Patient Group Directives for Ear Care
Presented by Rosemary W Rodgers MA(Ed) P.G.Dip.Ed. RGN RSCN
Clinical manager “Rosemary Rodgers Ear Care Services” Tel. 01709 830065 Email rorodg1stearcare@aol.com
WHOSE EARS ARE THESE?
• Primary care nurses firstly – Preventers and detectives
• Secondary care nurses firstly – Treaters and resolvers Clinical excellence demands individual care
Patient Group Directives
• Reason why we are using these now?
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Purpose and conditions covered in these directives Contents (as the law directs in HSC 2000/026) Name of business using the directives Date they come into force and expire
The medicines to which they apply
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Health Professionals who may administer medicines
Signatures to the directives
• The PCT Medical Adviser
• The Pharmaceutical adviser • The Consultant Microbiologist • PCT Chair
• PCT Clinical Governance Lead
• General Practitioner • All health care professionals delivering the service then sign the practice copy
Patient Group Directives
THE PATIENT GROUP
CLINICAL CONDITION
PATIENTS
TREATMENT
Clinical condition
Objective Guidelines
The Patients
Inclusion criteria Exclusion criteria Excluded patients
Refusing treatment
Treatment
Name, Patient Advice Follow up care
Dose
Method Route
Reporting procedure
Information to be recorded Monitoring
Primary Ear Health Interventions
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Excessive Cerumen
Itchy, Inflamed or Traumatised Ears
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Acute Otitis Externa
Chronic Otitis Externa
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Middle Ear Disease
Post op Mastoid Cavity Care
REFERENCES
• Chao, W.Y. Chang,S.J.(1996) Ultrastructure of eustachian tube mucosa in chronic otitis media with cholesteatoma. Am.J.Otolaryngology 17(3): 161-166.
• Lim, D.P. Stephens, S.D.G.(1991) Clinical investigation of hearing loss in the elderly. Health Nurse 2(4): 195200.
• Roeser, R.J. Ballachanda, B.B. (1997) Physiology, Pathophysiology and Anthropology/epidemiology of human ear canal secretions. J. Am. Acad. Audiology 8: 391-400