title: Pro Re Nata (PRN) prescription in an Inpatient Low Secure Learning Disability Unit.
abstract: BACKGROUND
  Pro Re Nata (PRN) prescribing in psychiatry is a common and valuable facility to be used in acutely distressed patients. It is open to misuse and PRN prescribing may be unnecessary/inappropriate.
  
  
  OBJECTIVE
  The aim of the audit is to ensure safe and effective prescription of PRN medication.
  The standards were set in congruence with the guidance from the local trust policy.
  
  
  METHODS
  All of the inpatient records at Wood Lea clinic were studied over a 2 month period.
  
  
  CONCLUSIONS
  Most of the standards against which the clinical notes were assessed gave evidence of good medical practice. Patient demographics demonstrated a 100% record of the NHS number but the patient's name and ward fell short.
  
  
  CONCLUSIONS
  This was presented locally and measures put in place to address gaps. Re-audit should be performed within a year in order to complete the audit cycle and to ensure that recommendations/action plan have been followed through.
authors.affiliation: Twinwoods Medical Centre, Milton Road, Clapham, Bedfordshire, MK417FL, Bedford, UK, Dthalitaya@yahoo.com.
authors.forename: Madhusudan Deepak
authors.initials: MD
authors.lastname: Thalitaya
authors.forename: Vaishali
authors.initials: V
authors.lastname: Tirumalaraju
authors.forename: Sujanita
authors.initials: S
authors.lastname: Thyagarajan
authors.forename: Nandi
authors.initials: N
authors.lastname: Reddy
authors.forename: Sutharsan
authors.initials: S
authors.lastname: Raju
authors.forename: Muhammad
authors.initials: M
authors.lastname: Iqbal
mesh_terms: D015897:Comorbidity; D004282:Documentation / Q000592:standards; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D004739:England; D006801:Humans; D008607:Intellectual Disability / Q000188:drug therapy*; D008485:Medical Audit; D008501:Medical Records, Problem-Oriented / Q000592:standards; D001523:Mental Disorders / Q000188:drug therapy*; D010818:Practice Patterns, Physicians'; D011567:Psychiatric Department, Hospital; D011619:Psychotropic Drugs / Q000009:adverse effects / Q000627:therapeutic use*
chemical_list: D011619:Psychotropic Drugs