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Forgetting to chart prn narcotics or other prn meds



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No. 20
Old Mar 10, 2009, 11:52 AM

Default Re: Forgetting to chart prn narcotics or other prn meds
Thanks for your honesty! I really appreciate it!
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No. 21
Old Mar 29, 2009, 08:30 PM

Default Re: Forgetting to chart prn narcotics or other prn meds
We had an incident 2 weeks ago where our computers went down, and didn't come up for HOURS. We're giving meds (mostly by memory) since we're not supposed to print out med lists d/t HIPAA. I called pharmacy, told them, hey, we're down, I've given demerol 50 3x to Ms. X in Room Y, but I can't chart it, no computer, but I'm letting you know (and this is a PRN pain med every time she can get it patient, frequent flyer). The outage is hospital wide.

Just to cover my backside, I call the head of pharmacy and tell him.

So, I come in, and have an email -- I didn't chart the PRN demerol. I called pharmacy AGAIN. We were down, remember? Remember me, I'm the one who called you and told you I gave the med. "Well, you didn't chart it in the computer."

If you can tell me how you chart on a dead computer, you need to be in IT, not nursing....
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No. 22
from calliou
Old Mar 29, 2009, 08:37 PM

Default Re: Forgetting to chart prn narcotics or other prn meds
Originally Posted by lolalolacherrycola View Post
How many of you nurses out there have ever:
  • 1. Forgotten to sign off (chart as given in computer charting system) a medication given?
  • 2. Followed another nurse that had forgotten to sign off (chart as given in computer charting system) a medication?
  • 3. Followed a nurse to failed to sign off (chart as given in computer charting system) any medications for that day?
  • 4. Forgotten to sign off (chart as given in computer charting system) a narcotic prn medication?
I have and am wondering if this is as common as I think it is. Would be great if it would automatically record it when pulled from dispenser...any other ideas?
1)We do paper charting, but yes, I have forgotten sometimes.
2) The nurses I usually follow don't EVER chart their PRN's and half the time don't document respiratory treatments OR routine meds either!
3) See #2
4) See #1

I have been complimented by nursing administration that I am one of the few nurses in our facility that actually DOES chart my meds and treatments and so on....
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