BNF order

• Chapter 1 Gastro-intestinal system
  • Updated Information on PPI Prescribing - January 2005 [PDF 42KB] 
• Chapter 2 Cardiovascular system
  • [0188] Guidelines for the use of Clopidogrel, Review Date: September 2009 [PDF 107KB]
  • Statement on the use of lipid-regulating drugs in Grampian
  • Medical Treatment Guidance for Chronic Heart Failure (CHF) due to Left Ventricular Systolic Dysfunction (LVSD) - November 2006 - Full guidance [PDF 248KB] and  Quick Summary [PDF 42KB]
  • Use of Nimodipine in Subarachnoid Haemorrhage - June 2006 [Intranet only - PDF 347KB]
  • [0469] Guidelines for the in-hospital management of unstable angina (UA) and non-ST-segment-elevation myocardial infarction (NSTEMI) patients, Review Date: August 2013 [PDF 249KB]
  • [0357] Protocol for Venous Thromoboembolic prophylaxis using Rivaroxaban 10mg tablets in adult patients undergoing elective hip or knee replacement surgery, Review Date: March 2012 [PDF 103KB]
• Chapter 3 Respiratory system
  • [0489] Guidelines for in-patient hospital management of acute Asthma in children in Grampian, Review Date: November 2013 [PDF 479KB]
• Chapter 4 Central nervous system
  • [0470] Attention Deficit Hyperactivity Disorder (ADHD) Prescribing Guidance, Review Date: December 2014 - [PDF 237KB] 
  • [0505] Antidepressant selector - Version 4 Review date: January 2014 [PDF 37KB]
  • [0573] Vitamin Supplementation during in-patient admission (mental health) for alcohol withdrawal, Review Date: December 2014 [PDF 183KB]
  • [0484] Prescribing Guidelines for the regular use of more than one Antipsychotic , Review Date: October 2013 [PDF 68KB]
  • [0485] Guidelines for the use of High Dose Antipsychotic Medication, Review Date: November 2013 [PDF 121KB]
  • [0397] Guidance On The Use Of Emergency Sedation During The Escort Of Adult Patients To Either Royal Cornhill Hospital Or To Ward 4, Dr Gray's Hospital, Review Date: October 2012 [PDF 123KB]
  • [0362] Policy for Hospital Staff Working in NHS Grampian for The Ordering, Storing and Returning High Dose Ampoules of Diamorphine and Morphine Injection, Review Date: April 2012 [116KB]
  • [0518] Protocol For The Use Of Buprenorphine And Buprenorphine With Naloxone (Suboxone®) For The Treatment Of Opioid Dependency, Review Date: July 2014 [PDF 129KB]
  • [0393] Guidance for the use of naltrexone in the maintenance of abstinence in formerly opioid dependent adults, Review Date: November 2013 - [PDF 101KB]
  • [0319] Protocol for the use of lofexidine in the symptomatic management of opioid withdrawal, Review Date: August 2011 - [PDF 103KB]
  • [0395] Protocol For The Prescribing And Administration Of Oral Opioids Following Trauma Or Surgery , Review Date: October 2012 - [PDF 100KB]
  • [0486] Protocol For Single Nurse Administration Of Oral Morphine Sulphate Solution 10mg/5mL In Designated Areas Within NHS Grampian, Review Date: November 2013 - [PDF 126KB]
  • [0494] NHS Grampian Guidance for Staff Working in the Mental Health Service involved in the Perinatal Care For Women With Mental Disorder (Treatment From The Time Of Conception To One Year Following Childbirth) - Review Date: November 2013 [PDF 70KB]
• Chapter 5 Infections
  • For more information click here
• Chapter 6 Endocrine system
  • [0473]Procedures For The Adjustment Of Insulin Dose For Patients With Diabetes By Diabetes Specialist Dietitians And Cystic Fibrosis Dietitian In NHS Grampian, Review Date|: June 2013 - [PDF 136KB]
• Chapter 8 Malignant Disease and Immunosuppression
  • Guidance for the Safe Use of Cytotoxic Chemotherapy in Grampian, Orkney and Shetland - [PDF 200KB] NOTE: Section 4 is being reviewed to comply with the updated Grampian guidelines for Waste management.
• Chapter 9 Nutrition and blood
  • [0479] Policy For The Management Of Hypokalaemia In Adults, Review Date: October 2013 - [PDF 64KB]
  • [0557] NHS Grampian Staff Policy For The Management Of Hypomagnesaemia In Adults, Review Date: December 2014 - [PDF46KB]
  • [0503] Guidance for the prescribing of vitamin and mineral supplements for hospitalised patients with a history of excess alcohol consumption, Review Date: November 2013 - [PDF 243KB]
• Chapter 14 Immunological products and vaccines
  • [0552] Policy for Handling Vaccines and Refrigerated Pharmaceutical Products in Clinics, Hospitals, Community Pharmacies and GP Practices for Staff working in NHS Grampian , Review Date: December 2014 [PDF 3,562KB].  Also see Questions about Vaccine handling and [0475] Guidance on Expiry Dates of Medicines, Review Date: August 2013 [PDF 28KB]
    [0239] Vaccines for Travellers, Review Date: May 2012 [PDF 273KB]
  • [0453] Protocol For The Administration Of Statens Serum Institut (SSI) Tuberculin PPD For Mantoux Testing Under A Patient Specific Direction By Nurses And Midwives Working Within NHS Grampian, Review Date: July 2013 [PDF 369KB]
• Appendix 2 Oral Nutritional Supplements
  • [0487] Policy And Procedure For General Practitioners And Primary Care Staff For Managing Malnutrition And Prescribing Oral Nutritional Supplements In Adults - Updated April 2011, Review Date: October 2013 [PDF 147KB]
  • [0499] Policy And Procedure For General Practitioners And Primary Care Staff For Prescribing Oral Nutritional Supplements In Substance Misuse- Updated December 2011, Review Date: October 2013 [90KB]

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General advice/procedures

• [0509] Guidance for requests to prescribe unlicensed off-label or non-formulary medicines (including medicines awaiting consideration by or not recommended for use by the SMC) in NHS Grampian, Review Date: March 2014 [PDF 284KB]
• [0465] Policy For Patients To Receive Aspects Of Their Treatment Throughs Private Healthcare Providers (Co-Payments) In Respect Of Medicines , Review Date: August 2013 [PDF 235KB]
• [0541] NHS Grampian Staff Guidance For Rapid Tranquillisation for Use in the Adult In-patient Setting, Review Date: August 2014 - UPDATED [PDF 429KB]
• Policy and Framework for Non-Medical Prescribing including Independent Contractors
• [0394] Covert Administration of Medication (Adult Policy), Review Date: July 2014 [PDF 331KB] 
• Paediatric emergency care weight range guidance - UNDER REVIEW
• Policy for the safe handling of Non-Cytotoxic Intrathecal and Intraventricular injections other than spinal anaesthesia and analgesia - July 2010 [PDF 371KB]
• Policy for the prescribing, preparation and administration of injections and infusions in near patient areas - September 2006 [PDF 292KB]
• Procedure for dealing with a suspected unauthorised drug or other suspicious substance found on a non staff member or on NHS Grampian Hospital Premises - UPDATED March 2008 [Intranet only - PDF 236KB]
• Waste management - NHSG Waste Disposal Procedures - Feb 2007 - [Intranet only - PDF 2.45MB] Note 83 page document 
• Safe Use of Liquid Nitrogen - UNDER REVIEW
• [0253] Guidance For Health Care Staff Within NHS Grampian On Working With The Pharmaceutical Industry And Suppliers Of Prescribable Health Care Products, Review Date: August 2013 [PDF 100KB]
• [0538] Guidance On Reducing Polypharmacy In Frail Older People, Review Date: September 2014 [PDF 309KB]

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Controlled drugs team

• [0325] Guidance for Community Pharmacists on Safe Destruction of Controlled Drugs and Dealing with Register Discrepancies/Misbalances, Review Date: November 2011 [PDF 252KB] 
• [0329] Guidance for Dispensing Medical Practices on Safe Destruction of Controlled Drugs and Dealing With Register Discrepancies/Misbalances , Review Date: December 2011 [PDF 352KB] 
• [0372] Guidance for Hospital Pharmacy Staff in NHS Grampian on the Safe Destruction of Controlled Drugs , Review Date: June 2012 [PDF 207]
• Policy and Procedure for Secondary Care and Community Hospitals in NHS Grampian on the Safe Management of Controlled Drugs - December 2010
• [0496] Controlled Drugs - An Information Booklet For Admin/Clerical Staff In General Practice On The Management And Use Of Controlled Drugs (CDs) And Prescription Stationery In NHS Scotland , Review Date: October 2013 - [PDF 358KB]
• Guidance for Safer Management of Controlled Drugs Including Standard Operating Procedure Template - August 2011 [PDF 151KB]
• Controlled Drugs Supplementary Guidance for NHS Grampian Staff Working in Operating Theatres - December 2011 [PDF 1,224KB]
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Records Standards Group

• [0446] Instructions for NHS Grampian Staff on the In-Patient Prescribing and Administration of Medicines using the NHS Grampian Prescription and Administration Record, Review Date: August 2013 - [PDF 874KB]
  

Midwives

• [0510] Protocol for Midwives Working Within NHS Grampian for the Issue of Nicotine Replacement Therapy to Aid Smoking Cessation Attempts, Review Date:  May 2014 [PDF 171KB]
• [0564] Protocol For The Supply And Administration Of Medicines By Midwives Working Within NHS Grampian As Contained In The National Midwives Formulary, Review Date: January 2015 [PFD 5,216KB]

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