SA¹ú¼Ê´«Ã½

Tuesday 15 July 2025
Salisbury Foundation Trust

FOI_8604

Internal Reference Number: FOI_8604

Date Request Received: 22/04/2025 00:00:00

Date Request Replied To: 15/05/2025 00:00:00

This response was sent via: By Email

Request Summary: IV Morphine use in the Emergency Department

Request Category: Health




 
Question Number 1:
Please can you confirm the emergency departments (ED) within your trust - both their name and address.
 
Answer To Question 1:
SA¹ú¼Ê´«Ã½, Odstock Road, Salisbury, Wilts. SP2 8BJ
 
Question Number 2:
In each of your EDs are your registered nurses (RN) allowed to give intravenous (IV) morphine.
 
Answer To Question 2:
Yes
 
Question Number 3:
In each of your EDs are your registered nurses allowed to give intravenous (IV) diamorphine.
 
Answer To Question 3:
Yes, although not common practice to give this IV, normally IN (intra nasal)
 
Question Number 4:
In each of your EDs are your registered nurses allowed to give intravenous (IV) fentanyl.
 
Answer To Question 4:
Yes
 
Question Number 5:
If RNs are allowed to give either IV Morphine, IV Diamorphine or IV Fentanyl - did they undertake a specific drug training package?
 
Answer To Question 5:
There is trust training from the pain team around giving IV morphine safely.
 
Question Number 6:
If so which drug, was it for?

Would you be able to share this training package.
 
Answer To Question 6:
Morphine.

Attached is the specific training slides (part of a much longer PowerPoint) that our Acute Pain Team use to provide IV morphine training, along with the competency document that nurses in specific areas are expected to achieve. They need to adhere to the "Administration of Bolus Dose intravenous morphine" policy which is available on EOLAS. Please use the following link to locate the Guidelines as follows;

https://app.eolasmedical.com/auto-login/EOLAS%23ORG%23staging-salisbury-nhs-foundation-trust%231120b4c7-8856-4520-934a-f2778c95fc7a%23860230f5-00eb-4248-8db4-c71d458f6f81

And navigate to SA¹ú¼Ê´«Ã½ > Hospital Guidelines > Adult Surgery > Acute Pain > Administration of bolus dose of intravenous morphine

The training is part of a much longer session around opiates in general, so we will already have covered the side effects of opioids before we get to the safe administration of IV morphine part.


To accompany this answer to question 6 please also see the documents listed below:

 8604 IV morphine training slides.ppt
 8604 IV opioids competency Updated 2023.doc
 
Question Number 7:
If they are not allowed to give IV Morphine, IV Diamorphine or IV Fentanyl who is allowed to give each of the drugs?
 
Answer To Question 7:
N/A
 
Question Number 8:
For each of the drugs are there any specific areas where the drugs can only be given with in the ED?
 
Answer To Question 8:
The Trust would only give these in trolley spaces so resus or majors
Please see Attachments:
 
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Our staff at SA¹ú¼Ê´«Ã½ Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.

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