Dilaudid IV Push

  1. 0
    Administration as started allowing physicians to order dilaudid IV push (& other opiates) in the Intake area of our Emergency Room. These patients are receiving this in a rapid treatment area with no monitoring/proper reassessment & no "one" specific staff person assigned to the patient. (patients are seen by multiple RN's in this area... one for triage, one for IV, one for meds, one for results, etc) This news was sent to us in the form of an email from administration with no policy attached. Some employees have asked to see the policy or something in writing from Risk Management, but to date no one has received anything. Anyone else experiencing this in their ER's? Anyone have any protocols addressing this issue? We fear if a sentinel event occurs as a result our licenses could be at risk. Who would be liable?
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  3. 19 Comments so far...

  4. 3
    Refuse to administer the medication IV push, until Policy is viewed, you have every right as a NURSE.
  5. 6
    Trouble, trouble, trouble. Awesome for an event. Awesome for the seekers. You are gonna be popular.
    MassED, azhiker96, txspadequeenRN, and 3 others like this.
  6. 1
    I agree with 2ndwind, this is totally insane. IV push Dilaudid with no direct nursing observation, no intervention/followup is just asking for a lawsuit. As usual another administrative directive with little (none) thought attached.....
    MassED likes this.
  7. 3
    Yikes! If you are asked to do something by your employer that violates safe nursing practice, you should refuse and explain why. Then put your concerns in writing and send it to everyone, your boss, risk management, the CNO, CMO ( did I miss anyone). This CC strategy should make them all feel accountable and generate a policy.
    MassED, Jolie, and MAISY, RN-ER like this.
  8. 6
    Also, once the seekers learn about this, they can get their shot, then just get up and leave.
    MassED, txspadequeenRN, canoehead, and 3 others like this.
  9. 2
    Wow.
    what prompted your administration to make this decision?
    Like others have posted, I bet you guys will be swamped with seekers. At least you'll be able to meet some interesting, new people.....
    Selene006 and CrufflerJJ like this.
  10. 2
    Bad idea. Patient's can go bad quick with Dilaudid. I've seen young, strong men's sats drop without notice 10 minutes after getting dilaudid push.

    It started getting popular for the MD"s to order on the med/surg floor, and admin had to review the policy and change the computer system so they could no longer order 1-2 mg IV push. It's too much for most people, and I ALWAYS throw them on cont ox if I dont (and rarely do) have time to sit with them after I push it.
    MassED and MAISY, RN-ER like this.
  11. 0
    We have formed a committed to look at what we can do. Trying to collect as much evidence based data as possible to help us devise a solution to present to management that will need to be addressed. If anyone knows of any EBP data to help support us for this particular problem, Please forward. Thanks so much everyone!
  12. 1
    Hell No! There is no way this should be happening! Where is your facilities legal department? Good way to lose a hard-earned nursing license....let the PA do it...they are under the doctor's license...watch how fast the idea goes away!
    Selene006 likes this.


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