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A Patient Group Direction (PGD) is a written direction, signed by a doctor or dentist, and by a pharmacist, relating to supply and administration only, of a prescription-only medicine (PoM) or pharmacy medicine (P) to persons generally (subject to specific exclusions set out in the legislation). PGDs can be authorised by Health Boards in Scotland and other NHS bodies.

A PGD must not be confused with a Written Direction which must be patient specific.

In most cases, the most appropriate clinical care will be provided on an individual basis by a specific prescriber to a specific individual patient. PGDs for the supply and/or administation of medicines should only be considered where it would offer a benefit to patient care without compromising safety in any way. This is best achieved by engaging representatives of all the health care professionals involved, including a representative from the professional group expected to supply or administer medicines under the direction. A senior representative of each profession should be reponsible for ensuring the suitability and competence of the professionals operating within the scheme.

GPs who do not wish to develop their own PGDs can authorise nurses and appropriate healthcare professionals to administer/supply medicines under an approved NHS Grampian PGD by "adopting" the PGD using the appropriate documentation. Development of any new PGD should be in accordance with the NHS QIS Best Practice Statement ~ March 2006 - Patient Group Directions.

[0483] Adrenaline (Epinephrine) in cases of suspected Anaphylactic/Anaphylactoid reactions by Qualified Health Professionals Working Within NHS Grampian, Review Date: November 2013 - PDF 423KB

[0431] Adrenaline (Epinephrine) By Nurses In The Management Of Cardiac Arrest In Coronary Care Units In NHS Grampian, Review Date: January 2013 - PDF 312KB

[0432] Atropine In The Event Of Life Threatening Bradycardias By Trained Nurses In Coronary Care Units In NHS Grampian, Review Date: January 2013 - PDF 307KB

[0525] Azithromycinfor the treatment of chlamydia by nurse specialists, midwives or registered nurses working within NHS Grampian, Review Date: September 2014 - PDF 310KB

 

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[0451] Patient Group Direction For The Administration Of Statens Serum Institut (SSI) Bacillus Calmette-Guerin (BCG) Vaccine By Nurses And Midwives Working Within NHS Grampian, Review Date: July 2013 - 369KB (This PGD contains information that is specific to Danish Statens Serum Institute (SSI) BCG Vaccine  and should be used only when using SSI vaccine).  See Policies section for protocol for administration of SSI Tuberculin PPD for Mantoux testing.

Benoxinate eye drops for ocular anaesthesia - see 'O'

Buscopan in GI endoscopy and barium enema  - see 'E' - Endoscopy PGDs above

Buccastem by nurses in day surgery and short stay units  - 'P' 

C

[0490] Cervarix  see 'H' human papillomavirus vaccine
Combined Oral Contraceptives and Cerazette (desogestrel pill) - See Family Planning PGDs  
[0332] Chloramphenicol eye drops 0.5% under the Minor Ailment Service by Community Pharmacists Working Within NHS Grampian , Review Date: April 2012 - PDF 267KB

[0526]  Cholera Vaccine By Nurses And Pharmacists Working Within NHS Grampian, Review Date: August 2014 - PDF 160KB

[0507] Local Corticosteriod Injections and/or Lidocaine by chartered physiotherapists, Review Date: March 2014 - PDF 188KB

[0527] Cyclopentolate by Orthoptists working within the Children's Eye Clinic, RACH, Review Date: July 2014 - PDF 293KB

D

Depo-Provera contraceptive injection and Desogestrel Pill (Cerazette®) - see Family Planning PGDs

[0513] Booster Dose Of DTaP/IPV (Infanrix-IPV®) By Nurses Working Within NHS Grampian, Review Date: May 2014 - PDF 496KB

[0536] DTaP/IPV/Hib (Pediacel®) by nurses working within NHS Grampian - Review Date: November 2014 - PDF 342KB

[0565] Low dose diphtheria, tetanus, five component acellular pertussis and inactivated poliomyelitis vaccine dTaP/IPV - Repevax®);( By Nurses Working Within NHS Grampian, Review Date: March 2015 - PDF 337KB

[0543] Low dose diphtheria, tetanus and inactivated poliomyelitis vaccine dT/IPV (Revaxis®) by nurses and pharmacists working within NHS Grampian - Review Date: November 2014 - PDF 332KB

[0561] Administration Of Domperidone To Prevent Vomiting Following Emergency Hormonal Contraception By Nurses And Midwives Working Within NHS Grampian, Review Date: March 2015 - PDF 304KB

[0537]  Doxycycline by nurses working in Occupational Health and pharmacists working within NHS Grampian for the prophylaxis of malaria, Review Date: November 2014 - PDF 132KB

E

ellaOne® see - see Family Planning PGDs

[0371] EMLA® Cream prior to IV cannulation or venepuncture, Review Date June 2012 - PDF 242KB

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Endoscopy PGDs - These PGDs must not be used by staff unless specific training has been undertaken

[0452] Patient Group Direction For The Administration Of Hyoscine Butylbromide Injection (Buscopan®) 20mg/mL For The Treatment Of Acute Spasm During Upper/Lower GI Endoscopy And As A Prophylactic Anti-Peristaltic Agent In Radiological Procedures By Endoscopy Nurse Practitioners/GI and MR Radiographers Working Within NHS Grampian, Review DAte: July 2013 - PDF 347KB

[0435] ED-PGD ~ Lidocaine spray for oropharangeal surface anaesthesia by nurses to patients undergoing upper GI endoscopy, Review Date: March 2013 - PDF 178KB

[0437] ED-PGD ~ Midazolam And Flumazenil Injection By Nurse Practitioners Working Within NHS Grampian To Patients Undergoing Upper/Lower GI Endoscopy And Insertion Of Central Venous Catheters, Review Date: March 2013 - PDF 372KB

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F

 

[0462] FP-PGD ~ Combined Hormonal Contraception - Pill or Transdermal Patch, Review Date: January 2015 - 117KB

[0460]   FP-PGD ~ Depo-Provera contraceptive injection, Review Date: October 2013- PDF 354KB

[0406] Insertion of Etonorgestrel Contraceptive Implant (Nexplanon® ), Review Date: November 2012 - PDF 200KB

[0562] FP-PGD ~ Lidocaine 2% For Insertion/Removal Of The 68mg Etonogestrel Contraceptive Implant By Nurses And Midwives Working Within NHS Grampian, Review Date: March 2015 - PDF 314KB

[0387] FP-PGD ~ Ulipristal (ellaOne® ) Review Date: January 2013 - 237KB
(a PGD for single dose domperidone anti-emetic is also available see D above)

[0461]  FP-PGD ~ Progestogen Only Pill ,  Review Date: November 2013 - PDF 353KB

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[0333] Fluconazole 150mg under the Minor Ailment Service By Community Pharmacists Working Within NHS Grampian, Review Date: April 2012 - PDF 255KB

Flumazenil injection used prior to upper/lower GI endoscopy - see 'E' - Endoscopy PGDs above

[0511] Fluorescein Sodium 2% Single Dose Eye Drops And Fluorets® Paper Strips For Corneal Staining By Nurses Working Within NHS Grampian, Review Date: May 2014 - PDF 474KB

H

[0447] Healthy Hoose Patient Group Direction for medicines administered or supplied for minor illness by pharmacists and nurse practitioners, Reveiw Date: June 2013 - PDF 500KB

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