Response 626790089

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Your details

Please select from below which best describes you.

Please select one item
(Required)
Radio button: Unticked Individual who takes clozapine
Radio button: Unticked Whānau, family and/or caregiver of an individual who takes clozapine
Radio button: Unticked Medical doctor
Radio button: Unticked Pharmacist
Radio button: Ticked Nurse
Radio button: Unticked 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)
Radio button: Ticked You may publish this submission.
Radio button: Unticked Do not publish this submission.

Nurse - general questions

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

Please select all that apply
Checkbox: Unticked Nurse (excluding mental health nurse) working in hospital
Checkbox: Unticked Nurse (excluding mental health nurse) working in community (including rest homes)
Checkbox: Ticked Mental health nurse working in hospital
Checkbox: Ticked Mental health nurse working in community
Checkbox: Unticked Nurse practitioner working in hospital
Checkbox: Unticked Nurse practitioner working in community
Checkbox: Unticked Dedicated clozapine clinic
Checkbox: Unticked 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
Radio button: Unticked 1 – 10
Radio button: Ticked 11 – 20
Radio button: Unticked 21 – 30
Radio button: Unticked > 31
Radio button: Unticked 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
Radio button: Unticked 0 - 10%
Radio button: Unticked 11 - 20%
Radio button: Ticked 21 - 50%
Radio button: Unticked > 51%
Radio button: Unticked Not applicable

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

Please select all that apply
Checkbox: Ticked Data sheet
Checkbox: Ticked Hospital protocols or guidelines
Checkbox: Ticked National protocols or guidelines
Checkbox: Unticked International protocols or guidelines
Checkbox: Unticked Peer-reviewed journal articles
Checkbox: Unticked Hospital medicine information services
Checkbox: Ticked Ask colleagues (nurses)
Checkbox: Ticked Ask colleagues (other healthcare professionals)
Checkbox: Ticked Clozapine patient education resources (e.g., Consumer Medicines Information leaflet, Healthify (formerly Health Navigator))
Checkbox: Ticked Clozapine Patient Monitoring Services provided by pharmaceutical company
Checkbox: Unticked 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
Checkbox: Unticked Weekly
Checkbox: Unticked 4-weekly
Checkbox: Unticked 12-weekly
Checkbox: Ticked Each work shift
Checkbox: Unticked 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
Checkbox: Ticked Constipation
Checkbox: Ticked Symptoms of infection
Checkbox: Ticked Cardiovascular conditions
Checkbox: Ticked Sedation
Checkbox: Ticked Hypersalivation
Checkbox: Unticked 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
Checkbox: Ticked Patients proactively inform you
Checkbox: Ticked Asking patients directly
Checkbox: Ticked Routine monitoring
Checkbox: Unticked 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?

If you would like to provide any additional information, please provide this below
I would if I had to, but have never had to

Nurse - constipation

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

Please select all that apply
Checkbox: Unticked 0 - 10%
Checkbox: Unticked 11 - 20%
Checkbox: Ticked 21 - 50%
Checkbox: Unticked >51%
Checkbox: Unticked 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
Checkbox: Ticked Yes: regular laxative to be taken at least daily
Checkbox: Unticked Yes: laxative to be taken if required
Checkbox: Unticked No: please provide further information below
Checkbox: Unticked Not applicable or other: please provide further information below

Nurse - haematological monitoring

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

Please provide your answer below
Support client to get bloodwork done
Review results

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

Weekly %
10%
Every 4 weeks %
90%

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
Checkbox: Ticked 0 - 10%
Checkbox: Unticked 11 - 20%
Checkbox: Unticked 21 - 50%
Checkbox: Unticked >51%
Checkbox: Unticked 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
Checkbox: Ticked Routine blood test
Checkbox: Unticked Signs or symptoms that may be indicative of neutropenia resulting in additional blood test
Checkbox: Unticked Not applicable or other: please provide further information below

Nurse - feedback

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

Please provide your answer below
An injectable form of clozapine would be a life changer for many