What is a mock inspection?

 In Feature article, Improving Compliance, Mental Health, New Ashtons Services, New Product, Quality Management

The recent launch of the Ashtons Mock Inspection service has been very successful. The audits carried out by our team of experienced pharmacist inspectors have identified some excellent practice in the hospitals that they have visited, as well as finding some issues that required attention.

It’s important to note that the purpose of a mock inspection isn’t restricted to finding things that are wrong and require improvement, but also to confirm where the practice is good. The mock inspection reports are therefore, providing quality assurance as well as identifying potential regulatory compliance issues

A common problem is concerning the prescribing, administration, and recording of PRN (when required) medication. In many cases, the PRN medication is prescribed on the prescription chart with insufficient guidance for nurses on the circumstances for administration or what additional monitoring, if any, should be carried out.

A common problem is concerning the prescribing, administration, and recording of PRN (when required) medication. In many cases, the PRN medication is prescribed on the prescription chart with insufficient guidance for nurses on the circumstances for administration or what additional monitoring, if any, should be carried out.

This can be a particular problem with PRN medication which is being used for rapid tranquillisation. For instance, the chart may have two drugs prescribed for “agitation.” Unless there is a care plan or guidance for nurses in the patient notes, it is not clear which drug should be given or whether both drugs can be used.

Following the administration, which may have involved repeating doses over a short period of time, the patient may be at increased risk of side-effects. So the MDT should decide on the extent and frequency of any additional monitoring that should be done to safeguard the patient following PRN administration and this should be documented.

The Mock Inspections have found that, in some cases, nurses were unsure about the PRN treatment and also whether additional monitoring should be done. So for clinical reasons it would be best practice to have plans written up for all patients who are prescribed PRN treatment.

Martin England, Pharmacy Services Director, Ashtons Hospital Pharmacy Services LtdWritten by: 

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