The provincial parenteral manual is a patient safety initiative lead by Alberta Health Services in partnership with Covenant Health.
This is an electronic manual and will be updated and maintained by AHS.
Covenant Health staff will use the manual as a reference to guide the administration of parenteral medications
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Learning Resource
Fall, 2013

• The Provincial Parenteral Monographs (PPM ) are approved by the Provincial Medication Management Committee (PMMC) and are maintained by Drug Information Services
• The new provincial monographs are a compilation of the diverse parenteral monographs of the former health regions and Alberta
Cancer Board
• The new PPM is a convenient, accessible and reliable reference for drug therapy guidelines and parenteral drug information
• The new provincial monographs are NOT a comprehensive drug reference if the information required is not found, consult alternate sources (i.e. Drug Information Services: http://insite.albertahealthservices.ca/1521.asp
)
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• Will take place in a phased rollout – the 1 st monographs will be implemented fall of 2013
• Monographs will be rolled out as the therapeutic drug classes are completed.
• Will be accessed electronically
NOTE:
 Existing site specific monographs are to be used until a new provincial monograph is available
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AHS
Insite
Transitioning to the
New Provincial Parenteral Monographs
Employee tools
Clinical tools
AHS
Provincial
Parenteral
Manual
New AHS parenteral monographs
Yes
Old legacy sites will link to new
AHS monographs
No
Use existing old legacy parenteral monographs
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Accessing The Provincial Parenteral Manual
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Accessing The
Provincial Parenteral Manual
Pharmacy Services Landing Page
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• Pharmacy services landing page will have links to all the old legacy monographs
• If new monograph available-will link through old site
• Use legacy monographs for your former region/zone/site.
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Direct access to provincial parenteral manual
Legacy monograph
Links-access legacy monographs
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Click on this “Hot Button” (Icon) found on AHS
Insite home page
Will take you directly to the new AHS Provincial
Parenteral Manual
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Provincial Parenteral
Manual
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• Hyperlinks
• Required Education, Equipment, or Monitoring
• Specialized Clinical Competencies
• Who May Give
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Hyperlinks-Access to specific areas of Monograph
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• The required monitoring outlined in the monographs must be performed and documented
• Know your Specialized Clinical Competencies (SCC) (where applicable to Site/Zone)
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• Definition: competencies that require application of expert level knowledge, skills, judgment, and critical thinking
• Acquired through additional education and practice
• It is the responsibility of the Healthcare Provider to be aware of their professional and/or site/zone specific Specialized
Clinical Competencies
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• “Who May Give” - This section is not included in the PMM
• Health care professionals are expected to work within their scope of practice and area of expertise (See Specialized
Clinical Competencies) and are responsible for their own investigation when the question of “Who May Give” arises
(ex, consult your manager, or the Professional Practice office at professional.practice@covenanthealth.ca
for answers)
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Neonate, Children, Adult Identifiers
• Dosage and Administration sections will be clearly marked as to:
– Neonate
– Infants/children
– Adult
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Neonate, Children, Adult Identifiers
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• Inter-facility transfers:
– For patients with existing parenteral medications infusing-
Use of the AHS monograph is appropriate
– Nursing staff and EMS staff work together to ensure appropriate information is shared
– For example-nursing staff can print off current monograph and ensure EMS aware of pertinent information.
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Medication Management medication.management@covenanthealth.ca
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