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A review of the practice and position of monitoring in today’s rapid tranquilisation protocols

  • James Innes (a1) (a2) and Lynda Iyeke (a3) (a2)
Abstract
Abstract

Background: Rapid tranquilisation (RT) is one of the highest risk clinical procedures currently undertaken by mental health services, yet it is underpinned by a surprisingly weak evidence base. The evidence base is weaker still when applied to post RT monitoring.

Aims: To review current clinical monitoring practice contained within adult RT documents in the UK.

Method: A review of adult RT documents currently in use in NHS or HSC trusts providing adult mental health services in the UK.

Findings: A total of 44 RT documents were examined. A picture of wide ranging practice was observed that prevented us from undertaking a full analysis of the data collected. Even when analysis was confined to the intramuscular route, there were concerning differences between documents in: when monitoring was initiated; what was being monitored; and the frequency and duration of this monitoring.

Conclusions and implications for clinical practice: There is a fundamental need for consensus in this high risk practice. The College of Mental Health Pharmacists, Royal College of Nursing and Royal College of Psychiatrists should have a key role in fashioning this consensus in both practice and policy.

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Copyright
Corresponding author
Correspondence to: Mr James Innes, Mile End Hospital, Bancroft Rd, London, E1 4DG. E-mail: james.innes@eastlondon.nhs.uk
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Journal of Psychiatric Intensive Care
  • ISSN: 1742-6464
  • EISSN: 1744-2206
  • URL: /core/journals/journal-of-psychiatric-intensive-care
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