Mater Emergency Research in Children and Youth

Pharmaco-governance of INF use in children in QLD Emergency Departments

Amie Lloyd-Jones4th Year BPharm Student

Mater Children’s ED Research Clinic [date]

Presenter introduction– 4th year pharmacy student– Here on a 4 week university placement– Placement has a QUM focus

Short Title

Mater Children’s ED Research Clinic [date]

• Children in pain receive less analgesia than adults (1)

• IV morphine – gold standard for strong pain in children

• IN fentanyl – alternative to IV morphine (no needles!)

• IN fentanyl use is off-label and off-licence

Background

Mater Children’s ED Research Clinic [date]

• RCT – Borland et al 2007• Demonstrated INF = IV morphine• Fentanyl – safe and efficacious in children

Background

Mater Children’s ED Research Clinic [date]

Short Title

Aims:1. To use the opportunity of this elective placement to promote and contribute to the quality use of medicines.2. To characterise the pharmaco-governance of intranasal fentanyl in Queensland Emergency Departments having at least 1000 paediatric attendances per annum.

Mater Children’s ED Research Clinic [date]

Short Title

• Dr David Herd• Aaron Basing• Amie Lloyd-Jones

Mater Children’s ED Research Clinic [date]

Study method

• Participants – QLD Emergency Departments having at least 1000 paediatric attendances in 2009

• 5 minute phone interview– Is INF used– Can nurses initiate– Does policy exist– Inclusion/exclusion criteria and doses

Mater Children’s ED Research Clinic [date]

Short Title

• Outcomes– Primary

• Power

– Secondary

Mater Children’s ED Research Clinic [date]

Title

Discussion points