Clinical Management Plan for Grade II Pin Site Infection
Name:
Date of Birth:
DATE:
NHS No:
Patient medication sensitivities/allergies:
Independent Prescriber(s):
Contact Details:
Current Medications:
Supplementary Prescriber(s):
Contact Details:
Medical History:
Condition(s) to be treated
Grade II Pin Site Infection
Aim of treatment
Control of symptoms, prevention of Grade III or above
infection and achievement of best possible resolution of
pin infection .
Medicines that may be prescribed by SP:
Preparation
Indication
Dose schedule
Flucloxacillin
Grade II Pin Site Infection

500mg qds po
Specific indications for
referral back to the IP
Diagnosis in doubt
Worsening of symptoms
prior to week one review
Sensitivities on pin culture
indicate infection not
sensitive to Flucloxacillin
Failure to achieve stated
aims of treatment at first
review
If patient wishes
Guidelines or protocols supporting Clinical Management Plan:
MON Pin Infection Guidelines (Maz Oxford Nuffield)
Frequency of review and monitoring by:
Supplementary prescriber
One Week on Date & time
Supplementary prescriber and independent prescriber
Two weeks on Date and time
Process for reporting suspected or known adverse drug reactions:
SP to report to IP and record in records. Notify by yellow card System if indicated. Letter to GP
Shared record to be used by IP and SP:
Paper record in patients medical notes – most uppermost in centre right of notes
Agreed by independent prescriber
Date
Agreed by supplementary
Date
on behalf of partnership
prescriber on behalf of the SPs
named above
Date agreed with
patient