Murphy Woodbrooke Medical Practice January 1999 Dr G Murphy, Woodbrooke Medical Practice The Early Treatment Centre - The End of the Doctor’s Bag Dr G Murphy, Woodbrooke Medical Practice Introduction Other Equipment The Bag Medical Equipment Official Documentation Personal Documentation Technology Growth Areas Stock Dr G Murphy, Woodbrooke Medical Practice Other Equipment Volumatic / Nebuhaler Aerochambre Nebuliser Ambu bag i.v. fluids Tackle box – needles – syringes – abc ampoules Dr G Murphy, Woodbrooke Medical Practice The Bag Price Size Weight Materials Layout Security Locks Space inside for charts Storage (4 - 25C) Dr G Murphy, Woodbrooke Medical Practice Medical Equipment Diagnostic Set Digital Thermometer Pinard / Ordinary Spatulas Patella Hammer Hand Lens Tape Measure Tourniquet Plastic gloves / KYJ Venflons / Butterflies / Tape N-Labstix Dr G Murphy, Woodbrooke Medical Practice Official Documents BNF Scripts Out Of Hours Consults Pad Referral forms / envelopes Form 3 / Form 1 for Psyche Compulsory Admission + way of contacting “Approved SW” Proforma / Death Certificates Emergency Rx Forms FP1001 / Med Certs Take-in rotas / Emergency Obs Dr G Murphy, Woodbrooke Medical Practice Personal Documents Meningitis Rx doses / routes Meningitis prophylaxis regimes and mean wts (<16yrs / adults) An Easy Guide To Taking Your Medications Maps Phone numbers - especially pharmacies (on a laminated A4 page e.g. photocopy of yellow pages entry Practice notepaper Rx Room forms Dr G Murphy, Woodbrooke Medical Practice Technology Mobile phone Psion Series 3a / 5 Nokia 9000 / 9000i / 9110 Ordnance Survey Maps 255769 Notebook PC / EMIS Digital Network + Palmtop + Internet / NHS Network Access - the true information age?? Dr G Murphy, Woodbrooke Medical Practice Stock Keep list of all stock – record Batch Numbers & Expiry Dates of all stock Check Stock every 6 mths replace expired stock Observe EC Regulations for dispensing on home visits to pass on liability to drug companies – use envelope / container labelled with date, drug name, dose, frequency, amount & patient’s name + record same + batch no / expiry date in patient’s notes Dr G Murphy, Woodbrooke Medical Practice DDA’s - mandatory recording Vitally important to be able to account for DDA’s Legal requirement to keep a DDA book Record dates / drug names / drug amounts / pharmacist name both on receipt and on disposal of DDA’s Dr G Murphy, Woodbrooke Medical Practice DDA’s - optional extra recording Record date, time / name, address, dob of patient / drug name, dose and site of administration for each DDA administered You will always be able to account for your DDA’s in any event Dr G Murphy, Woodbrooke Medical Practice Prescribing DDA’s for patient Oral MST, Sevredol etc prescribe on computer to keep track of amounts, intervals to ensure use only for patient BUT write out script on ordinary script pad with total amount in numbers and in words Same for Diamorphine for syringe drivers - any left over will be destroyed by nurse with relatives as witnesses Dr G Murphy, Woodbrooke Medical Practice Stock Lists (1) Pain – narcotics / narcan – rectal / deep im voltarol Vomiting – buccastem / valoid Asthma – prednesol / deltacortril / HC Antibiotics – oral / parenteral Hepsal Dr G Murphy, Woodbrooke Medical Practice Stock Lists (2) Myocardial Infarction – Soluble aspirin 300mg – Atropine Infections – Crystapen LVF – Frusemide Diazemuls / Stesolid Syntocinon Glucose / Glucagon Imigran Dr G Murphy, Woodbrooke Medical Practice Stock Lists (3) j Dr G Murphy, Woodbrooke Medical Practice