Is it OK to give baking soda and water to LTC patient without a doctor order? - page 2

Aren't we suppose to get a doctor's order for it before giving it?... Read More

  1. Visit  Havin' A Party! profile page
    3
    Hey, Black. I'm calling your DNS and telling her to keep a close eye on you when she sees ya buying a Coke in the employee lounge. ;>)
    loriangel14, cienurse, and Blackcat99 like this.
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  3. Visit  cienurse profile page
    1
    I remember when I was in nursing school years ago (not telling when!) part of our pharmacology course had a section on grains, drams, and all that neat apothocary stuff! The exam was being able to convert from drams to ounces, ounces to milliliters, grains to milligrams etc. Do they even teach that anymore? I wasn't sure as I thought some pediatric doses were still given in drams-any peds out there please feel free to correct me!
    Blackcat99 likes this.
  4. Visit  applewhitern profile page
    1
    Cienurse, I had to learn all that stuff, too, but I went to RN school in the 80's. I still see grains ordered occassionally, tho.
    Blackcat99 likes this.
  5. Visit  nu rn profile page
    0
    I just graduated last year & was taught about grains, drams & conversion to metric.
  6. Visit  JZ_RN profile page
    1
    Sodium bicarb can cause serious electrolyte imbalances... you definitely need an order and I doubt you'd get one.
    loriangel14 likes this.
  7. Visit  loriangel14 profile page
    0
    Quote from JZ_RN
    Sodium bicarb can cause serious electrolyte imbalances... you definitely need an order and I doubt you'd get one.
    It may depend on why you are wanting it. I have a patient right now that is on bicarb tabs BID.
  8. Visit  ClearBlueOctoberSky profile page
    0
    Quote from BrandonLPN
    he refers to me as the "duty nurse" or "nurse on duty" (I have no idea what that means)
    I tell my residents all the time that I am no longer Nurse on Duty when they come to me after handover and I am charting.

    Otherwise, Black, I have nothing more to add. I would get the order just to be on the safe side.
  9. Visit  bubblejet50 profile page
    0
    Quote from cienurse
    I remember when I was in nursing school years ago (not telling when!) part of our pharmacology course had a section on grains, drams, and all that neat apothocary stuff! The exam was being able to convert from drams to ounces, ounces to milliliters, grains to milligrams etc. Do they even teach that anymore? I wasn't sure as I thought some pediatric doses were still given in drams-any peds out there please feel free to correct me!
    My school taught grains to milligrams and I graduated in 2012
  10. Visit  realmaninuniform profile page
    0
    You absolutely need an order to give baking soda and water. Your unit manager put their job and license on the line doing so without a doctors order, and I would report it. The only exception would possibly be if the family brought it in and gave it to the resident, but I would definitely chart that this was done so against nurse recommendation.... Nursing 101 - Cover Your Own @$$!

    At any rate, does your facility not have standing/pre-printed orders? Most allow the use of tums or maalox as needed per standing order for heartburn/indigestion.

    Now say the standing orders haven't been signed or your facility does not have any, then I would offer the resident milk provided they are not allergic and/or on any sort of dietary restrictions prohibiting such. Milk is high in Ca which is the primary ingredient in tums/rolaids. It works wonders for me and I have given it to several pt's with + effect. No need for a doctors order either ;-)


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