Abnormal Involuntary Movement Scale

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MONTANA STATE HOSPITAL
POLICY AND PROCEDURE
ABNORMAL INVOLUNTARY MOVEMENT SCALE (AIMS)
EXAMINATION FOR TARDIVE DYSKINESIA
Effective Date: September 21, 2012
Policy #: TX-01
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I.
PURPOSE: To formally assess patients for whom psychotropic medications have been
prescribed to identify symptoms that may indicate the presence of Tardive Dyskinesia.
II.
POLICY: The AIMS examination will be administered to all patients for whom
psychotropic medications are prescribed. The examination will be administered either at
the time of the patient’s admission to the hospital or when medications are initially
prescribed. In addition, for patients taking psychotropic medication, AIMS examination
procedures will be repeated at intervals of no less than every six (6) months.
III.
DEFINITIONS:
A. Tardive Dyskinesia: A neurologic disorder characterized by abnormal involuntary
movements which may occur as an undesired effect of dopamine blocking
medications.
IV.
RESPONSIBILITIES:
A. The Licensed Nurse has the responsibility for ensuring that the AIMS scale is
completed on all patients on psychotropic medications and the attending licensed
independent practitioner (LIP) is notified when appropriate, as per the policy
procedure guidelines.
V.
PROCEDURE:
A. The hospital will supply forms for conducting the AIMS examination to all hospital
units. The procedure for administering the AIMS examination is contained in the
form. The form shall be entered into the patient’s chart upon completion of the
examination.
B. The AIMS examination procedure will be completed for each patient for whom
psychotropic medication is prescribed. When possible, the examination procedure
should be completed before the patient begins taking this type of medication. When
this is not possible, the procedure should be completed at the earliest possible time;
either after admission or after psychotropic medications are prescribed.
C. The examination procedure shall be repeated at least every six (6) months for patients
taking psychotropic medications who remain in the hospital. The examination

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