Restrictive Practice Recommended Prescribing Consent and Potential Example Controls Person(s) Endorsement Refer to individual to the individual Medical practitioner Person with Benzodiazepines Consent: product information product information but or psychiatrist. capacity to give consent May be prescribed short-term for but may include: generally would include: or their relative or severe symptoms in a number of guardian. conditions (including anxiety, Respiratory Observation • • psychosis, bi-polar, schizophrenia, depression including monitoring If the person is resisting epilepsy, severe obsessive for side effects or objecting to the Excessive • compulsive disorder (OCD), and (when medication medication, the consent sedation periods of medication changeover). commenced, of an appointed guardian Confusion • At times, Benzodiazepines may be increased, or with relevant powers as Disinhibition/ • prescribed long-term for some ceased). per Section 32 of the agitation. chronic psychiatric conditions. Guardianship and Awareness of • Administration Act 1993 Some common Benzodiazepines toxicity symptoms. is also required. are: Regular medical • Endorsement: The review. Diazepam • delegated restrictive Avoid continuous Clonazepam • • practices compliance use. Temazepam • officer. Midazolam can Midazolam • • cause rapid and (when not prescribed for seizure severe management) Medazolam and respiratory other sedatives can be used to depression. override consent to, and/or enforce compliance with medical treatment. If this is the case, then this requires relevant powers as per Section 32. Restrictive Practice Recommended Prescribing Potential Risks Consent and Endorsement Example Controls Person(s)
Restrictive Practice Example Potential Recommended Controls Prescribing Person(s) Consent and Endorsement Benzodiazepines May be prescribed short-term for severe symptoms in a number of conditions (including anxiety, psychosis, bi-polar, schizophrenia, epilepsy, severe obsessive compulsive disorder (OCD), and periods of medication changeover). At times, Benzodiazepines may be prescribed long-term for some chronic psychiatric conditions. Some common Benzodiazepines are: • Diazepam • Clonazepam • Temazepam • Midazolam (when not prescribed for seizure management) Medazolam and other sedatives can be used to override consent to, and/or enforce compliance with medical treatment. If this is the case, then this requires relevant powers as per Section 32. Refer to individual product information but may include: • Respiratory depression • Excessive sedation • Confusion • Disinhibition/ agitation. • Midazolam can cause rapid and severe respiratory depression. to the individual product information but generally would include: • Observation including monitoring for side effects (when medication commenced, increased, or ceased). • Awareness of toxicity symptoms. • Regular medical review. • Avoid continuous use. Medical practitioner or psychiatrist. Consent: Person with capacity to give consent or their relative or guardian. If the person is resisting or objecting to the medication, the consent of an appointed guardian with relevant powers as per Section 32 of the Guardianship and Administration Act 1993 is also required. Endorsement: The delegated restrictive practices compliance officer. Restrictive Practice Example Potential Risks Recommended Controls Prescribing Person(s) Consent and Endorsement
restrictive-practices-reference-guide-south-australian-disability-sector.docx