Transcript The End of the Doctor`s Bag

The Doctor’s Bag
- the unexpurgated story
Dr Gerard Murphy
Woodbrooke Medical Practice
January 1999
Dr G Murphy, Woodbrooke Medical Practice
The
Early Treatment
Centre
- The End of the Doctor’s Bag
Dr G Murphy, Woodbrooke Medical Practice
Introduction

Other Equipment

The Bag

Medical Equipment

Official Documentation

Personal Documentation

Technology Growth Areas

Stock
Dr G Murphy, Woodbrooke Medical Practice
Other Equipment
Volumatic / Nebuhaler
 Aerochambre
 Nebuliser
 Ambu bag
 i.v. fluids
 Tackle box

– needles
– syringes
– abc ampoules
Dr G Murphy, Woodbrooke Medical Practice
The Bag

Price

Size

Weight

Materials

Layout
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Security Locks

Space inside for charts

Storage (4 - 25C)
Dr G Murphy, Woodbrooke Medical Practice
Medical Equipment
Diagnostic Set
 Digital Thermometer
 Pinard / Ordinary
 Spatulas
 Patella Hammer
 Hand Lens
 Tape Measure
 Tourniquet
 Plastic gloves / KYJ
 Venflons / Butterflies / Tape
 N-Labstix

Dr G Murphy, Woodbrooke Medical Practice
Official Documents
BNF
 Scripts
 Out Of Hours Consults Pad
 Referral forms / envelopes
 Form 3 / Form 1 for Psyche
Compulsory Admission + way
of contacting “Approved SW”
 Proforma / Death Certificates
 Emergency Rx Forms
 FP1001 / Med Certs
 Take-in rotas / Emergency Obs

Dr G Murphy, Woodbrooke Medical Practice
Personal Documents
Meningitis Rx doses / routes
 Meningitis prophylaxis regimes
and mean wts (<16yrs / adults)
 An Easy Guide To Taking
Your Medications
 Maps
 Phone numbers - especially
pharmacies (on a laminated A4
page e.g. photocopy of yellow
pages entry
 Practice notepaper
 Rx Room forms

Dr G Murphy, Woodbrooke Medical Practice
Technology

Mobile phone

Psion Series 3a / 5
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Nokia 9000 / 9000i / 9110
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Ordnance Survey Maps 255769

Notebook PC / EMIS
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Digital Network + Palmtop +
Internet / NHS Network Access
- the true information age??
Dr G Murphy, Woodbrooke Medical Practice
Stock

Keep list of all stock
– record Batch Numbers & Expiry
Dates of all stock
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Check Stock every 6 mths replace expired stock

Observe EC Regulations for
dispensing on home visits to
pass on liability to drug
companies
– use envelope / container labelled
with date, drug name, dose,
frequency, amount & patient’s
name + record same + batch no /
expiry date in patient’s notes
Dr G Murphy, Woodbrooke Medical Practice
DDA’s - mandatory
recording
 Vitally important to be able
to account for DDA’s
 Legal requirement to keep a
DDA book
 Record dates / drug names /
drug amounts / pharmacist
name both on receipt and on
disposal of DDA’s
Dr G Murphy, Woodbrooke Medical Practice
DDA’s - optional
extra recording
 Record date, time / name,
address, dob of patient / drug
name, dose and site of
administration for each DDA
administered
 You will always be able to
account for your DDA’s in
any event
Dr G Murphy, Woodbrooke Medical Practice
Prescribing DDA’s
for patient
Oral MST, Sevredol etc prescribe on computer to keep
track of amounts, intervals to
ensure use only for patient
 BUT write out script on
ordinary script pad with total
amount in numbers and in
words
 Same for Diamorphine for
syringe drivers - any left over
will be destroyed by nurse with
relatives as witnesses

Dr G Murphy, Woodbrooke Medical Practice
Stock Lists (1)
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Pain
– narcotics / narcan
– rectal / deep im voltarol

Vomiting
– buccastem / valoid

Asthma
– prednesol / deltacortril / HC

Antibiotics
– oral / parenteral

Hepsal
Dr G Murphy, Woodbrooke Medical Practice
Stock Lists (2)

Myocardial Infarction
– Soluble aspirin 300mg
– Atropine
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Infections
– Crystapen
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LVF
– Frusemide
Diazemuls / Stesolid
 Syntocinon
 Glucose / Glucagon
 Imigran

Dr G Murphy, Woodbrooke Medical Practice
Stock Lists (3)

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Dr G Murphy, Woodbrooke Medical Practice