The anal med pass

  1. I know some nurses who wouldnt think of giving a med,any med,without knowing its action,its peak,its indication and dosage ,its adverse reactions its interactions and contraindications,some say these nurses are anal.
    I also know some nurses who have no idea about the meds they are giving.This may be due to the fact they dont have time to look it up,or they are to lazy or whatever.

    I also know that some of us have no idea whats in the IV fluids we give,like how much many grams of sugar are in a bag of d5,or how many grams of salt are in a liter of ns.I think this is a good thing to know for pts. or dietary restrictions or at risk for nutritional deficiency or other reasons

    If any want to comment on knowledge of the meds you pass or knowledge of whats in those IV fluids that you give Id be interested.
    I just like to know for comparative purposes.
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  2. 12 Comments

  3. by   sunnygirl272
    oh..sorry...i thought this was gonna be a joke thread or bizarre story from the title...lol...
  4. by   Nurse Ratched
    Originally posted by sunnygirl272
    oh..sorry...i thought this was gonna be a joke thread or bizarre story from the title...lol...
    Fear not, Sunnygirl - my mind was keeping yours company in the gutter .

    Ohbet - I always look up meds with which I am unfamiliar. As it goes along I have had to look up fewer and fewer, as after so many thumbings through the drug book, it finally sticks! My nightmare would be to have a pt ask me what something is for and me not know.

    I am less "ate up" about the routine IVF's.
  5. by   RyanRN
    Me too, I was just taken with the visual of the topic!

    ps. haven't the foggiest idea how many grams of Na+ are in a liter of NS?!?!?!
  6. by   micro
    ohbet, I am less ate up with unknown meds.....but I will always look up or call about something I am unfamiliar with.............

    nursing in reality can be a nasty beast.........so you just do what you can do......and know that you are doing what you are supposed to do for yourself, your license, your patients, and your nurse practice acts..........(HOPEFULLY YOUR PATIENTS COME FIRST IN THIS ORDER)

    i just wanna retire and overlook the waters of the pacific.........on the cliffs.....but micro digresses again, sorry all

    yes, I will humbly in a mad rush of the chaos of the moment, i have given a med, even if not knowing the exact action of it(a newer medication on the market), as long as I knew that it was the correct doc's order.............
    no, any students out there, this is not the correct way, please........

    micro and out........
    humbly.................
  7. by   micro
    ohbet, I am less ate up with unknown meds.....but I will always look up or call about something I am unfamiliar with.............

    nursing in reality can be a nasty beast.........so you just do what you can do......and know that you are doing what you are supposed to do for yourself, your license, your patients, and your nurse practice acts..........(HOPEFULLY YOUR PATIENTS COME FIRST IN THIS ORDER)

    i just wanna retire and overlook the waters of the pacific.........on the cliffs.....but micro digresses again, sorry all

    yes, I will humbly in a mad rush of the chaos of the moment, i have given a med, even if not knowing the exact action of it(a newer medication on the market), as long as I knew that it was the correct doc's order.............
    no, any students out there, this is not the correct way, please........

    micro and out........
    humbly.................
  8. by   SherRN
    Micro digresses and repeats. LOL:chuckle
    ohbet I agree I have in the heat of the moment passed a pill that was ordered and did not know what it was(New) There become more and more new ones. There was a time that I almost thought Questran was like Miralax Shame Shame on me. As for IV fluids I know what goes into the cell and what goes out of the cell . The Na and Glucose % are over my head. I do come up for air enough to check the fluids on a diabetic :chuckle
  9. by   OBNURSEHEATHER
    I always know what a drug is before I give it, but I have the benefit of working in an area that allows me the luxury of that. I mostly give comfort measure stuff. We do have patients with other medical problems, but the cases are few and far between, and the docs usually just write a "pt may take home meds" order.

    I had a gyn patient once, and gave a med in a hurry. She asked what it was, and I was wrong in my answer. I just felt like an ass, so I'll never do it again. When a patient asks a nurse a question about their care or their drugs, I should know.

    Heather
  10. by   cmggriff
    I look up the meds or, if there is someone there who might know more about it, I ask them. If I want to know about the IV fluid, I read the label. Gary
  11. by   shygirl
    Originally posted by sunnygirl272
    oh..sorry...i thought this was gonna be a joke thread or bizarre story from the title...lol...
    Same here!
  12. by   bagladyrn
    I've run into this issue when floated. One time I was floated to a cardiac step down unit (many yrs. an OB nurse) and told I'd be assigned to pass all the meds! Told them, that's fine, but will probably take me til midnight to pass the 8 p.m. meds, as I intend to look up EVERY med I'm unfamiliar with and I haven't even worked MS since mid 1980's!
    Needless to say, the assignments got rearranged.
  13. by   nimbex
    bag lady, love ya.. FRom OB to cardiac? I'm in cardiac, the only thing I could do in OB is yell "Breathe, Breathe"

    good for you. those crazy people Geeze!
  14. by   misti_z
    After working in one area you become very familiar with your common meds so the med book is need less and less with experience. I know each med I pass, it is too dangerous not to. I do not know specifics such as peak times, but I will know the basics--maybe only for a short time---but I know it then. If you tell them that one is for BP and that one is for their stomach most are satisfied. If they want more info and you can't honestly/accurately give it go get the drug book and look at it together, tell them you wanted to be sure they received the correct info...they willl appreciate it.

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