💉 Injection: B12 Template

❓ Why is this important?

• Safe administration – with pre-procedure risks, consent, and safety checks recorded

• Appropriate monitoring – linking indication, symptoms, and blood test review

• Correct coding – for both loading and maintenance courses

• Continuity of care – standardised documentation across repeated appointments

📊 High-level overview of the template structure

1. Pre-procedure checks – risks, consent, 6 safety checks

2. Administration details – injection reason, treatment stage, route/site, needle size

3. Post-procedure documentation – outcome, advice, sharps disposal, Yellow Card if required

It also includes B12-specific sections:

• Reason for therapy (pernicious anaemia, dietary deficiency, post-gastrectomy, other)

• Symptoms reviewed (fatigue, neuropathy, cognitive changes, or none)

• Blood tests checked/reviewed

• Treatment stage (loading vs maintenance course)

📌 What do you need to know?

🧾 Local Enhanced Service (LES) Section

• Where a Local Enhanced Service exists, a section will automatically appear at the top of the template.

• This ensures correct coding and claiming for B12 injection activity.

• You do not need to search for or open a separate LES template.

🛠️ Pre-procedure

• Risks discussed (pain, bleeding, infection, allergic reaction, fainting)

• Consent obtained and recorded

• Injection given under PGD or PSD

• 6 safety checks completed

• Vaccine cold chain confirmed (if relevant)

💉 Administration

• Record when B12 injections are started or stopped (coded appropriately)

• Document whether the injection is part of a loading course or maintenance course

• Site: left/right deltoid or thigh

• Needle size (optional text entry)

• Confirm injection given as prescribed and tolerated

✅ Post-procedure

• Outcome: no reaction, faintness, pain/swelling, allergic reaction

• Sharps disposed of safely

• Aftercare advice documented

• Yellow Card submitted if adverse reaction suspected

💡 Hints and Tips

• Always record the reason for B12 therapy – this is important for audit and coding.

• Review and document symptoms at each appointment – particularly fatigue, neuropathy, or cognitive changes.

• If starting treatment, clearly record loading course vs maintenance course.

• Use the LES section (where available) for activity recording – it appears automatically.

• For long-term maintenance, consider adding a recall/future action to support continuity.

👉 See also:

• Generic Injection Template
  

• Methotrexate Injection Template
  

• Denosumab Injection Template
  

• Hormone Injection Template
  

• Neuroleptic Depot Injection Template