The table below lists the items that have prescribing restrictions within the Royal Women's Hospital.
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| | | | | | | Clinical Microbiologist or senior consultant
| (H.Varicella in pregnancy)
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| | | | Clinical Microbiologist or Senior Consultant-NICU
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| | | | Endocrine unit and menopausal clinic after endocrinologist review
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| | | | | | | | Clinical Microbiologist or Senior Consultant-NICU
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| | | | Clinical Microbiologist or Senior Consultant-NICU
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| | | | Clinical Microbiologist or Senior Consultant-NICU
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| | | | Clinical Microbiologist-
| Head of Communicable Diseases
| Head of Choices
| Emergency when positive to Chlamydia
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| | | | According to NICU guidelines
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| | | | Endocrine unit- For suppression of lactation ONLY in compassionate situations
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| | | | Endocrine unit- For suppression of lactation ONLY in compassionate situations
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| | | | Clinical Microbiologist or Senior Consultant-NICU
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| | | | | | | | Clinical Microbiologist or Senior Consultant-NICU
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| | | | | | | | | | | | Psychiatry consultant-
| Choices unit consultants
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| | | | Clinical Microbiologist or
| in first trimester of preg. where metronidazole is not recommended
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| | | | Prescribers with ovulatory stimulant warrant
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| | | | | | | | Endocrine unit and Senior Consultant-Gynae units
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| | | | Urogynaecology consultants
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| | | | Prescribers with prostaglandin warrant
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| | | | Single dose in day surgery unit for PONV.
| For any other use-need discussion with Unit Head
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| | | | For highly emetogenic chemotherapy as approved in oncology unit
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| | | | Senior Consultants (Anaes. dept)
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| | | | | | | | Clinical Microbiologist or Senior Consultant in Vulvoscopy unit & Communicable Diseases unit
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| | | | Clinical Microbiologist or Senior Consultant-NICU
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| | | | Senior Consultant (Anaes. dept)
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| | | | Psychiatry consultant-
| Choices unit consultants
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| | | | | | | | Unit Head. Approval see GnRH guidelines
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| Gestodene- Ethinyloestradiol OC
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| | | | g- CSF (granulocyte colony stimulating factor)
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| | | Senior Consultant (Oncology unit)
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| Heparin (low molecular weight)
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| | | High risk patients
| For prolonged use, discuss with Unit Head or haematologist
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| | | | Unit Head-Communicable Diseases
| Senior consultants- Oncology & Dysplasia unit
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| | | | | | | | Anaesthetists and for patients not tolerating narcotics
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| | | | IVF patients (paid as private item by patient)
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| | | | Clinical Microbiologist or Senior Consultant-NICU
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| | | | Psychiatry consultant-
| Choices unit consultants
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| | | | Unit Head. Approval see GnRH guidelines
| IVF patients (paid as private item by patient)
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Ondansetron
| (see dolasetron 12.5mg inj)
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| | | Single dose in day surgery unit as approved by anaesthetist.
| For any other use-need discussion with Unit Head.
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| Ondansetron
| (see dolasetron 100mg inj)
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| | | For highly emetogenic chemotherapy as approved in oncology unit
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| | | | Urology and Urogynaecology consultants
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| | | | Psychiatry consultant-
| Choices unit consultants
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| | | | | | | | | | | | Psychiatry consultant-
| Choices unit consultants
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| | | | | | | | | Ticarcillin - Clavulanate
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| | | Clinical Microbiologist (except when treating febrile neutropenia)
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| | | | Clinical Microbiologist or Senior Consultant-NICU (except when included in febrile neutropenia)
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| | | | Clinical Microbiologist or Head of Communicable Diseases unit
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| | | | Psychiatry consultant-
| Choices unit consultants
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| | | | Psychiatry consultant-
| Choices unit consultants
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**Any other drugs not on hospital formulary, require application to the Royal Women's Hospital Drug Committee for approval.
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For antimicrobials, where discussion with clinical microbiologist is required:
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- Contact clinical microbiologist by telephone or pager:
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Microbiology registrar/fellow
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Pager: 5735
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- Once approval is given, record the approval number on the prescription
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Approval number format :
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Royal Women's Hospital Clinical Practice Guidelines (CPGs) are intended to provide guidance to health care professionals, based on a thorough evaluation of research evidence, on the practical assessment and management of specific clinical issues or situations. The guidelines allow some flexibility on the part of the health care professional based on the needs of the specific patient for whom they are caring.
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