Does accreditation improve pro re nata benzodiazepines administration in psychiatric inpatients? Pre-post accreditation medical record comparison

Table 1 The clinical practise for the guidelines for the administration of PRN psychotropic applied at KKUH psychiatric in patients^a

After patient admission, all current medications should be documented and reciewed by the admitting team for medication reconciliation
Use of regular medications for individual patients as PRN is always recommended. Polypharmacy is discouraged
When handling a patient’s difficult behaviour, before resorting to PRN medications, alternative interventions (e.g., counseling) should be attempted
For each patient, the treating psychiatrist should complete the medication orders with the required regimen of PRN medication as soon as possible
Patient accepting oral PRN medications and appropriately responding to it should not be given an injection
Administered PRN medication and its response should be clearly documented
After administered PRN medications, the nurse in charge should monitor the vital signs at least hourly and watch for extrapyramidal side effects
If the nurse has any concern, he/she should immediately inform the treating phychiatrist and ask for a medical evaluation

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