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Tranexamic acid injection for treatment of severe haemorrhage

5 October 2021SPS PGD template for administering tranexamic acid injection for treatment of severe haemorrhage by registered Paramedics and Nurses.

Benzylpenicillin injection for suspected meningitis

5 October 2021SPS PGD template for administering benzylpenicillin prior to transfer to secondary care in suspected bacterial meningitis or meningococcal septicaemia.

Occupational health services (OHS) and medicines mechanisms

7 July 2025Various legal mechanisms can be used to supply and/or administer medicines within OHS. We explain some practical applications within this series.

Influenza vaccine written instruction templates for adoption

2 July 2025Two influenza written instruction templates are published annually; one for NHS bodies and Local Authorities and one for independent/other providers.

Using written instructions in occupational health services

7 July 2025Written instructions can be used as part of an occupational health service to supply/administer medicines to staff within the organisation.

What’s new in medicines mechanisms and governance PGDs

13 May 2025An update for those involved in medicines governance including managing PGDs and other medicine mechanisms in practice.

Intrapartum administration of benzylpenicillin sodium

19 January 2023SPS PGD template for intrapartum administration of benzylpenicillin sodium for prevention of early-onset Group B Streptococcus (GBS) neonatal infection

Labelling medicines supplied without a prescription

18 August 2025Advice on the legal labelling requirements for Prescription Only Medicines and Pharmacy medicines supplied under a patient group direction or legal exemption.

When not to use a PGD

12 February 2024Understanding when PGDs are an unsuitable mechanism for the supply and/or administration of medicines ensures an alternative legal framework is applied.

Flumazenil injection for reversal of midazolam

5 October 2021SPS PGD template for administering flumazenil for reversal of sedative effects of midazolam in conscious sedation by registered Paramedics and Nurses.