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The Care Bundle Process

A Care Bundle consists of several structured evidence based processes of care. All processes of the care bundle should be applied to every patient every time.

The Care Bundle elements for DMARDs are as follows:

a. Appropriate Tests
Appropriate tests are carried out in the correct time scale. Has there been appropriate testing as per the NPT protocol?

b. Appropriate Actions (I)
Have the blood tests been reviewed prior to prescription?

c. Appropriate actions (II)
Have appropriate actions been taken and any abnormal results documented in clinical records?

d. Vaccine
Appropriate immunisation – has the patient had a pneumococcal vaccine?

e. Side Effects
Has the patient been asked about any side effects following the last time blood was taken?

f. Full Compliance
Have all the bundle elements been completed?

If on review, the patient passes all tests, then there has been full compliance for that patient.