Major Incident Patient Group Directions
The Department of Health has specific PGDs to be used by paramedics in the case of major incidents. These can be accessed in a number of ways, the most common is either on the Dept of Health website (see link belwo) or the Ambulance Service Trust web site for which the paramedic works for.
Although all HART and CBRN teams would already have signed the service form for administration of the PGD many may not have. it is important that all paramedics seek advise through their clinical supervisor to ensure they have signed the PGD. Although in some instances the ambulance services will state that it is not essential as in the case of a major incident there is a blanket cover. Either way, just confirm which.
Patient Specific Directions
PSD is similar to a PGD in as much as it allows a clinician to supply and or administer a drug which isn't on the national list. The difference is (as the title suggests) it is for one specific patient under predefined circumstances.