With grateful thanks to the Diamond Divas Choir who will be performing Christmas Carols at the Chapel in the Macmillan Unit for all to attend.
Pharmacy name and address | Phone Number | 100 hour pharmacy | Locality |
Asda Pharmacy St Pauls Road, Bournemouth,BH8 8DL | 01202 298900 | Yes | Bournemouth East |
Castle Lane Pharmacy | 01202 772110 | Yes | Bournemouth West |
Ferndown Pharmacy | 01202 892666 | Yes | East Dorset |
Tesco Extra Pharmacy | 01202 457447 or 01202 367447 | Yes | Parkstone |
Asda Pharmacy | 01202 207000 | Yes | Poole Central |
Equipment – www.redcross.org.uk Is useful for wheelchairs and other equipment
Guide for people nearing end stage of life : https://intranet.rbch.nhs.uk/uploads/palliative/documents/What-to-Expect.pdf
Morphine sulphate 2.5-5mg SC PRN (10mg in 1ml injection)
(alternative if taking PO or eGFR<30 – Oxycodone 1 – 2.5mg SC PRN (10mg in 1ml injection))
[Please take background opioid into account when prescribing doses for anticipatories]
Midazolam 2.5-5mg SC PRN (10mg in 2ml injection)
Glycopyrronium 200mcg SC PRN (600mcg in 3ml injection)
(alternative for secretions: Hyoscine Butylbromide 20mg/ml injection)
Levomepromazine 6.25mg SC PRN (25mg in 1ml injection)
(alternative for nausea: Haloperidol 1.5mg SC PRN (5mg in 1ml injection)
Water for injection
Dexamethasone 3.3mg SC OD-BD (equivalent to 4mg PO) if risk of steroid withdrawal/Addisons during terminal phase.
| Day/Time | Example Timetable |
|---|---|
|
Monday – AM |
9am MMU Ward Hand over; 9:30am Tour of MMU 10m Consultant Ward Round, MMU |
|
Monday – PM |
12pm Ward Nurses – syringe driver administration (treatment room) 1:30 Nursing Handover – MMU (ward office) MMU – Admission Assessment(s) with ward doctor |
|
Tuesday – AM |
9am Ward Hand over 9:20am Referrals Meeting on MMU 10am Community visiting with Specialist Nurse |
|
Tuesday – PM |
12:30 Journal Club – MMU (doctors office) 2pm Introduction to Patient and Family Support Team 3pm Introduction to Welfare and benefits Advisor |
|
Wednesday – AM |
9am Ward Hand over 9:20am Referrals Meeting on MMU 10am Consultant ward round – MMU |
|
Wednesday – PM |
2pm Doctor/Nurse Home Visit with Specialty Doctor |
|
Thursday – AM |
9:15am Multi-Disciplinary Team Meeting on MMU |
|
Thursday – PM |
2pm Introduction to Palliative Rehabilitation with Physiotherapist 3pm Introduction to Complex Discharge Planning in terminal illness |
|
Friday – AM |
Hospital Palliative Care Team Ward Visits |
|
Friday – PM |
2pm Introduction to Personalised Care Plan for the Last Days of Life with End of Life Care Nurse 4pm Debrief / sign off |