INTERN MEDICATION GUIDE   
                                        
                                         
                                        
                                        
         INTERN MEDICATION 
                                GUIDE  
                                        
                                2020 
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
    Updated by A Given, Pharmacy December 2019 
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                                INTERN MEDICATION GUIDE   
                                               
      
      
                                     Table of Contents: 
      
   Table of Contents: .......................................................................................................................................... 2 
   PHARMACY CONTACT NUMBERS ............................................................................................................... 4 
   MEDICATION MANAGEMENT PLAN ............................................................................................................. 5 
   ADULT NATIONAL INPATIENT MEDICATION CHART (NIMC) ...................................................................... 6 
      Background Rationale ............................................................................................................................ 6 
      Overview ................................................................................................................................................ 6 
      Patient Identification ............................................................................................................................... 7 
      Allergies & Adverse drug reactions (ADR) .............................................................................................. 7 
      Numbering of medication charts ............................................................................................................. 8 
      Venous Thromboembolism (VTE) prevention .......................................................................................... 8 
      Regular Medication Orders ..................................................................................................................... 9 
      Frequency (Guidance Only) .................................................................................................................. 10 
      Approved Abbreviations ....................................................................................................................... 10 
      Prescriber identification: ....................................................................................................................... 11 
      Variable Dose Medications ................................................................................................................... 12 
      Warfarin dosing .................................................................................................................................... 12 
      When required (PRN) medication orders .............................................................................................. 13 
      Stat Dose Orders ................................................................................................................................. 13 
      Phone Orders ....................................................................................................................................... 13 
      Ceasing Medication Orders .................................................................................................................. 14 
      Limited Duration Medication Orders ...................................................................................................... 15 
      Less than daily administration............................................................................................................... 15 
      Re-writing Medication Charts ................................................................................................................ 15 
   HIGH DOSE OPIATES/INSULIN .................................................................................................................. 16 
   INTRAVENOUS THERAPY ORDER CHART ................................................................................................ 17 
   OTHER MEDICATION CHARTS .................................................................................................................. 18 
   DISCHARGE PRESCRIPTIONS ................................................................................................................... 19 
      What needs to be included: .................................................................................................................. 20 
      Drugs of Addiction (DA) ........................................................................................................................ 21 
   PHARMACEUTICAL BENEFITS SCHEME (PBS) ......................................................................................... 21 
      Authority PBS prescriptions .................................................................................................................. 21 
      PBS website ......................................................................................................................................... 23 
   TNH MEDICATION GUIDE ........................................................................................................................... 25 
      Prescribing Unfamiliar Medications ....................................................................................................... 25 
      Other documents/forms you may be asked to complete: ....................................................................... 25 
   ANTIMICROBIAL STEWARDSHIP PROGRAM ............................................................................................ 26 
      Antibiotic Guidance (iGuidance) ........................................................................................................... 26 
      The Direct Oral Anticoagulants (DOACs) .............................................................................................. 27 
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                             INTERN MEDICATION GUIDE   
                                        
     
     
  ANTIBIOTIC PRESCRIBING GUIDELINES BY CONDITION ........................................................................ 28 
     Sepsis of unclear focus ........................................................................................................................ 28 
     Vancomycin dosing .............................................................................................................................. 28 
     Acute Cystitis ....................................................................................................................................... 29 
     Catheter-associated UTI ....................................................................................................................... 29 
     Pyelonephritis ...................................................................................................................................... 29 
     Prostatitis ............................................................................................................................................. 30 
     Cellulitis ............................................................................................................................................... 30 
     Exacerbation of Chronic Obstructive Pulmonary Disease (COPD) ........................................................ 30 
     Community Acquired Pneumonia.......................................................................................................... 31 
     Aspiration Pneumonia .......................................................................................................................... 31 
     Hospital Acquired Pneumonia............................................................................................................... 32 
     Peritonitis due to perforated viscus ....................................................................................................... 32 
     Acute cholecystitis ................................................................................................................................ 33 
     Ascending cholangitis ........................................................................................................................... 33 
     Acute Appendicitis ................................................................................................................................ 33 
     Acute diverticulitis................................................................................................................................. 33 
     Acute pancreatitis ................................................................................................................................. 34 
     Infected pancreatic necrosis / pancreatic abscess ................................................................................ 34 
     GENERAL SURGICAL UNIT ANTIBIOTIC PROPHYLAXIS GUIDE ...................................................... 34 
  HANDY MEDICATION GUIDES ................................................................................................................... 35 
     Endocrinology ...................................................................................................................................... 35 
     End of Life Care ................................................................................................................................... 35 
  Vascular Device Protocols ............................................................................................................................ 36 
  Fluid Prescribing ........................................................................................................................................... 37 
     Rule of 1’s – oversimplified but memorable ........................................................................................... 37 
     The Real Rules: Correct but easy to forget! .......................................................................................... 37 
  ON-LINE TRAINING ..................................................................................................................................... 38 
    COMMON MEDICATION CHEAT SHEET………………………………………………………………………….39 
     
                                        
    This booklet was created by the Pharmacy Department. 
     
    Available from: Medical Education Unit (MEU), located at Level 2, NH – Education, NCHER - Northern Centre 
    Health Education & Research. Telephone: 8468 0758 
     
                 Please advise suggestions/amendments to: Pharmacy Department  
                           (Team Leader for Education x58664) 
                        
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                                   INTERN MEDICATION GUIDE   
                                                          
                                    PHARMACY CONTACT NUMBERS 
       
      Pharmacists are always willing to help all medical staff. 
      All ward pharmacists are also available on MEDTASKER. 
       
      Ward pharmacist                                         Extension 
          Emergency                                           52696 
          Emergency – Admissions (for MMP completion)         0447163874 
          SSU and CDU                                         0447141711 
          Ward 1 – Day Oncology                               52094 
          Ward 2 – Children’s Unit                            52205 
          Ward 3                                              52350 
          Ward 4                                              52472 
          Ward 5– Cardiology                                  58447 
          Ward 6– Observation Unit                            52473 
          Ward 7 – Psychiatry 1                               58994 
          Ward 8 - Psychiatry 2                               52885 
          Ward 9 - DPU                                        52662 
          Ward 11/12 – Maternity & Special Care Nursery       52205 
          Ward 13                                             52884 
          Ward 14                                             52459 
          Ward 16                                             52477 
          Ward 17 - ICU                                       52532 
          Ward 18                                             52474 
      Speciality pharmacist                                    
         Oncology                                             52094 
         Renal / Dialysis                                     58387 
         Antimicrobial stewardship                            58452 
         Hospital in the home (HITH)                          52967 
            Clinical Trials                                   58571 
            Palliative Care                                   0439920501 
      Dispensary                                               
            Inpatient                                         58572 
         Outpatient                                           58571 
         Discharges                                           52204 
            Manufacturing                                     58578 
      Director of Pharmacy                                    58560 
      Deputy Director of Pharmacy                             58561 
      Associate Director of Pharmacy                          52663 
      Team Leader – Medicine                                  52661 
      Team Leader – Surgical                                  52662 
      Team Leader – Oncology + Women’s and Children’s         52094 
      Team Leader – Education, Development and Research       52664 
      Team Leader – Quality Use of Medicines & Safety         52665 
       
       
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