Medicine and Specialty Guidelines

All on-call medical

• On-Call Teams  and  handover
  • RSCH poster 2022
  • MET Huddle Document
  • Who to contact about MEDICAL patients v2
  • Medical Weekend staffing and duties v2 updated
  • ED to Speciality referrals
  • standard operating procedure Medical Handovers version 6.0
  • Medical Handover Team Proforma V8.0 2021 (1)
  • Standard operating procedure for ward staff who wish to bleep medical teams out of hours (2) (3)
  • Triage to specialty poster fourth draft
  • PRH – Poster PRH 2020
• Hospital at night
  • Hospital@Night 2am
  • PRH- Hospital@Night 12am (V.3)

Cardiology

Trop stickers final  

HEART FAILURE REFERAL info for microguide

Use of NT pro BNP in suspected heart failure

Ferinject Heart Failure May 2023Ferinject Heart Failure May 2023

Bridging for HIGH RISK mechanical valves Figure 2020

Perioperative Management of Anticoagulation for Mechanical Heart Valve Replacements in Adults

Bridging for LOW RISK mechanical valves Figure 2020

lipid-management-pathway-guidance

Secondary prevention Lipid Pathway Sussex March 2022 FINAL

statin-intolerance-pathway-03092020

Management of dyslipidemia during pregnancy FINAL

Ch-02-Cardiovascular-APC-rv-Nov17

dobutamine infusion August 2020 final

heparin infusion ultrafiltration August 2020 Final

intravenous labetalol August 2023 final

tirofiban for primary PCI in ACS August 2023 final

Lidocaine August 2023 final

Aspirin Desensitisation August 2023 final

Ajmaline for Brugada September 2023 final

subcutaneous furosemide in end stage heart failure final August 2023

LEVOSIMENDAN guidelines final August 2021

AMIODARONE checklist -final August 2021

dopamine infusion August 2021 final

Prophylactic antibiotics in cardiac surgery May 22

Milrinone final Dec 2021

• Antibiotic Continuous Infusions:
  • Continuous infusion of piperacillintazobactam and meropenem 2021

Glyceryl Trinitrate Infusion September 2021 final

Isoprenaline September 2021 final

IV Epoprostenol infusions veletri May 2022 final

Daycase Procedure Summary June 2022 final

Cardiac Triple Therapy final October 22

Dermatology

Urticaria Guidelines BSUH

Bilateral red leg pathway (2)

Diabetes and Endocrinology

• Guideline for the detection management of steroid induced diabetes in patients on Dexamethasone (2)
• Monitoring Guidelines blood glucose chart with comments November 2015
• TTT FLOW DIAGRAM Dec 2019
• Hypoglycaemia 2021Review
• Ketone Results Advice
• DKA protocol-updated 11 2022
• Diabetes enteral feeding RF JG AJC. 30.7.20
• Management of Diabetes Surgical guidelines ( Microguide) RF JG AJC 30.7.20
• Hyperosmolar Hyperglycaemic state BSUH guideline
• Addisonian Crisis management guidelines
• Hypoglycaemia 2019.doc DRAFT.docFINAL
• Insulin Pumps at the front door
• SHCP-vitamin-D-management-in-adults SHCP-vitamin-D-management-in-children

 

Elderly Care

• distinguishing delirium from dementia
• Memory Assessment Service Referral from Hospital RSCH PRH 2023

 

Gastroenterology and Hepatology

• Abdominal Paracentesis Proforma final V4_EA_LM (2)
• Endoscopy Bowel_Prep_Guidance_v0.4_(4)_final
  • Log of staff who made errors
  • Log of staff who completed their training
  • Staff competency assessment for the issuing of bowel preparation
• Faecal Management System guidelinesFINAL (2)
• Essential Checklist GI Bleed Proforma
• Non-Variceal Upper GI Bleeding Guideline
• IBD / CD
  • Inflammatory Bowel Disease – Microguide update – v12
  • Truelove and Witts severity index
  • SCCAI scoring tool
  • HBI scoring tool
• Gastrografin administration in the management of adhesional small bowel obstruction in adults

GUM / HIV / SHAC

• 2022 SHAC HANDBOOK
• PEP Detectable (Transmissible) Levels of HIV Per 1000 Population Aged 15-74 Years, England 2018 PEP Risk Assessment Tool 2022 Type of exposure

Haematology

• CVC line removal competency SOP Update
• BMA local procedure
• Investigating Iron Deficiency Anaemia
• Ferric Derisomaltose August 2023
• Enoxaparin Inhixa dosing chart VTE treatment update 2023 final
• Enoxaparin VTE Treatment Guideline Update 2023 final
• UHS VTE Treatment Pathway v7.11
• Safer warfarin discharge 2020
• Warfarin guidelines v1.3.2
• VTE DOACs dosing final 11.21
• Switching Anticoagulants V1.2 Oct 2022
• counselling checklist for OACs 2020
• DOACs general prescribing information 2022
• UHS DOAC choice for anticoagulation in AF (edoxaban first line) July 2022
• AF DOACs 2020
• Andexanet_Alfa_prescribing_guideline_v2 Oct 2022
• UHSussex management of bleeding with DOAC October 2021 final
• Argatroban Protocol 2021
• BSUH Standard Heparin Infusion protocol 2017 V1.3
• Superficial Vein ThromboPhlebitis Management Guide v1.3
• Management of anticoagulation in haemodialysis patients
• SDEC Review Required for All Confirmed VTE Patients RSCH PRH

Haem: VTE Prevention

• VTE Prevention – Perioperative Measures
• VTE Prevention – Vascular Surgery
• VTE Prevention Spinal and Neuro
• VTE Proforma – Joint Replacement
• Mechanical VTE Prophylaxis
• Medical patients VTE Prevention
• Orthopaedic Patients VTE Prevention Guidance
• VTE Prevention – Other Surgery
• Pharmacological Prophylaxis VTE
• VTE Risk Assessment Form
• Sickle guidelines

>>NutritionDietetics

• Now on Cross Spec

Infection

Necrotising fasciitis revised Dec 2018

RSCH TB pathway flowchart 241018 v3 (3)

Pneumonia – suspected

Monkeypox Admission and Primary Care referral Pathway (also ED triage document in ED guide)

Guideline for Tecovirimat as treatment for pts hospitalised with MPx Infection V1 Approved Sept 22

Neurology

• Autonomic Dysreflexia Overview and Management
• C066 Adult neurogenic bowel management policy (2)
• IIH flowchart editSC
• Final SE guideline

Oncology

Steroid induced diabetes

5-ala protocol nov 2018 v3 (2)

UKONS acute_oncology_initial_management_guidelines

UKONS AO initial management Guidelines FINAL VERSION 2023

Neutropenic sepsis flowchart May 2017 FINAL

CUP Guidelines – final updated 10th June2019

Lymphoma inpatient allocation – 2023

UHSussex Intra Hospital Pathway for Patients with Suspected Lymphoma v2

EGFR TKI guidelines July2020 (2)

Lung Management chart

Palliative

TEP v8 UHSussex

BM monitoring palliative chart

DCDP Nursing Guidance- June 2017

DCDP_doctors guidance_June2017_final

care-after-death—2nd-edition

Going home discharge checklist 23.7. July 2019

Going to care home discharge checklist 23.7 July 2019-converted

Deceased Patients Checklist and Process Final

CARE AFTER DEATH ACUTE SETTING P1-5-030317

Notice of Death Form

Palliative prescribing on EPMA

• Prescribing for dying person (last days of life):
  • Anxiety delirium and agitation
  • Dyspnoea
  • Nausea and vomiting
  • Noisy respiratory secretions
  • pain
  • CME T34 Monitoring Chart
  • Syringe Pump – How to Use

Prescribing guidelines

• Pain (different from above)
  • Abstral Dose Titration Guideline v7 09_2020
  • Opioid Conversion
  • Pain Guideline FINAL

InstructionsForthuseofInjectableMedicinesREPLACED

prn_prescription_chart_injectable_medicine_as_needed_final_may2020_V3 (SCFT)

syringe_driver_prescription_chart_final_may2020_v3

InstructionsForTheUseofInjectableMedicineForSPopioidNaive

InstructionsInjectableMedicinesforSPinOpioidNaiveWithRenalImp

TTO opioid naive with MORPHINE 7_20 plus mid comment

TTO opioid naive renal impairment 5_21

TTO already on SP with MORPHINE 7_20

TTO already on SP renal impairment 5_21

BSUH EXAMPLE INSTRUCTION FOR INJECTABLE MEDICATION CHART FOR OPIOID NAIVE_V5.1_October 2020 BSUH EXAMPLE INSTRUCTION FOR INJECTABLE MEDICATION CHART FOR RENAL FAILURE_V5.1_Oct2020

SPICT_April 2019

Procedure_PalliativeCare_20200114-8 – LangMinton PC in the ED

ReSPECT form 120820 Final version 3

Respiratory

• Home Oxygen Order Form (HOOF).docx 2017
• Pleural
  • See under chest drain
  • BSUH pleural pathway review 2021
• Chest Drains
  • • C044 – Chest Drains BSUH Policy 18 
    • Pleural procedure proforma
    • Pleural Clinic proforma
    • Chest drain observation chart 2021
    • ChestDrainObservationChart
    • C045 Policy for the Flushing of Seldinger Small Bore Chest Drains
    • Chest Drain Insertion
    • PleuralAsciticDrainageAftercareSheet 
    • Prescription for Chest Drain Flushing 
    • Rocket Chest Drain
    • Chest drain chart

• • BTS SIGN Asthma 2016 Guidelines 
  • BTS Sign Acute Asthma Algorithm
  • NICE2018 COPD 1pg mgmt summary
  • COPD Treatment Pathway Dec 2018

• Non Invasive Ventilation
  • NIV pathway v3.4 July 2021
  • BiPAP decision tree 2017 BSUH
  • BiPAP full flowchart
  • BIPAP set up and troubleshooting guide TRILOGY
  • ED prompt card V1 Setting up Non-Invasive Ventilation (BiPAP)-1
  • competency document 2018 C064 Appendix 5
  • Philips EVO Set up and Troubleshooting Guide for BiPAP NIV in Wards and ED
  • Home NIV
    • Transcutaneous C02 monitoring SOP  H-NIV pathway for set-up after acute admission SH 2 Home NIV Set up SOP Home-NIV pathway for outpatient set-up and monitoring CBG Monitoring NIV SOP

AMINOPHYLLINE INTRAVENOUS INFUSION ADMINISTRATION CHART (ADULT AND CHILDREN OVER 12)

AMINOPHYLLINE GUIDELINE

Nicotine Replacement Therapy UHS Version

Renal

• Microguide Hyperkalaemia 22-04
• Hyponatraemia guidelines
• Pain control in CKD 2022 v 2
• Renal Anaemia in CKD Guidelines 2023
• Tacrolimus NBM renal patients UHSussex
• Sodium thiosulphate Calciphylaxis UHSussex

Rheumatology

• BSUH IA Pathway
• Rheumatology DMARD monitoring rationalisation V2 (covid)

Stroke

Acute Stroke

BP Mangement in Stroke Guidelines Version 1.0

Stroke Thrombectomy Microguide Summary Nov 2019

Thrombectomy Pathway Nov 2019 (2)

Thrombectomy proforma 2020

6.2 Secondary prevention Lipid Pathway Sussex March 2022 FINAL