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Antipsychotic Focused Surveys

cgalloway cgalloway (New) New

As all of us know in LTC, the focus is on decreasing/eliminating antipsychotic use in the elderly, unless an appropriate diagnosis is in place. We have always been taught that you should not administer PRN antipsychotics without the resident being on a schedule dose. I am looking for that in writing to be able to submit to the court Physician who thinks it's ok to administer prn antipsychotics but is not in favor of a scheduled dose. I have searched and searched the web, my Long Term Care survey book, and my own state regulation manual but with no luck. If anyone knows where I could find something in writing, could you please steer me in the right direction? Much appreciated and thanks for all you do each and every day!

Peepershops

Has 40 years experience. Specializes in Long Term Care, Expert Witness.

You could call the state agency and ask them if they have something in writing they could fax to you.

Our docs will occasionally prescribe PRN antipsychotics without a scheduled dose and I think it can work quite well at times. Talk to your doctor about it- why does he do it? Just because it's a big push to get rid of antipsychotics doesn't mean it's always the right thing.

CapeCodMermaid, RN

Has 30 years experience. Specializes in Gerontology, Med surg, Home Health.

Call your pharmacy consultant. He/She would know the regulation.

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