A2A – Authority to administer

Non-injectable medications e.g. such as pessaries, creams, suppositories, and dressings

An A2A is no longer Required 

Injectable medications

An A2A will not be needed if

                                  I.the prescription, and thus the label, has specific instructions e.g. administer 10-20u twice daily

                                 II.and the request to administer is documented in the medical record

                                III.and the community nurse can see the patient's medical record

For the last condition, the patient will need to have SystemOne medical record, and a share will need to be open with LCHS.  If these conditions are not met, LCHS has requested that an A2A form is completed, and emailed to their Operations Centre.

This policy does not apply to palliative care "just in case" medications for which a gold CD1 form should still be completed.