Crushing Oral Medications...New Regulation - page 5
Our pharmacy sent out newsletter on Monday that states: As of November 28, 2017, phase 2 of the new federal regulations will take effect. Part of the changes relates to crushing oral (PO)... Read More
Dec 20, '17I currently work in a assisted living memory care unit. I am the only nurse for that unit. I am responsible for administering approx. 35 residents with dementia and Alzheimer's their meds.
Nearly all of them require the medications to be crushed. Several of them require coaxing, one on one, redirection, etc just to get that one spoon ful of pudding in their mouth. This new regulation could have devastating consequences for my residents.
Dec 20, '17The CMS has already backed off on this regulation. They are now stating it's best practice but not a mandatory way to pass meds. ALL the new regs are ridiculous....we have to have a meeting within 48 hours of admit? We have to offer substance abuse counseling? I'm so glad I'm nearing the end of my career or I'd get out of the business now.
Dec 24, '17This is why I am getting out of sub-acute nursing. If the CMS wants to actually help residents... make a federal mandate on nurse to resident and CNA to resident ratios based on acuity NOT census!!!
Dec 26, '17If they did that, they would have to mandate increased reimbursement and I don't see that happening any time ever.
Dec 26, '17Quote from bluegeegoo2I will continue until one of them is standing next to me took the words right out of my mouth...or off my keyboard anyway...I will carry on as usual until state is standing next to me, then I'll put on a show for them.
I swear it's like "they" are sitting around trying to find ways to make med pass as difficult as possible.
"Resident centered care." Pssh. How many people at home take their meds in such ridiculous ways?
I've had residents that take a fist-full of meds several times a day along with med pass because of weight loss. What do you suppose the extra 30 bites of applesauce/pudding/whatever is going to do to their already non-existent appetite? How about the possibility of emesis after med passes?
I'm so done with federal and state regs. They are beyond ridiculous and just when I think they've topped themselves, they prove me wrong.