[CARPA] Re: cardiac thrombolysis in remote areas.

[Andinach, Frank]

Erik,
 
This is an excellent question do you think it should be directed to the Queensland Quality Use of Medicines Group and through them to the other State QUMs for a wider range of comment?
 
Frank Andinach
Kalgoorlie

-----Original Message-----
From: EriK Van Den Berg [mailto:erik_vandenberg at health.qld.gov.au]
Sent: Friday, 19 January 2007 7:32 AM
To: carpa at ozdocit.org
Subject: [CARPA] Re: cardiac thrombolysis in remote areas.





Just wondering if any of the remote areas are keeping and using Thrombolytics in their clinics for administration by NURSES under the direction of a remote doctor.

 

In the Cape York area a few of the clinics keep Tenecteplase but there is no consistant policy as to who, when, how etc.

 

A quick read of info on the internet shows that paramedics are using thrombolytics in remote areas of Scotland – where they may be a few hours away by road from the nearest hospital.

 

Locally there is some resistance from some people regarding the ability of remote nurses to manage reperfusion arrhythmia’s.

 

Has any-one else been down this road and managed to get suitable guidelines and protocols and training in place?

 

If so it would be great to hear about it.

 

Thanks

 

Erik

Erik van den Berg
Outreach Pharmacist
Cairns Base Hospital

PH 4050-6287
FAX 4050-6585



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