💉 Injection Templates in Medicus

❓ Why is this important?

• Patient safety – recording risks, consent, safety checks, and outcomes

• Clinical governance – standardised records across all injection types

• Contractual compliance – ensuring Local Enhanced Service (LES) activity is coded correctly

• Audit and medico-legal protection

📊 High-level overview of what’s available

1. Generic Injection Template

   • For use with most routine injections where no condition-specific template applies.

   • Covers pre-procedure, administration, and post-procedure workflow.

   • Includes standard coding for injection events.

2. Condition-Specific Injection Templates
   These build on the generic structure but include tailored fields for specific drugs or services:

   • B12 Injections – includes indication, loading vs maintenance course, symptoms, and blood test review

   • Methotrexate Injections – includes pre-dose checks (FBC, LFTs, U&Es, infection, pregnancy), folic acid cover, and toxicity counselling

   • Denosumab Injections – includes calcium/vitamin D status, renal function, and dental risk checks

   • Hormone Injections – includes indications (oncology, endometriosis), pregnancy status, side-effect counselling, and bone health monitoring

   • Neuroleptic Depot Injections – includes responsibility for care (practice vs CMHT), safety monitoring, site rotation, and recall management

📌 What do you need to know?

🧾 Local Enhanced Service (LES) Sections

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

• This ensures activity is coded correctly for claiming and audit.

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

🛠️ Workflow for All Injection Templates

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

2. Administration – drug, dose, route, site, needle size, technique (e.g. Z-track, aseptic)

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

💡 Hints and Tips

• Always use the condition-specific template when available – this ensures additional checks (e.g. methotrexate labs, denosumab dental health) are completed.

• If no specific template exists, use the Generic Injection Template.

• Document consent and risks consistently – protects both patient and clinician.

• For ongoing therapies (e.g. depot injections), use recall/future action entries to support continuity.

👉 Next steps:

• Generic Injection Template
  

• B12 Injection Template
  

• Methotrexate Injection Template
  

• Denosumab Injection Template
  

• Hormone Injection Template
  

• Neuroleptic Depot Injection Template