💉 Injection : Neuroleptic Depot Template

❓ Why is this important?

• Safe administration – with allergies, mental state, and observations checked before injection

• Continuity of care – documenting whether responsibility lies with GP or CMHT

• Accurate records – of site, rotation, and technique for repeated administration

• Audit and coding – supporting safe handover and medico-legal protection

📊 High-level overview of the template structure

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

2. Administration details – responsibility for care, site, technique, needle size

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

It also includes neuroleptic depot–specific sections:

• Managing team: GP practice or CMHT

• Whether given on a home visit

• Whether depot provided to a patient from another practice

• Pre-injection safety checks: allergies, mental state, physical observations

• Notes on side effects / extrapyramidal symptoms (EPS)

• Confirmation of depot given or not

• Injection site: deltoid or gluteal, with site rotation option

• Technique options (e.g. Z-track)

📌 What do you need to know?

🧾 Local Enhanced Service (LES) Section

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

• This ensures depot activity is coded correctly for claims.

• You do not need to use a separate LES template.

🛠️ 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)

• Additional checks: allergies, mental state, and physical observations

💉 Administration

• Record if depot injection given today

• Site: left/right deltoid or gluteal

• Confirm site rotation used

• Technique: Z-track (if applicable)

• Needle size (optional)

✅ Post-procedure

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

• Sharps disposed of safely

• Aftercare advice provided

• Yellow Card submitted if adverse reaction suspected

💡 Hints and Tips

• Always record which team (GP or CMHT) is responsible for prescribing and monitoring.

• Use site rotation consistently to reduce injection-site complications.

• Document mental state and physical checks before each injection.

• Capture EPS or other side effects in free text for continuity.

• Use the LES section (if available) to ensure correct coding and claims.

• For shared-care patients, ensure documentation is consistent across GP and CMHT records.

👉 See also:

• Generic Injection Template
  

• B12 Injection Template
  

• Methotrexate Injection Template
  

• Denosumab Injection Template
  

• Hormone Injection Template