Injection : Neuroleptic Depot Template

Injection : Neuroleptic Depot Template

💉 Injection : Neuroleptic Depot Template

❓ Why is this important?

Neuroleptic depot injections are long-term treatments requiring careful monitoring and shared care with community mental health teams (CMHT). This template ensures:

  • 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

The template follows the same workflow as the Generic Injection Template:

  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: