Dispensing medications - page 2

I work in a really small ER in a really small town which does not have an open pharmacy from Saturday afternoon until Monday morning. We don't have a pharmacist available to dispense medications. ... Read More

  1. by   elgen
    Hi everyone, I am an RN in CA, and I am trying to find out if it is a violation of the scope of practice for RN's in CA to dispense OTC medications in on a med surge floor without an MD order, i/e giving Tylenol for a HA without an MD order. Any takers?
  2. by   GooeyRN
    Quote from RainbowSkye
    I work in a really small ER in a really small town which does not have an open pharmacy from Saturday afternoon until Monday morning. We don't have a pharmacist available to dispense medications.

    Any of y'all in a similar situation? We used to just give a dose (or doses) to go, but that's not the safest thing to do and pretty much violates the nurse practice act. And our administration has recently told us we cannot dispense any meds - ever. What do you do in your ER?

    Many thanks.
    Sounds like the last place that I worked. If the doc writes a script, on a Sat night, its too bad that the only local drug store doesn't open until noon on Sun.
  3. by   andhow5
    Quote from teeituptom
    Here we cant dispense we can only administer, nothing to send home.
    It's the same here. I can give them meds until the cows come home while they are an active ED patient, but we are not allowed to send them home with any meds - only scripts.
  4. by   kaycee
    Quote from elgen
    Hi everyone, I am an RN in CA, and I am trying to find out if it is a violation of the scope of practice for RN's in CA to dispense OTC medications in on a med surge floor without an MD order, i/e giving Tylenol for a HA without an MD order. Any takers?

    OTC or not, I would not dispense any medication without an order from an MD.
  5. by   HAPPYNPROUD
    we can't give any meds at all once pt is discharged, "that is not in your scope, only a pharmacist can dispense medications" is heard all the time---but we do have several 24 hour walgreens here---now if a pt says they can't afford it, then social work becomes involved and provides pts with a voucher and the pt can get some drugs (maybe abt's, some pain meds, etc) from our inpatient pharmacy, but in limited quantity---but again, no nurses or even md's give meds to take home

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