I am entering my last month as a student nurse and as we are getting to take care of more patients (4-5) I am having more issues with time management. (Go figure...lol).
My question is this.... How realistic is it that every med you give to every patient is within the 1 hour time frame?
Also, do you assess all your patients first, then get each of their meds together and go in a separate time, or is it wiser to get their meds ready, go in and assess them and give the meds at the same time (based on if there aren't any contraindications to the meds that you found in your assessment)?
Sometimes it would seem more manageable if you did the assessment and morning meds at the same time, but I'm not sure it is wise.
My patients tend to have meds at 8, 10, 12, 14, 16, and 1800. If I got all their meds to them "on time" I would never do anything else. Last weekend I had someone with meds at all those times plus, 7, 11 and 1500. Sometimes their Cipro is scheduled to be given at the same time as their Magnesium Oxide and their "take an hour before meals" med is scheduled at the same time as their "take with meals meds". What this means is that I always take a look at the MAR while I'm getting report and highlight my "must give on time" meds, such as IV abx. We do bedside report/pt handoff, so that's when I check to make sure they're not laying on the floor or in any acute distress and check a pain level. Then I plan my day and give any insulin (if pts are eating). Sometimes I'll do my assessment while I'm giving meds (esp if the pt takes pills one at a time). I use a lot of nursing judgment/critical thinking when figuring out the timing of my meds. The MAR timing is set up by the pharmacy computer based on the schedule of the med, for example, meds written as "every 6 hours" show up differently than ones written as "4 times a day". It's not always logical.
Last edit by RadBSN on May 31, '11
: Reason: corrected typo