JCAHO Requirement

  1. The Joint Commission is visiting us this week. Seems they are telling us we now have to provide a pill splitter for every patient. I guess I understand the reasoning behind it but this seems a little excessive. Why not put the effort into education about cleaning it between uses. How does your facility handle this?
  2. Visit FineAgain profile page

    About FineAgain, BSN, RN

    Joined: Jan '10; Posts: 388; Likes: 1,023


  3. by   flipflopsNsweetTea
    We have pill splitters for every patient. Pill crushers too
  4. by   MendedHeart
    We have 2 pill cutters and clean in between patients. The Joint commission is concerned with it being cleaned after use and if staff knows what pills cannot be split.
  5. by   nrsang97
    We have pill crushers and pill splitters for every patient.
  6. by   MendedHeart
    Quote from beckymiller75rn
    We have pill splitters for every patient. Pill crushers too
    Wow, do u work in a hospital or LTC?
  7. by   ChipNurse
    Each patient gets their own pill splitter. I think it is a bit excessive, but it doesn't offend me either. On the bright side, each patient should have one in their med bin, so you usually don't have to hunt it down.
  8. by   MendedHeart
    Yea Im with you^^^
    Not very cost effective but nice to have.
  9. by   jadelpn
    We have pill crushers that have individual little plastic bags. Pill splitters would be something that I would think pharmacy needs to address. If you are scanning and giving meds at bedside, then I would think you would need individual pill splitters. Just be sure you know your policy, that you are to waste the other half of the medication and where that goes--just a review. And to be sure you have a nursing care plan that somehow coordinates with the meds you give. I was reminded by an agency that if a patient is on pain control meds, they need a bowel care plan. Every time.
  10. by   FineAgain
    Too bad we can't develop a pill splitter with plastic bags like the crushers...we could make a fortune. I just think its a little excessive...and expensive. We don't use them on every patient though so it might not be that bad...
  11. by   blondy2061h
    We have one pill splitter for the unit and I've never seen anyone clean it. I've always wondered about this. What if the person who's clonazepam we just split is highly allergic to the erythromycin the patient before only needed half of? For crushed pills we have one crusher but we sandwich the pill between to paper med cups and crush away.
  12. by   classicdame
    we have one for each patient. Cheaper than lawsuit
  13. by   Aurora77
    We have individual pill splitters. They're kept in the Omnicell so we can pull them when needed. It seems a bit wasteful, but before we went to single patient splitters, the old ones were always dirty.
  14. by   MendedHeart
    Are they disposable?