hello all. i was wondering if you all could provide me some input on how you administer medications in a correctional setting - preferably a jail, rather than a prison. here is a scenario: we operate a pill team at our facilities, whose job it is to administer unit doses to inmates and document the administration on the mar. we receive blister packs of patient-specific meds from our off-site pharmacy with the appropriate pharmacy label (rx#, name, drug, strength, dose, instructions, etc.). it is common practice for the nurse (rn or lpn) to pre-set or pre-pull a unit dose of the medication to be administered - sometimes 24 hours ahead of time. for example, at one of our facilities, the nurses pre-pull the medications from the blister packs and put the unit dose of the medication in an envelope (like a coin envelope) and labels the envelope with the patient's name, drug, dose and instructions. this envelope is then taken to the housing unit/pod for distribution to the patient. is this routinely and customarily done in other facilities? i would sure appreciate your comments and input. thanks.
At our Violator's of Parole and our Work Release, most meds are given at a pill call, two big ones daily and one small one mid day. Very few of the Work Release inmates might have keep on person cards of meds. Work Release is prepoured and most of them observed taking them, sometimes an additional dose is given in an envelope if they have to go to work. The violators are observed swallowing everything. With the exception of narcs or a very few other things, everything is patient specific.
Sounds like alot of work making all those envelopes everyday, and I suppose each drug would have to be in a differently labled envelope if they get several different meds? A couple pill calls might save a lot of work, even if you were walking through the facility and just got to reuse some of the envelopes for a couple days.
Last edit by **nurse** on Oct 24, '06