💉 Injection: Not type specific Template

❓ Why is this important?

• Patient safety – with risks, consent, and 6 safety checks recorded

• Consistency – one workflow for all injections, avoiding missed steps

• Audit and medico-legal protection – comprehensive records of administration

• Compliance with Local Enhanced Services (LES) – where applicable, a separate section is automatically included at the top of the template to record and code claimable activity

Use this template when giving a routine injection where no condition-specific template is available.

📊 High-level overview of the template structure

1. Pre-procedure checks – risks, consent, 6 safety checks, cold chain (if relevant)

2. Administration details – drug, dose, route, site, needle size, technique

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

📌 What do you need to know?

🧾 Local Enhanced Service (LES) Section

• Where a Local Enhanced Service exists (e.g. for certain high-value drugs), the LES coding and claim section is automatically shown at the top of the template.

• Users do not need to find a separate template for LES submissions.

🛠️ Pre-procedure

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

• Consent obtained and recorded

• Injection given under PGD or PSD

• 6 safety checks completed: patient identity, allergies, medicine, dose, route/timing, equipment (anaphylaxis kit ready)

• Vaccine cold chain confirmed (if relevant)

💉 Administration

• Route of administration: IM, SC, intradermal, or unspecified injection

• Specify other injection if not listed

• Injection site: left/right deltoid, thigh, or other

• Record needle size if required

• Injection given as prescribed (with tolerance documented)

✅ Post-procedure

• Immediate outcome: no reaction, faintness, pain/swelling, allergic reaction

• Sharps disposed of safely

• Aftercare advice: monitor for swelling, pain, allergic symptoms, fever; seek help if concerns

• Suspected adverse reaction → reported via MHRA Yellow Card

💡 Hints and Tips

• Use this template for all injections without a dedicated template.

• For B12, Methotrexate, Denosumab, Hormone therapy, or Neuroleptic depot, use the specific templates (these include mandatory extra checks).

• Always document risks and consent before proceeding.

• Use recall/future action entries where injections are part of an ongoing course.

👉 See also:

• B12 Injection Template
  

• Methotrexate Injection Template
  

• Denosumab Injection Template
  

• Hormone Injection Template
  

• Neuroleptic Depot Injection Template