[nurse210]

I am new to assisted living. My CMAs tell me they can give meds one hour before or one hour after. In my day it was 1/2 before or 1/2 after scheduled time. Sometimes it seems they are medicating one drug on top of another to get done and satisfy the restless residents. Is this what they are being taught? Is it OK in ALFS and LTC? I come from an acute care setting.

[CapeCodMermaid]

The regs in long term care: one hour before and one hour after the scheduled time. Most people group the meds so the 4p,5p, and 6p meds are all given at 5pm.

[nurse210]

Thanks so much capecod mermaid! nurse 210

[VivaLasViejas]

It's an hour before and an hour after the scheduled time in LTC where I live (Oregon) too.

However, don't rely on word of mouth; in fact, you'd do well to get a copy of your state's "Bible", AKA the rules and regs, and take it with you to bed, to meals, and when you need to "roost" in the bathroom, until you can cite them chapter and verse in your sleep!

Seriously........every DON in long-term care needs to be thoroughly familiar with her/his state's laws, because ignorance is no excuse when the surveyors walk in the building and cite the facility for violating some obscure rule governing paint chips in the janitor closet, for example. LOL

[caliotter3]

In different places I've been told one half hour and one hour. I've always wondered about this, but no one has ever shown me the rulebook. Then I've observed the nurses who say "do whatever you do, but chart that you gave it at the right time". Could be difficult when the surveyors are there. That's why certain nurses know when to call out sick.

[CapeCodMermaid]

Originally Posted by VivaLasViejas

It's an hour before and an hour after the scheduled time in LTC where I live (Oregon) too.

However, don't rely on word of mouth; in fact, you'd do well to get a copy of your state's "Bible", AKA the rules and regs, and take it with you to bed, to meals, and when you need to "roost" in the bathroom, until you can cite them chapter and verse in your sleep!

Seriously........every DON in long-term care needs to be thoroughly familiar with her/his state's laws, because ignorance is no excuse when the surveyors walk in the building and cite the facility for violating some obscure rule governing paint chips in the janitor closet, for example. LOL

I believe in Massachusetts, according to regulation MDPH 27/123/98.436-98 you are allowed to have up to 17 paint chips in the janitor's closet, but will get cited if you have 18.