Published
We have to count all of our lyrica at my job every shift. I was curious as to whether this was just something done at my LTC or if there were other facilities that also counted lyrica.
"Unfortunately, I keep finding at least 7-8 extra antibiotic capsules leftover EACH TIME an antibiotic order is d'cd. It's obvious that the patient is not receiving their entire antibiotics as per doctor's orders. "
It is not necessarily 'that obvious'.
At our facility there has been times when the resident has finished his round of antibiotics before pharmacy sends the med. In other words, EDK, EDK, EDK. And yes, they were called, and called. And yes we still have the same pharmacy.
Unfortunately, I keep finding at least 7-8 extra antibiotic capsules leftover EACH TIME an antibiotic order is d'cd. It's obvious that the patient is not receiving their entire antibiotics as per doctor's orders. I certainly don't have extra time to count antibiotics but if the patient's are not actually receiving their antibiotics then something needs to be done.
If the treatment starts with meds pulled from the E kit, and the pharmacy sends what is ordered then there are a few extra. But I would not think 7 or 8....
When I worked at a SNF, one patient's cytotec came up missing several times. The DON asked several of us if we know anything about it. She also asked what it was used for. All I knew was that it was used for the stomach. I guess it can also be used to stop a pregnancy. I had learned that in nursing school but didn't really remember the other use. We had to start counting the cytotec every shift because I guess someone was stealing it. It is really unfortunate that someone would do something like that! Plus it just made more work for everyone else.
At our faciity, as it should be everywhere, every med taken out of the EDK is documented. One copy is sent to pharmacy, 2 other copies go to 2 different departments of the facility so we can prove that the course of antibiotic was almost finished before we received the med.
If the treatment starts with meds pulled from the E kit, and the pharmacy sends what is ordered then there are a few extra. But I would not think 7 or 8....
zieglarf, LVN
57 Posts
We count Lyrica, antibiotics, and Tramadol, but a facility down the street does NOT count Tramadol - so it isn't a state requirement [TX].
I do write the prescribed time in a blank area on a corner - to make it faster to flip through and find what you are giving right now. Those still need to be verified before giving; it just makes it faster to find them initially.
I like the idea of writing: r/o with date and initials and will start implementing that when I go back to work tomorrow.