National Ambulance Patient Group Directions

Jo Jenkins, Specialist Pharmacist (Patient Group Directions) SPS Medicines Use and Safety Division Published

National PGDs

National PGDs have been developed for ambulance services commissioned by NHS England.  They are supported by NASMeD and JRCALC.

Organisations need to adopt them locally in line with the Human Medicines Regulation 2012.

These PGDs are:

Administration of diazepam emulsion for injection by registered Nurses for the management of seizures
Administration of diazepam solution for injection by registered Paramedics and Nurses for the management of seizures
Patient Group Direction for the administration of flumazenil by registered Paramedics or Nurses for the complete or partial reversal of the central sedative effects of midazolam used for conscious sedation

They can be found below.

 

National PGD Templates

National PGD templates have been developed for ambulance services commissioned by NHS England.  They are supported by NASMeD and JRCALC.

Organisations need to clinically sign these templates and adopt them locally in line with the Human Medicines Regulation 2012.  They may be locally adapted prior to clinical sign off and adoption.

These PGDs are:

Patient Group Direction for the administration of tranexamic acid by registered Paramedics and Nurses for treatment of severe haemorrhage
Administration of buccal midazolam by registered Paramedics and Nurses for the management of seizures
Administration of diazepam rectal tubes by registered Paramedics and Nurses for the management of seizures