Guidance on the cascade
Obtaining informed consent for the use of medicines under the cascade
Informed consent should be obtained whenever medicines are used under the cascade. While consent can be given orally, members are encouraged to obtain signed consent for the use of these medicines. Extemporaneous clinical notes can be made to record how clients have been informed and how consent was obtained. Client information leaflets form an important basis of informing clients about the use and adverse events that may be seen with medicines used under the cascade.
If you are part of the RCVS Practice Standards Scheme, assessors will expect to see completed written consent forms
Special considerations for the responsible use of antibiotics under the cascade
The VMD have special guidance relating to the use of antibiotics under the cascade that mean it is justified to prescribe an antibiotic on the cascade in the interests of minimising the development of resistance to ensure the most appropriate antibiotics are used.
Further details are encapsulated in BEVA's responsible use PROTECTME toolkit