Deliver a professional nasal vestibule infection service through Scripter's structured consultation pathway. Supply: Chlorhexidine with neomycin nasal cream (Naseptin).

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What is Chlorhexidine / neomycin cream (Naseptin)?

Naseptin combines an antiseptic with a topical antibiotic to clear bacterial infection at the entrance of the nostrils. It is applied to both nostrils several times a day for a defined course, and the consultation checks for peanut and soya allergy because the cream contains arachis oil.

The condition it treats

Nasal vestibulitis is infection of the skin just inside the nose, usually with Staphylococcus, causing crusting, tenderness and sometimes a boil. It often follows nose picking, hair plucking or persistent rhinitis, and untreated cases can spread.

How the service runs on Scripter

Patients book online, complete the pre-consultation questionnaire, and the guided pathway walks the practitioner through the nasal vestibule infection consultation with the screening and counselling steps built in. The supply decision, the record and any GP notification are produced in the same flow, documented against the exact protocol version in force.

Training and eligibility requirements.

Who can deliver this service, and who it can be delivered to. The governing PGD document defines the definitive inclusion, exclusion and supply criteria; the Scripter consultation pathway enforces them, and every consultation is documented against the protocol version it ran under.

Practitioner training

✓Registered healthcare professional from a profession authorised to supply under PGDs (Schedule 16, Part 4 of the Human Medicines Regulations 2012), such as a pharmacist, nurse, paramedic or physiotherapist, with current registration with their professional regulator

✓Practising from premises suitable for the service, such as registered pharmacy premises or a registered clinic

✓Assessed clinical competency for this service, declared and reviewed as part of PGD authorisation

✓Sign-off against the current version of this PGD in Scripter before first supply; sign-offs expire automatically when the protocol is updated, and the platform notifies everyone affected

✓In-date basic life support and safeguarding training

✓Indemnity arrangements covering the service

Patient eligibility

✓Patients within the governing PGD's age range with localised nasal vestibule infection

✓Peanut or soya allergy excludes supply; spreading cellulitis, fever or facial swelling referred urgently

✓Course length and application frequency per the governing PGD

✓Counselling on not sharing the tube and on hygiene to prevent recurrence

Chlorhexidine / neomycin cream (Naseptin) PGD questions

Why do you ask about peanut allergy?+

Naseptin contains arachis (peanut) oil, so it cannot be supplied to anyone with peanut or soya allergy; an alternative is advised.

How long is the course?+

Around ten days for infection, applied to both nostrils; the governing PGD sets the exact duration.

When should I seek urgent help?+

Swelling spreading to the cheek or eye, fever, or worsening pain, which can indicate a deeper infection.

Run a nasal vestibule infection service without the paperwork.

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