A

•   Guidance For Optimising Use Of Alert (Restricted) Antimicrobials In Adults - Version 2
  • Full guidance August 2011 [PDF 148KB]  
  • Summary guidance [PDF 34KB]
• [0471] Antimicrobial Documentation Policy for Staff Working in NHS Grampian Acute and Community Hospitals - Version 2, Review Date: August 2013 [PDF 282KB] 
• [0505] Antidepressant selector - Version 4 Review Date: January 2014 [PDF 37KB]
• [0489] Guidelines for in-patient hospital management of acute Asthma in children in Grampian, Review Date: November 2013 [PDF 479KB]
• [0484] Prescribing Guidelines for the regular use of one or more Antipsychotic , Review Date: October 2013 [PDF 68KB]
• [0485] Guidelines for the use of High Dose Antipsychotic Medication , Review Date: November 2013 [PDF 121KB]
• [0470] Attention Deficit Hyperactivity Disorder (ADHD) Prescribing Guidance, Review Date: December 2014 - [PDF 237KB] 

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B

• [0518] Protocol For The Use Of Buprenorphine And Buprenorphine With Naloxone (Suboxone®) For The Treatment Of Opioid Dependency, Review Date: July 2014 [PDF 129 KB]

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C

• Clostridium Difficile (C. difficile)
  • Treatment
  • Policy - see Infection Prevention and Control intranet
• 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 97KB].
• Guidelines for the use of Clopidogrel - September 2007 [PDF 107KB]
• [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 [PDF 1132]
• [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 [1,224KB]
• [0394] Covert Administration of Medication (Adult Policy), Review Date: July 2014 [PDF 331KB] 
• 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.

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D

• [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 [PDF 116KB]
• Dressings - see Joint Wound Care Formulary

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E

• [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]
• Empirical therapy guidance
  • Hospital empirical antimicrobial therapy - for more information click here.
    • [0409] Full guidance [PDF 287KB]
    • Posters
      • Summary poster - medical [PDF 226KB]
      • Summary poster - surgical [PDF 208KB]
    • Background, cautions and interactions for co-trimoxazole [PDF 38KB]
      
  • Primary Care antimicrobial guidance - for more information click here.
    • [0477] Full guidance [PDF 475KB]
    • Summary guidance [PDF 82KB]
    • Frequently asked questions
    • Background to the decision to use co-trimoxazole
• [0475] NHS Grampian Guidance On Expiry Dates Of Medicines , Review Date: August 2013 [27KB]

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G

• Gentamicin 
  • [0402] Gentamicin - Guidance for Once Daily Intravenous Dosing in Adults, Review Date: August 2013 [PFD 331KB]
  • Gentamicin prescription and administration record - [PDF 108KB]
  • Gentamicin dose calculator

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H

• [0479] Policy For The Management Of Hypokalaemia In Adults, Review Date: October 2013 [PDF 64KB]
• [0557] Policy For The Management Of Hypomagnesaemia In Adults, Review Date: December 2014 - [PDF 46KB]
  

I

• Infection Prevention and Control intranet
• [0369] IV to Oral Antibiotic Switch Therapy (IVOST) in adults, Review Date: June 2012 - for more information click here
  • [0369] Full guidance [PDF 122KB]
  • [0369] Summary guidance [PDF 35KB]
• 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]
• [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 [137KB]

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L

• [0571] Protocol for the use of lofexidine in the symptomatic management of opioid withdrawal , Review Date: April 2015 [PDF 261KB]

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M

• [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]
• [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 [PDF 5,216KB]  
• NHS Grampian Community Pharmacy Minor Ailments Service(MAS) Formulary - July 2007 [PDF 158KB] 
• Policy for Hospital Staff Working in NHS Grampian for The Ordering, Storing and Returning High Dose Ampoules of Diamorphine and Morphine Injection - See 'D' - Diamorphine
• [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]
• MRSA Community and Healthcare Settings Policies - see Infection Prevention and Control intranet

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N

• [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]
• Use of Nimodipine in Subarachnoid Haemorrhage - June 2006 [Intranet only - PDF 347KB]
• Guidance for the use of naltrexone in the maintenance of abstinence in formerly opioid dependent adults - November 2011[PDF 101KB]
• [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]
• Policy and Framework for Non-Medical Prescribing including Independent Contractors

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O

• Guidance 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 - see 'N' - non-formulary
• Protocol For The Prescribing And Administration Of Oral Opioids Following Trauma Or Surgery - October 2010 - [PDF 100KB]
• Protocol for Single Nurse Administration of Oral Morphine Sulphate Solution 10mg/5mL in Designated Areas Within NHS Grampian - November 2011 (125KB)
• [0487] Policy And Procedure For General Practitioners And Primary Care Staff For Managing Malnutrition And Prescribing Oral Nutritional Supplements In Adults - Updated April 2012, Review Date: October 2013 [PDF 147KB]
• Policy And Procedure For General Practitioners And Primary Care Staff For Prescribing Oral Nutritional Supplements In Substance Misuse - Updated December 2011 [90KB]
  

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P

• Paediatric emergency care weight range guidance - UNDER REVIEW
• Penicillin hypersensitivity
  • Full guidance antibiotic choice for patients with penicillin hypersensitivity [PDF 82KB]
  • Summary poster [PDF 34KB]
• [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]
• Safe Disposal of Pharmaceutical waste from General Practice - WITHDRAWN - refer to NHSG Waste Management Policy and Waste Management Procedures
• IV Piperacillin/Tazobactam In Adults Via Extended Infusion [PDF 75KB]
• Updated Information on PPI Prescribing - January 2005 [PDF 42KB]
• [0538] Guidance On Reducing Polypharmacy In Frail Older People, Review Date: September 2014 [PDF 309kB]

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R

• Protocol for Venous Thromoboembolic prophylaxis using Rivaroxaban 10mg tablets in adult patients undergoing elective hip or knee replacement surgery - March 2010 [PDF103 KB]
• [0541] NHS Grampian Staff Guidance For Rapid Tranquillisation for Use in the Adult In-patient Setting, Review Date: August 2014 - UPDATED [PDF 429KB]

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S

• 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]
• Statin statement - see Chapter 2.12

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T

• Therapeutic drug monitoring TDM (Adults) [PDF 124KB]
• Protocol for the Administration of SSI Tuberculin PPD for Mantoux Testing - UPDATED May 2009 [PDF 135KB]

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U

• Guidance 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 - see N - non-formulary
• Guidelines for the in-hospital management of unstable angina (UA) and non-ST-segment-elevation myocardial infarction (NSTEMI) patients - August 2011 [PDF 249KB]

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V

• Vaccines For Travellers - May 2010  [PDF 273KB]
• [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.
• Vancomycin
  • Vancomycin - Protocol for the Administration of Intravenous Intermittent (pulsed) Infusion in Adults - August 2010 [PDF 367KB]
  • Vancomycin prescription and administration record - [PDF 85KB]
  • Vancomycin dose calculator
• [0573] Vitamin Supplementation during in-patient admission (mental health) for alcohol withdrawal - Version 3, Review Date: December 2014 [PDF 183KB] 
• [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

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W

• Waste management - NHSG Waste Disposal Procedures - Note: 83 page document, Feb 2007 - [Intranet only - PDF 2.45MB]
• Guidance For Health Care Staff Within NHS Grampian On Working With The Pharmaceutical Industry And Suppliers Of Prescribable Health Care Products - August 2011 [100KB]
• Joint Wound Care Formulary - Primary and Secondary Care

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