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Rabies pre and post-exposure prophylaxis pathways
Rabies vaccine and HRIG stock; Prescriptions and record keeping

Update your RDS mobile app to v4.7.2 to download toolkits even when website is down.

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.

Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Rabies vaccine and HRIG stock; Prescriptions and record keeping

NHS Ayrshire & Arran guidelines

NHS Ayrshire and Arran

Rabies vaccine and HRIG stock

Vaccine stock is held in the Vaccine Holding Centre within Ayr Hospital Pharmacy. It can be ordered by emailing aa.clinical_pharmacy_storesvaccine_orders@aapct.scot.nhs.uk. For out of hours, one rabies vaccine is available in each emergency cupboard at UHC and UHA. If further stock is needed then the on call pharmacist can be contacted via NHS AA Switchboard who will obtain further stock from UHA Vaccine fridge (holds 6 vials as stock).

Human Rabies Immunoglobulin (HRIG) is stored centrally (stock obtained through Rarely Used and Urgent Medicines (RUUM) list. This can be ordered by contacting the ward pharmacist. For stock required out of hours, contact the on call pharmacist via NHS AA Switchboard.

Prescriptions and record keeping

Prescriptions for the initial vaccination and HRIG will usually be recorded on the ED Kardex.

Prescriptions and administration records for Rapid Assessment and Care (RAC)/Combined Assessment Unit (CAU) will be maintained on HEPMA.

Vaccinations delivered by the mass vaccination service will be recorded on either a Travel Health risk assessment documentation or a non-routine assessment form and the GP informed by email.

Patient specific directions (PSDs) supplied by the Health Protection Team will be entered into HPzone.