Yorkhill Division
Patient Group Direction 7.2
THE ADMINISTRATION OF ORAL
IBUPROFEN (P)
RHSC PATIENT GROUP DIRECTION 7.2
PATIENT GROUP DIRECTION FOR THE
ADMINISTRATION OF
ORAL IBUPROFEN
BY NURSES WITHIN THE ACCIDENT AND EMERGENCY
UNIT AND SHORT STAY WARD
PLEASE NOTE: This document authorises the administration of IBUPROFEN by the identified group of nursing staff to patients
who meet the criteria for inclusion under the terms of the document.
THE NURSE SEEKING TO ADMINISTER IBUPROFEN MUST ENSURE THAT ALL
PATIENTS HAVE BEEN SCREENED AND MEET THE INCLUSION CRITERIA
BEFORE ADMINISTRATION TAKES PLACE.
Professional Responsibility
The registered nurse must adhere to the following: NMC Code of Professional Conduct (NMC 2002),
NMC Guidelines for the Administration of Medicines (NMC 2004),
NMC Guidelines for Records and Record Keeping (NMC2002),
Yorkhill Division Waste Disposal Policy (2004),
A Report on the Supply and Administration of Medicines under Group Protocol (Crown Report) (1999) (DOH).
Patient Group Direction authorised on behalf of the Division by: -
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RHSC PATIENT GROUP DIRECTION 7.2
Irene McKune
M Jamieson
J Wallace
Version No: Date of Approval:
8.2
Deputy Director of Nursing and
Patient Services
Medical Director
Chief Pharmacist
Date of Expiry:
Date of Review:
November 05
November 07
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RHSC PATIENT GROUP DIRECTION 7.2
0.
PATIENT GROUP DIRECTION FOR THE ADMINISTRATION
OF
ORAL IBUPROFEN
Clinical condition or situation to which the PGD applies
Definition of situation / condition:
Clinical criteria for inclusion:
A child with a temperature above 38C and/or relief of mild to
moderate pain
Children from three months of age with a temperature of 38C or
above and/or relief of mild to moderate pain
Paracetamol has not been successful in reducing temperature
and/or relieving pain
Child has received paracetamol for weight within the four hour
period or has had the maximum dose within 24 hours
Criteria for exclusion:
Renal, cardiac or hepatic impairment
History of asthma
Hypovolaemia/significant dehydration
A known allergy to Ibuprofen
History of peptic ulcer
Children under three months of age or less than 5 Kg in weight
Action if excluded from
treatment:
Children who are excluded or do not wish to receive Ibuprofen
will be assessed by a doctor.
CAUTION
Possible Adverse Drug Reactions (ADR)
Side effects are uncommon, but the most common reactions are
gastrointestinal i.e. nausea, vomiting, diarrhoea, abdominal pain,
melaena and haematemesis. Hypersensitivity and skin rash may
also occur.
Any adverse reaction should be reported immediately to medical
staff and a yellow card completed if serious ADR occurs
Characteristics of staff authorised to take responsibility for the supply or administration of
medicines under the PGD
Qualifications required:
Additional requirements,
Specialist qualifications, training,
experience and competence
necessary:
Continuing Training
requirements:
Registered Nurse with current NMC registration.
Grade D must have two years post registration and E grade and above must
have 6 months experience in A&E and SSW
Received theory and supervised documented practice by one of the named
Independent Nurse Prescriber identified within this PGD.
Be deemed competent to transcribe and administer Ibuprofen by the
Independent Nurse Prescriber
Once deemed competent the Nurse will be added to the list of authorised users
which is attached to this PGD and a copy is available in pharmacy
Demonstrate capabilities with regard to safe and competent practice and
agreeing to continuous assessment in transcribing and administration of
Ibuprofen.
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RHSC PATIENT GROUP DIRECTION 7.2
Description of treatment available under the PGD
Name of medicine:
Ibuprofen 100mgs per 5ml
Legal status (POM/P/GSL):
P
Dose/s
Route/Method of Administration:
7.5mgs per Kg in weight
Maximum dose 400mg
Oral
Frequency of dose:
Single dose
Referral for medical advice
The child’s temperature and/or relief of pain should be reassessed
after one hour by nursing staff. Medical staff should be notified if no response
is noted and no further medication i.e. paracetamol or lbuprofen can be given.
Additional Information
The need for Ibuprofen should be assessed by measuring and
recording the child’s temperature and/or assessing pain.
Any current medication the child is taking should be recorded on
the accident &emergency card/case history sheet.
The child’s age and weight should be obtained.
The registered nurse should decide an appropriate dose and route
of Ibuprofen using the dosage guidelines.
The Ibuprofen should then be transcribed, prepared, checked and
administered as per “Yorkhill NHS Division Nursing and
Midwifery Medicine Policy”.
Details of treatment records
required:
The date, time, dose and route of Ibuprofen should be recorded in
the accident & emergency/drug kardex and signed by both the
transcribing nurse administering the drug and the checking nurse.
Document all interventions and any
improvement/deterioration of the patient in the child’s case
record/casualty card
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RHSC PATIENT GROUP DIRECTION 7.2
Management and monitoring of PGDs
Professionals drawing up PGD:
Professional Advisory Groups
which have approved PGD:
Joan Marshall
Signature…………………………………..
Fiona Russell
Signature…………………………………..
Pharmacist
Signature
Nurse Practitioner
A&E Consultant
Jenny MacDonald
Drug and Therapeutic Committee
Signature
Date
Senior professional with
responsibility for training of staff
to use PGD:
Audit Trail:
Joan M Marshall Nurse Practitioner
Date of ratification of PGD:
Review Date
July 2005
July 2007
Joan Marshall : Karen Bissland
Independent Nurse Prescribers
Joan M Marshall
Karen Bissland
Melanie Hutton
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RHSC PATIENT GROUP DIRECTION 7.2
Names of First Level Nurses Authorised Under This Patient Group Direction
Martha Anderson
Linda Bleasdale
Mandy Brown
David Cairns
Marjorie Deacon
Linda Doran
Elizabeth Dougan
Vicky Goodwin
Jenny Halse
Julie Hannah
Reinier Holst
Wilma Jackson
Claire Kenyon
Janine Kilday
Wendy Lundy
Dawn Macdonald
Tracey McGregor
Shona McGuinness
Rhona McInnes
Kay McLean
Gillian McMillan
Hazel McPhail
Kirsty Mullen`
Kim Munro
Jean Pearson
Denise Powers
Alison Prentice
Eileen Ramsay
Craig Smith
Denise Stewart
Jackie Swandell
Susan Sweeney
Pauline Tracey
Gillian Waters
Claire Wylie
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