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For in-patients, the use of all as required psychotropics should be reviewed at each MDT and an individualised as required care plan developed.
Only administer as required psychotropic drugs for the prescribed indication and then only if non-pharmacological approaches have failed or are inappropriate.
If a patient is prescribed more than one as required psychotropic drug for the same indication, avoid administering combinations if possible and always allow sufficient time for one drug to take effect e.g. 30-60 minutes before administering a second drug.
All details pertaining to each administration should be recorded in the patient’s case record i.e. the chronological account of care on the in-patient EMIS record. All use of as required psychotropic drugs should be recorded on the EMIS template. The details recorded must include;
Feedback on cumulative as required psychotropic use will be discussed for each patient at each multi-disciplinary team meeting. This will facilitate appropriate review of the treatment plan.
Last reviewed: 29 August 2019
Next review: 01 February 2021
Approved By: PMG-MH
Reviewer Name(s): Andrew Walker, Suzanne Burke