Folic Acid High Dose Reminder (HP008)

Folic Acid High Dose Reminder (HP008)

Folic Acid High Dose Reminder (HP008)

Overview/Purpose

This protocol ensures that users are informed of the need for a patient to have high dose folic acid if:

  1. There is a BMI of >30
  2. They are diabetic
  3. They have coeliac disease
  4. They have a personal or family history of Spina Bifida
  5. They have epilepsy
  6. They have sickle cell disease
  7. They have Thalassaemia

What does it do?

  • When low dose folic acid is selected in women under the age of 50 the user is alerted if any of the above issues exist

Why is it important?

There is a multitude of different evidence about high dose folic acid in pregnancy, this alert brings all of this information together into one place:
  1. There is a previous baby with, personal or family history of a neural tube defect (NICE)
  2. Have diabetes (NICE)
  3. Have epilepsy or are on epileptic medication (NICE)
  4. Have Sickle Cell Disease
References
Oteng-Ntim et al. Sickle cell disease in pregnancy. Curr. Obs. & Gynae.2003;13(6): 362-368
Denison FC, Aedla NR, Keag O, Hor K, Reynolds RM, Milne A, Diamond A, on behalf of the Royal College of Obstetricians and Gynaecologists. Care of Women with Obesity in Pregnancy. Green-top Guideline No. 72. BJOG 2018; https://doi.org/10.1111/1471-0528.15386.000:1-45.

What does it look like?

See below screenshot which shows an example of the protocol in use:


Following the initial alert, an alert box is shown:


Which when the user hovers over gives more detail:



System Dependencies

Relies on using the clinical system to code appropriate diagnoses.

System Triggers

System trigger: Select a Drug
Drug: All low dose folic acid preparations
Run mode: Always run
Enable trigger for: All staff

Change management considerations

Your team need to understand the requirements for high dose folic acid.

How to get it

This protocol is automatically installed in your system.  If you are waiting for installation and want us to prioritise your site, please submit a ticket to request this.


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