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‘Just in case’ (JIC) medication for patients transferring out of the RUH
The Specialist Palliative Care Team in the RUH are keen to improve the quality of transfer of patients who wish to die in their own home or nursing home. Part of this is to ensure that patients have access to ‘just in case’ (JIC) medication if needed soon after leaving hospital. There are clear procedures in place in the community for this, but it is best practice for the staff most recently involved in the care to take responsibility for ensuring the following is in place:
- The patient wishes to be at home
- It is anticipated that they may deteriorate quickly and do not already have JIC medication in their home or nursing home
- Medication supplied in a pack with syringes and needles and a prescription / administration form signed by the hospital doctor that is valid for up to 7 days for community staff – this will allow medication to be given if needed prior to the community procedure being put in place
- Morphine supplied for JIC and in syringe driver if in place on transfer
For patients who are transferring home for care towards the end of life, but are not anticipated to deteriorate quickly, it is suggested that the community follow their own procedure for JIC medication. If anyone has any concerns, wants further information or wishes to provide feedback please contact: RUH Specialist Palliative Care Team, 01225 825567. For documents relating specifically to RUH Just In Case follow link
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