Hospice nurses are charged daily with educating their colleagues about the unique care hospice provides, throughout all sites of care. Long term care is no exception.  The Enclara MAPs – Management Algorithm Pharmacopeia, provides a reference tool for that education. The handbook is an experienced and evidence-based resource with the aim of guiding decisions and criteria regarding diagnosis, management and treatment for end of life care. The format and clinical content compliment the nursing process, which is goal-oriented and based on a systematic method of care which requires critical thinking.  The A.D.P.I.E. model (Assess, Diagnose, Plan, Implement and Evaluate) approach to care is replicated in each symptom and condition contained in the handbook.  This clinical practice guideline is in place to raise the quality of care and to assist hospice nurses and our long term care nurse partners in consistently achieving the best results for hospice patients.

New Availability for Pre-Filled Syringes for Facility and Home Based Patients.

Enclara is excited to announce the availability to offer pre- filled oral syringes for the following medications: 

• Haloperidol 2mg/ml:  0.5mg (0.25ml) and 1mg (0.5ml)
• Lorazepam 2mg/ml:  0.5mg (0.25ml) and 1mg (0.5ml)
• Morphine 20mg/ml:  5mg (0.25ml) and 10mg (0.5ml

These new dosage forms offer the accuracy of a pre-measured amount and the convenience for a one time use and disposal.  This option supports the needs of patients and families and ensures accurate dispensing and medication usage.  Utilizing these pre-filled syringes also saves your nurse’s time and improves efficiency. 

For facility based patients such as those in Assisted Living Facilities, Hospice Residence or an IPU, the administration of these new single dose syringes will meet regulations and policies that prohibit multi-dose packaging.  All syringes will be individually labeled and packaged in a patient specific childproof container which can hold up to 10 syringes. 

Please continue to provide feedback on how we can help you better help your patients.