Tardive Dyskinesia Screening

[shlay51]

I had the DON point out that a resident is on PRN Compazine and was questioning why we haven't done a TD screen on him. When I took over my position from the previous person I was told only one resident required a TD screen d/t a medication she was on. Compazine is on the list of those requiring the TD screen, but he has not taken it since I started, which was in November 2015. I have tried to find the answer to this question by asking others and searching online, but I am unable to find it. Does anyone know if it is required if he hasn't taken it and it is just a PRN order or if it has to be done if he were to start taking it. Any insight would be greatly appreciated.

Thanks!!

[jannetdc]

Antiemetics such as metoclopramide and promethazine that used to treat GI disorders are SSRI antagonist.

[hppygr8ful, ASN, RN, EMT-I]

Tardive Dyskinesia developed over time from frequent use of certain SSRI antagonist and psych meds. If the med is only PRN and given infrequently as you suggest the likelihood of TD is small - it would be a matter of your facilities policies and procedures to address. Now if they are getting medication daily the risk for TD which can become irreversible increases and more frequent screening required. Again this is a matter of policy and procedure in your facility on how often this would be done. Unless sudden involuntary body movements begin to occur most of the psych facilities I have worked at do informal screening as part of the daily assessment. Most of our patients are with use 3 to 14 days.

Hppy

[TBohmRN, RN]

I would think if it hasn't been used, it wouldn't pose a threat, therefore you wouldn't need ongoing screening. HOWEVER, the first thing I would do is DC the order for PRN Compazine due to non-usage if it had been that long.