title: Implementation of a nurse practitioner policy for the requisition and administration of drugs in a haemophilia comprehensive care centre.
abstract: The evolution of comprehensive care centres for haemophilia has altered the work of those involved in the care of haemophilia patients. The role of the haemophilia sister has expanded and the concept of the haemophilia nurse specialist has emerged. We describe the implementation of a local policy which has enabled haemophilia nurse specialists to requisition and administer clotting factor concentrates, DDAVP, tranexamic acid and hepatitis vaccines independently, in hospital and community settings. Since the introduction of this policy on 2 August 1994, prescribing practice has not changed in the haemophilia centre, nor has the involvement of medical staff in the care of haemophilia patients. This approach is widely applicable in other centres and should be a logical progression of the haemophilia nurse specialist's role.
authors.affiliation: Department of Haematology, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Department Pharmacist, Department of Haematology, Royal London Hospital, London.Haemophilia Centre, Royal London Hospital, Royal Hospitals Trust, Whitechapel, London E1 1BB.*
authors.forename: M R
authors.initials: MR
authors.lastname: Cahill
authors.affiliation: Department of Haematology, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Department Pharmacist, Department of Haematology, Royal London Hospital, London.Haemophilia Centre, Royal London Hospital, Royal Hospitals Trust, Whitechapel, London E1 1BB.*
authors.forename: C P
authors.initials: CP
authors.lastname: Woosey
authors.affiliation: Department of Haematology, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Department Pharmacist, Department of Haematology, Royal London Hospital, London.Haemophilia Centre, Royal London Hospital, Royal Hospitals Trust, Whitechapel, London E1 1BB.*
authors.forename: S M
authors.initials: SM
authors.lastname: Hayden
authors.affiliation: Department of Haematology, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Department Pharmacist, Department of Haematology, Royal London Hospital, London.Haemophilia Centre, Royal London Hospital, Royal Hospitals Trust, Whitechapel, London E1 1BB.*
authors.forename: M
authors.initials: M
authors.lastname: Mac Clean
authors.affiliation: Department of Haematology, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Haemophilia Nurse Specialist, Haemophilia Centre, Royal London Hospital, London.Department Pharmacist, Department of Haematology, Royal London Hospital, London.Haemophilia Centre, Royal London Hospital, Royal Hospitals Trust, Whitechapel, London E1 1BB.*
authors.forename: B T
authors.initials: BT
authors.lastname: Colvin
keywords: DDAVP; clotting factor concentrates; haemophilia nurse specialist; hepatitis vaccines; tranexamic acid