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Time to clarify some things on paramedic drugs. 1) @JRCALCguidance is not a set of PGDs. It's just guidance. 2) If you want proper guidlines on drug administration, not abbreviated or overly cautious guidelines you should read the BNF. 3)You also need to read the Human 1/?
Medicines Regulations 2012 as this determines which INJECTABLE medicines paramedics can administer. 4) The Human Medicines Regs 2012 really isn't interested with the administration of non "parenteral" medicines if they are acquired lawfully 2/?
5) Depending on the drug the Human Medicines Regulations 2012 may limit the use of the drug to certain conditions. However you need to be able to interpret this correctly, for example schedule 19 allows the administration of adrenaline 1:1000 by injection BY ANYONE for the 3/?
purpose of saving life due to ANAPHYLAXIS only. However in schedule 17 paramedics are lawfully permitted to inject adrenaline 1:1000 for the immediate treatment of sick and injured people. They are therefore not limited to the sch 19 anaphylaxis limitation 4/?
5) PGDs maybe used where there is a demonstrable need and no other alternative exists. This works both ways. TXA is injectable but Not in the sch 17 exemptions therefore unlawful to administer unless prescribed or a PGD exists. 5/?
On the other hand LIDOCAINE is on the schedule 17 exemption list and therefore a PGD is not required for paramedic administration for example by a specialist paramedic for local anaesthesia as the schedule does not specify a use other than the immediate treatment of sick 6/?
and injured people. Drugs such as nebulised adrenaline, penthrox, entonox, oral dexamethasone etc etc neither require a PGD nor an exmption for health professionals as they are not injectable but an SOP and good governance should be in place. 7/7
