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<DIV><SPAN class=062030102-22012007>Erik,</SPAN></DIV>
<DIV><SPAN class=062030102-22012007></SPAN> </DIV>
<DIV><SPAN class=062030102-22012007>This is an excellent question do you think
it should be directed to the Queensland Quality Use of Medicines Group and
through them to the other State QUMs for a wider range of comment?</SPAN></DIV>
<DIV><SPAN class=062030102-22012007></SPAN> </DIV>
<DIV><SPAN class=062030102-22012007>Frank Andinach</SPAN></DIV>
<DIV><SPAN class=062030102-22012007>Kalgoorlie</SPAN></DIV>
<BLOCKQUOTE>
<DIV class=OutlookMessageHeader dir=ltr align=left>-----Original
Message-----<BR><B>From:</B> EriK Van Den Berg
[mailto:erik_vandenberg@health.qld.gov.au]<BR><B>Sent:</B> Friday, 19 January
2007 7:32 AM<BR><B>To:</B> carpa@ozdocit.org<BR><B>Subject:</B> [CARPA] Re:
cardiac thrombolysis in remote areas.<BR><BR></DIV><BR><BR>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>Just wondering if any of the remote areas are keeping and using
Thrombolytics in their clinics for administration by NURSES under the
direction of a remote doctor.</FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><o:p><FONT
face="Times New Roman" size=3> </FONT></o:p></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>In the <st1:place>Cape York</st1:place> area a few of the clinics keep
Tenecteplase but there is no consistant policy as to who, when, how
etc.</FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><o:p><FONT
face="Times New Roman" size=3> </FONT></o:p></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>A quick read of info on the internet shows that paramedics are using
thrombolytics in remote areas of
<st1:country-region><st1:place>Scotland</st1:place></st1:country-region> –
where they may be a few hours away by road from the nearest
hospital.</FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><o:p><FONT
face="Times New Roman" size=3> </FONT></o:p></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>Locally there is some resistance from some people regarding the ability
of remote nurses to manage reperfusion arrhythmia’s.</FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><o:p><FONT
face="Times New Roman" size=3> </FONT></o:p></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>Has any-one else been down this road and managed to get suitable
guidelines and protocols and training in place?</FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><o:p><FONT
face="Times New Roman" size=3> </FONT></o:p></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>If so it would be great to hear about it.</FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><o:p><FONT
face="Times New Roman" size=3> </FONT></o:p></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>Thanks</FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><o:p><FONT
face="Times New Roman" size=3> </FONT></o:p></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>Erik</FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>Erik van den Berg<BR>Outreach Pharmacist<BR>Cairns Base
Hospital</FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT face="Times New Roman"
size=3>PH 4050-6287<BR>FAX 4050-6585</FONT></P><FONT
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