Approximate Narc. count?

[garciadiego]

A resident has an order for Roxanol TID,.25ML, about 3 drops SL. The drug came up in a 30ml bottle, I give a dose at 1100, when I count at 1500 there is no way to know exactly how much is in the bottle, after all how do you distinguish in the bottle that .25ml was given from a 30ml bottle, how can you tell how much is really in that bottle,also when I count at 0700 I really dont know how much is in the bottle, the Night nurse gave .25ml, and also Eve. gives .25ml ,so we dont know what the real count is, so we are really only counting approximately, we should have pre-filled syringes of the drug but the pharmacy wont send it and I've talked with 2 supervisors who arent concerned.

Is OK to have an "approximate" Narc. count? If not what should be done?

Thanks

[Smokey9283]

If the OP is working in a nursing home, then they are not held to the standard of the JC.

[RNAnnjeh, MSN, CNS]

I like the med cup/waste idea.

You can get 3 cc oral syinges that are well marked for small doses....very common in peds.

RNAnnjeh

[morte, LPN, LVN]

this is common method of supply in long term care......surprisingly, it usually comes out very close to being right on at the end of the bottle....in the OP, i would suggest getting a LESS concentrated liquid....to the poster who mentioned multidose vials, these are used in long term care FOR THE SAME PATIENT not shared....

[Sunflowerinsc, ADN, RN]

If the OP is working in a nursing home, then they are not held to the standard of the JC.

Maybe not JC but to other inspectors. State,DEHC . And approximate nar count won't fly.