Please contact the relevant health service to obtain an in date version of the standing order.

Multi-campus metropolitan networks

Posted on October 15, 2010

Austin Health

• Advanced Life Support: Adrenaline, Atropine, Amiodarone (exp 30/7/2012)
• Anaphylaxis (exp 30/11/2012)
• ED Nurse initiated pain management tools for adults (exp 30/6/2012)

Bayside Health (Alfred Campus)

• Emergency administration of Atropine by ALS accredited nursing staff in 3B & 3H (cardiac care) (exp 13/6/2010)

Southern Health

Clinical area: Maternity

• Ergometrine in first line management of primary post partum haemorrhage (SO-MA01, exp Apr 2013)
• Metoclopramide injection given with ergometrine in primary post partum haemorrhage (SO-MA02, exp Apr 2013)
• Syntometrine (oxytocin 5 international units and ergometrine 0.5 mg/mL) as alternative for active management of third stage labour and as an alternative first line drug for management of postpartum haemorrhage (PPH) (SO-MA03, exp Apr 2013)
• Oxytocin (Syntocinon) 40 international units: infusion for management of primary post partum haemorrhage (PPH) (exp Apr 2013)
• Naloxone Hydrochloride for the reversal of opioid induced depression in the newborn (SO-MA06, exp Apr 2013)
• Oxytocin (Syntocinon) for active management of 3rd stage of labour (SO-MA07, exp Apr 2013)
• Urinary alkaliniser  (i.e. Ural, Citravescent or Citralite) for short term relief of urinary symptoms after childbirth (SO-MA08, exp Apr 2013)
• Anusol Ointment (Zinc oxide 10.75%, balsam-peru 1.88%, benzyl benzoate 1.25%) for treatment of uncomplicated haemorrhoids (SO-MA09, exp Apr 2013)
• Sodium chloride 0.9%  sterile 10mLs or 100mLs for intravenous (IV) flushes (SO-MA10, exp Apr 2013)
• Anti D immunoglobulin  for prevention of Rh(D) sensitisation in Rh(D) negative blood group women with no pre-existing anti- D antibodies (SO-MA11, exp Apr 2013)
• Pethidine Hydrochloride  Injection for pain relief in labour (SO-MA12, exp Apr 2013)
• Metoclopramide Hydrochloride  antiemetic in labour (SO-MA13, exp Apr 2013)
• Nitrous Oxide  inhalation analgesia for pain relief in labour (SO-MA14, exp Apr 2013)
• Benzyl Penicillin  for prophylaxis against early onset neonatal infections with Group B Streptococcus (GBS) (SO-MA15, exp Apr 2013)
• Lincomycin  alternative prophylaxis against early onset neonatal infections with Group B Streptococcus (GBS) (SO-MA16, exp Apr 2013)
• Lignocaine Hydrochloride 1% injection for local anaesthesia prior to episiotomy or perineal repair (SO-MA18, exp Apr 2013)
• Measles-Mumps-Rubella (M-M-R ii)  for active immunisation against Rubella in non-immune post-partum women (SO-MA19, exp Apr 2013)
• Paracetamol  for relief of mild pain (rectal and oral) (SO-MA20, exp Apr 2013)
• Panadeine (paracetamol 500mg & codeine 8mg) combination simple analgesia for relief of moderate postpartum pain (SO-MA21, exp Apr 2013)
• Diclofenac  tablets or suppositories for relief of moderate to strong postpartum pain (SO-MA22, exp Apr 2013)
• Scheriproct Ointment  (prednisolone hexanoate 0.19%, cinchocaine 0.5%) for treatment of haemorrhoids (SO-MA23, exp Apr 2013)
• Phytomenadione injection  (vitamin K 1) (Konakion MM paediatric) for the prevention of haemorrhagic disease of the over 1.5 kg newborn (SO-MA24, exp Apr 2013)
• Hepatitis B vaccine  (H-B -Vax ii paediatric) for neonatal immunisation of babies over 2 kg (SO-MA25, exp Apr 2013)
• Hepatitis B immunoglobulin  to well babies born over 2 kg of hepatitis positive mothers (SO-MA26, exp Apr 2013)
• Fybogel  laxative for postnatal women (SO-MA27, exp Apr 2013)
• Cholecalciferol mixture  neonatal bolus dose (SO-MA28, exp Apr 2013)

Clinical area: Forensic nurse examiners

• Levonorgestrel (SO-FN01, exp Oct 2012)
• Hepatitis B vaccine (SO-FN02, exp Oct 2012)
• Paracetamol (SO-FN03, exp Oct 2012)
• Panadeine (SO-FN04, exp Oct 2012)
• Azithromycin (SO-FN05, exp Oct 2012)

Clinical area: Emergency Department

• Nurse initiated analgesia for the management of acute pain (SO-ED01, exp Jun 2012)

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Posted in Standing Orders

Specialist Hospitals and Major regional centres

Posted on September 10, 2010

Ballarat Health Services

• Emergency Drug Administration (Atropine & Adrenaline) (exp April 2010)
• Drugs in Labour & Birth (Pethidine, Metoclopramide, Syntometrine, Oxytocin) (exp February 2012)
• Immediate Treatment of Postpartum Haemorrhage (Syntometrine) (exp June 2011)

Barwon Health

• Nurse initiated analgesia – Emergency Department (exp August 2010)
• Drug administration in labour and birth
• Drug administration to normal newborn
• Emergency treatment protocols for critical care nurses

Mercy Hospital for Women

• Immediate management of Primary Post-Partum Haemorrhage
• Labour and Birth
• Normal Newborn Care

Royal Women’s Hospital

• Ergometrine single dose for management of post partum haemorrhage
• Oxytocic 10 IV, IM
• Ergometrine 0.25mg single dose for management of post-partum haemorrhage
• Vitamin K (phytomenadione) for newborn babies
• Hepatitis B vaccine for newborn babies
• Metoclopramide 10mg IM for prevention of vomiting
• Pethidine 100, IM single dose in labour
• Panadeine Forte tablets for single administration (patients NOT in established labour)

Posted in Standing Orders

Rural and regional hospitals

Posted on January 15, 2010

Albury/Wodonga Health

• Atropine & Adrenaline (Emergency administration)
• Ergometrine (Emergency administration)
• Hepatitis B Vaccine for Newborn Babies
• Metoclopramide IM
• Pethidine IM
• Vitamin K (Phytomenadione) for newborn babies

Bass Coast Regional Health

• Cardiopulmonary resuscitation
• Anaphylaxis
• Drugs in Newborn
• Drugs in labour

Beechworth Health Service

• Asthma/severe – Life-threatening
• Analgesia for pain of known aetiology
• Advanced support for emergency drug administration
• Anaphylaxis (severe or life-threatening)
• Urinary tract infection
• Vomiting and mild dehydration

Benalla & District Memorial Hospital

• Acetylsalicylate Acid (Aspirin) in Chest Pain
• Adrenaline in Anaphylaxis
• Adrenaline in Cardiac Arrest
• Amiodarone in Cardiac Arrest
• Atropine in Bradycardia
• Glyceryl Trinitrate (GTN) in Chest Pain
• Salbutamol in Life Threatening Bronchospasm
• Stemetil and Maxolon in Nausea and Vomiting

Boort District Hospital

• Cardiorespiratory arrest, atropine, adrenaline
• Asthma: (salbutamol, steroids)

Casterton Memorial Hospital

• Tetanus (exp 5/8/2012)
• Morphine (exp 5/8/2012)
• Syntometrine, Syntocinon and nitrous oxide
• Defibrillation and Emergency Drug Administration:
  • Atropine (adult)
  • Adrenaline (child), (adult)
• Emergency drug administration:
  • Atropine
  • Adrenaline
  • Salbutamol

Central Gippsland

• Emergency drug administration, atropine, adrenaline, amiodarone
• Cardiac stabilization drug administration (potassium chloride, magnesium sulphate)

Djerriwarrh Health (Bacchus Marsh and Melton Regional Hospital)

• Drug administration in labour and birth (exp April 2010)
• Drug administration for normal newborn (Naloxone, Vitamin K, Hepatitis B Vaccine) (exp April 2010)
• Premedication for elective or emergency lower uterine segment caesarean section (LUSCS) (exp July 2010)
• Administration of Rh (D) immunoglobulin (exp July 2010)

Kyneton District Health Service

• Life Threatening Arrhythmias
• Anaphylaxis in the Community (Outreach Nurses)
• Hypoglycaemia
• Asthma

Lorne Community Hospital

• Acute Pulmonary Oedema
• Anaphylaxis
• Asthma
• Cardiac Arrest
• Standing order policy

Maryborough District Health Service

• Post partum haemorrhage
• Anaphylaxis
• Asthma
• Life-threatening arrhythmias
• Hypoglycaemia
• Overdose of narcotic drugs

McIvor Health and Community Services

• Cardiac arrest, life threatening arrhythmias:
  • Administration of adrenalin
  • Administration of amiodarone
  • Administration of atropine
• Anaphylaxis: Administration of adrenalin
• Narcotic overdose: Administration of naloxone
• Hypoglycaemia, IM glucagons, IV dextrose
• Chest pain:
  • Administration of aspirin
  • Administration of glyceryl trinitrate
• Respiratory distress/asthma: Administration of Ventolin
• Acute pain management: Administration of morphine S4

Orbost Regional Health

• Management of post partum haemorrhage
• Konakion (Vit. K)
• Oxytocic, active management of 3rd stage
• Management of group B streptococcus positive mothers with prophylactic antibiotics
• Asthma management
• Cardiopulmonary arrest

Portland Hospital

• Administration of Nebulised Salbutamol (exp 15/04/2013)
• Administration of Intramuscular Adrenaline (exp 15/04/2013)
• Administration of Emergency Contraception (exp 01/06/2011)
• Administration of Nebulised Adrenaline (exp 25/06/2011)
• Administration of Budesonide (Pulmicort) (exp 25/06/2011)
• Administration of Prednisolone Oral Liquid in Croup (exp 23/04/2012)
• Administration of Promethazine (Phenergan) (exp 08/07/2011)
• Administration of Metoclopramide (exp 01/08/2011)
• Administration of Amethocaine (exp 01/06/2012)
• Administration of Paracetamol 500 mg with Codeine 30mg tablets (exp 01/06/2012)
• Administration of Trimethoprim Adults (exp 01/08/2011)
• Administration of Adsorbed Diphtheria & Tetanus Toxoid (ADT) Booster (exp 01/08/2011)
• Administration of Intravenous Sodium Chloride 0.9% (exp 01/08/2011)
• Administration of Naloxone Injection (exp 01/11/2011)
• Administration of Intravenous Morphine (exp 01/11/2011)
• Administration of Atropine (exp 23/04/2012)
• Administration of Adrenaline for Cardiac Arrhythmia (exp 01/01//2011)
• Administration of Glucagon (exp 12/02/2012)
• Administration of Intravenous Glucose (exp 12/02/2012)

Werribee Mercy Hospital

• Administration of Anti-D (x 2)

Posted in Standing Orders