Response 433436189

Back to Response listing

Your details

Please select from below which best describes you.

Please select one item
(Required)
Individual who takes clozapine
Whānau, family and/or caregiver of an individual who takes clozapine
Medical doctor
Pharmacist
Nurse
Other healthcare professional

We intend to publish the submissions from this survey, but we will only publish your submission if you give permission. We will remove personal details such as email addresses and the names of individuals, and any other information that you tell us to remove. If you do not want your submission published, please let us know below.

Please select one item
(Required)
You may publish this submission.
Do not publish this submission.

Nurse - general questions

Please describe your current role (Click all that apply).

Please select all that apply
Nurse (excluding mental health nurse) working in hospital
Nurse (excluding mental health nurse) working in community (including rest homes)
Mental health nurse working in hospital
Mental health nurse working in community
Nurse practitioner working in hospital
Nurse practitioner working in community
Dedicated clozapine clinic
Other role: please provide further information about your role and location below

Approximately, how long have you been looking after people who take clozapine?

Duration (years)
15 years

Approximately, how many people who are on clozapine do you currently look after?

Please select one item
1 – 10
11 – 20
21 – 30
> 31
Not applicable or other: please provide further information below

Of these people, approximately what proportion have been treated with clozapine for over 1 year on a continuous basis?

Please select one item
0 - 10%
11 - 20%
21 - 50%
> 51%
Not applicable

Which resources do you use for information about clozapine in your everyday role? (Click all that apply)

Please select all that apply
Data sheet
Hospital protocols or guidelines
National protocols or guidelines
International protocols or guidelines
Peer-reviewed journal articles
Hospital medicine information services
Ask colleagues (nurses)
Ask colleagues (other healthcare professionals)
Clozapine patient education resources (e.g., Consumer Medicines Information leaflet, Healthify (formerly Health Navigator))
Clozapine Patient Monitoring Services provided by pharmaceutical company
Other resources: please provide further information below

Nurse - clozapine side effects

In general, how often do you ask patients if they are experiencing any potential side effects of clozapine? (you may select more than one option)

Please select all that apply
Weekly
4-weekly
12-weekly
Each work shift
Not applicable or other: please provide further information below

Which clozapine side effects do you usually ask about? (Click all that apply)

Please select all that apply
Constipation
Symptoms of infection
Cardiovascular conditions
Sedation
Hypersalivation
Other side effect: please provide further information below

In general, how are potential clozapine side effects identified? (Click all that apply)

Please select all that apply
Patients proactively inform you
Asking patients directly
Routine monitoring
Not applicable or other

If your patients have an adverse reaction to clozapine, do you report it to the Centre for Adverse Reactions Monitoring (CARM) New Zealand?

Please select one item
Yes
No
Not applicable or other

Nurse - constipation

Approximately, what proportion of your patients experience constipation with clozapine?

Please select all that apply
0 - 10%
11 - 20%
21 - 50%
>51%
Not applicable or other: please provide further information

Do you routinely recommend, prescribe and/or administer laxatives to patients taking clozapine?

Please select all that apply
Yes: regular laxative to be taken at least daily
Yes: laxative to be taken if required
No: please provide further information below
Not applicable or other: please provide further information below

Do you have anything you wish to tell us about clozapine associated constipation? (e.g., patients needing hospital treatment or had to stop clozapine due to bowel problems, challenges with monitoring or treating constipation)

Please provide your answer below
Nil

Nurse - haematological monitoring

Please tell us more about your role in haematological monitoring of clozapine (if applicable).

Please provide your answer below
I am the clozapine coordinator for the services.

Approximately, what proportion of your current clozapine patients are on weekly, fortnightly, or 4-weekly haematological monitoring?

Weekly %
0
Every 4 weeks %
100
Not applicable or other: please comment
Nil

Approximately, what proportion of your current patients have had to interrupt or discontinue clozapine due to an abnormal blood test result?

Please select all that apply
0 - 10%
11 - 20%
21 - 50%
>51%
Not applicable or other: please provide further information below

In patients who have experienced agranulocytosis with clozapine, how was this mostly identified?

Please select all that apply
Routine blood test
Signs or symptoms that may be indicative of neutropenia resulting in additional blood test
Not applicable or other: please provide further information below

Is there anything you would like to tell us about the benefits or challenges around the mandatory haematological testing?

Please provide your answer below
Nil

How could the current haematological testing requirements for clozapine be improved?

Please provide your answer below
Lab technician informs prescriber asap

Nurse - feedback

Do you have any other feedback or information about clozapine that you would like to tell us?

Please provide your answer below
Nurse practitioner should be able to tale over clozapine care when patient is stable on clozapine and is discharged from mental health services.