Time allowed for medication administration changing. - page 3

An e-mail went out today from the Pharmacy head stating that a (hospital) corporate wide change went into effect today. Until today, a medication could be given up to 1 hour before or as much as 1... Read More

  1. by   annmariern
    Don't you love it? As soon as corporate can tell me how I can be in 7 rooms and give a ton of meds safely, while answering questions about them, etc, etc, I am all in! I start my 10am meds at 9am and am almost always still doing a round at 11, sometimes later.
  2. by   rnin02
    We have an hour before and after. Quite handy! Also, we don't need an order to change a med admin time, but because we use a computer med charting system now, pharmacy has to be willing to change it. Otherwise, you do need to grab an order, which is a pain. And no need here to get an order to crush meds (those that are appropriate to crush, of course), that seems a little over the top to me.
  3. by   HM2VikingRN
    In my Gero clinical setting it was 60 min either way...In the Med Admin skill test it was 30 minutes....
  4. by   semperfi8688
    Quote from PsychRNOhio
    [FONT=Arial Narrow]We use computer barcode medication administraion (BCMA) This covers the 1hr 59" period.
    [FONT=Arial Narrow]If you're early or trying to give the med later, it automatically asks for an explanation.
    [FONT=Arial Narrow]The joy of BCMA is, that IF it works correctly, you CAN'T make a med error.
    Just recently heard, we have up to 2 hours before/after.....considering the shortage in some areas, this could be why......Med/Surg Floor with 6-8 patients..........Thats just nuts
  5. by   HappyNurse2005
    used to be 1 hr either way at old job. new job in same hospital system is 30 mins.
  6. by   crb613
    An hour before or after here.
  7. by   morte
    Quote from rnin02
    We have an hour before and after. Quite handy! Also, we don't need an order to change a med admin time, but because we use a computer med charting system now, pharmacy has to be willing to change it. Otherwise, you do need to grab an order, which is a pain. And no need here to get an order to crush meds (those that are appropriate to crush, of course), that seems a little over the top to me.
    if that is how YOUR p+p reads, go for it, just be aware that in other practice arenas it may not be so......and make sure that it does, and not "everyone else does it so it must be ok".....
  8. by   kenzy
    In Pa we also have the 1hr. window, but as of last week our hospital policies have also changed to 30 minutes .
  9. by   General E. Speaking, RN
    1 hr before/after here. I hope "they" don't decide to change it to 30 min. With the increasing comorbidities of some of the MS patient's, I'm not sure it would be doable.

    Some of the elderly patients that have 4 or 5 consulting physician's have pages of meds. Dealing with that on top of the other urgent situations- low BPs, HRs, blood transfusions, K+ infusions, onset of chest pain, arrhythmias, lack of tech's to take everyone to the bathroom, family members, endless admits/discharges topped off by the never ending cycle of admitting and consulting docs changing/writing new orders all day....getting dizzy just thinking about it
  10. by   TigerGalLE
    haha! For a second I thought I wrote your post kriso!! Maybe if they gave us less patients we could get meds out on time!!

    I always look over my meds for all my patients.. Decide which meds are most important to be on time and I give those patients their meds first. I think it is ok if the patient with the multivitamin, aspirin, and folic acid gets their meds a little late. Not that I want to give meds late. But when I have 7 high acuity med/surg patients and I'm dealing with all the things in Kriso's post as well.. Sometimes it just doesn't happen

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