Guidance for paramedics administering prescription only medication

Yellow kit bag

Following on from the guidance released about accountability (,, we have put together advice on whether paramedics must travel with a patient when they administer prescription-only medication, including morphine.

The key principles for consideration are: 

  • you consider the needs of the patient and ensure they can be met without a paramedic
  • you consider the potential risk of the medication given to the patient such as diazepam and respiratory depression
  • any delegation or handover of care is explained by the paramedic and accepted by the other clinician
  • any known or predictable risk or deterioration of the patient where intervention is required
  • all decisions are appropriately documented including the drug record books.

These principles can be applied to all medications that may be administered and considered on a case by case basis.

If you have any questions, please contact your area clinical lead or the Clinical Advice Line.

Published 17th  August, 2017

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