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The PGD must be signed by a senior doctor and a senior pharmacist, both of whom must be involved in developing the direction. In addition, the relevant body, as set out in the legislation, must authorize the PGD. In practice, Clinical Governance Leads are likely to be appropriate, but they can only do so as named individuals. The information that must be contained in all PGDs is listed below: Name of the business to which the direction applies; Date the direction comes into force and the date it expires; Description of the medicine(s) to which the direction applies; Class of health professional who may supply or administer the medicine; Signature of a doctor and a pharmacist; Signature on behalf of an appropriate organization; Clinical condition or situation to which the direction applies; Description of those patients excluded from treatment under the direction; Description of the circumstances in which further advice should be sought from a doctor, and arrangements for referral; Details of appropriate dosage and maximum total dosage, quantity, pharmaceutical form and strength, route and frequency of administration, and minimum or maximum period over which the medicine should be administered; Relevant warnings, including potential adverse reactions; Details of any necessary follow-up action; and the circumstances; Statement of the records to be kept for audit purposes. Examples of PGDs relevant to podiatric surgery are shown in Appendix C.
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Certain analgesics can be accessed and supplied by podiatrists in the course of their professional practice, some of which are prescription-only medicines. Any health care professional who trains to be a supplementary prescriber could prescribe prescription-only analgesics if it was appropriate to the individual clinical management plan.
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Since the late the management of radiotherapy side effects, such as pain; rectal symptoms, constipation, diarrhoea; skin reactions, wound care; oral care; nausea and vomiting. They are also beginning to use PGDs for X-ray contrast agents.
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