[quote=krista 312;5719451]Hi all,
i just started at a new hospital and am still on orientation there I came from a smaller suburban hospital where for people in acute pain such as post op pain iv pain meds would be pushed as long as it was in accordance with hospital policy the other day at the new hospital I am training at I had a pt who wasp TLIF procedure in excruciating pain so after checking the hospitals policy for iv morphine I pushed the med into the pt's iv a bit later the nurse who was orienting me that day asked how I gave the morphine and insisted that they was its done there is to put it in a 50ml bag of NS or D5W and hang IVPB to me it seems silly! I'm wondering what your practices/ policies are in other facilities ?????
Whether or not it's silly....you need to follow your facilities policy and procedure to protect yourself, your license and your position. Policies will vary from facility to facility, floor to floor, critical care area to critical care area and state to state. Policies are decided upon by standards of care and the personal philosophies and experiences in the particular, that make the facility require dilution. If that's the way it's done, that's the way you must do it if it's policy......and to get along with your co-worker at least while you are on orientation. When you are on your own.......follow policy and do your own thing....
I know that on some really busy nights in the ED I would dilute meds in 50 cc's and hang them piggy back because I didn't have time to stand there for a minute or two.....of course it would never be the first dose that I would hang and walk away from...but it helped me gain valuable minutes on a busy night.