💉 Injection : Hormone Template

❓ Why is this important?

• Safe prescribing and administration – with pregnancy checks and anti-androgen cover where appropriate

• Oncology monitoring – including PSA or treatment plans

• Patient counselling – about side effects, bone health, and contraception

• Accurate coding – for audit and continuity of care

📊 High-level overview of the template structure

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

2. Administration details – type of hormone therapy, route, site, technique

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

It also includes hormone-specific sections:

• Indication (prostate cancer, endometriosis, breast cancer, other)

• Oncology monitoring plan (PSA or specialist plan)

• Pregnancy status checked (not pregnant, excluded by test, or not applicable)

• Side-effect counselling (hot flushes, mood changes, injection site reactions, reduced bone density, sexual dysfunction, contraception advice)

• Anti-androgen cover (already given, not indicated, declined, or not applicable)

• Bone health plan (DEXA scan, vitamin D/calcium advice, under specialist care)

• Course status (started, continued, completed, stopped)

📌 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 claim submission.

• No separate LES template is needed.

🛠️ Pre-procedure

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

• Consent obtained and recorded

• Injection under PGD or PSD

• 6 safety checks completed

• Vaccine cold chain confirmed (if relevant)

💉 Administration

• Record if injection or implant given: SC, IM, or implant insertion

• Site: abdomen (left/right) or other

• Technique helpers: aseptic technique, Z-track/skin tent, local anaesthetic

• Confirm injection/implant delivered using recommended technique

✅ 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 check pregnancy status before administration.

• For prostate cancer, consider anti-androgen cover at initiation.

• Document a clear oncology monitoring plan (PSA or specialist input).

• Provide side-effect counselling and written information.

• Record bone health plan (DEXA, vitamin D, calcium).

• Use the LES section (if present) for coding and claims – it appears automatically.

👉 See also:

• Generic Injection Template
  

• B12 Injection Template
  

• Methotrexate Injection Template
  

• Denosumab Injection Template
  

• Neuroleptic Depot Injection Template