LTC has changed-How do you give out 5pm meds now? - page 3

by Blackcat99

3,999 Views | 23 Comments

In the old days, we use to go inside the dining room and give patients their medications. Now I have discovered that it is against the rules now. I am always hearing that is is always best to give medications with food. At my... Read More


  1. 1
    what happens if the doctor specifiically orders a med WITH meals?
    Quote from NamasteNurse
    If we called the doc because a res refused meds, we'd get out ear bitten off and handed to us. He barely wants to hear about falls that have no injury. Generally we save those incidentals for one big call, or write it in his book for rounds. However if a med is refused two days in a row or if we had to hold it for parameters twice, then of course he has to be called.

    As to the med pass issue, NYS law says you cannot give meds in the dining room, period. Do some facilities allow it informally? Yes. I have worked in a place that DID allow us to have our cart outside the DR and run back and forth, since a nurse has to be in the DR during meals, this was 'killing two birds with one stone'. That's only on the floor DR not the main DR. Absolutely no meds in the main DR.

    Generally, I start my 5PM pass as soon as I get to work, count and get report, which is around 345. I do all insulins first, then everything else. Generally I try to be done with the meds by 5 which is dinner time, because where I work now, everything stops when the trays arrive and everyone helps pass trays and feed. AFter dinner I do sennas, and the 'lesser' important meds and any people I couldn't find before.
    Blackcat99 likes this.
  2. 1
    Quote from NamasteNurse
    If we called the doc because a res refused meds, we'd get out ear bitten off and handed to us. He barely wants to hear about falls that have no injury. Generally we save those incidentals for one big call, or write it in his book for rounds. However if a med is refused two days in a row or if we had to hold it for parameters twice, then of course he has to be called. As to the med pass issue, NYS law says you cannot give meds in the dining room, period. Do some facilities allow it informally? Yes. I have worked in a place that DID allow us to have our cart outside the DR and run back and forth, since a nurse has to be in the DR during meals, this was 'killing two birds with one stone'. That's only on the floor DR not the main DR. Absolutely no meds in the main DR. Generally, I start my 5PM pass as soon as I get to work, count andget report, which is around 345. I do all insulins first, then everything else. Generally I try to be done with the meds by 5 which is dinner time, because where I work now, everything stops when the trays arrive and everyone helps passtrays and feed. AFter dinner I do sennas, and the 'lesser' important meds and any people I couldn't find before.
    This seems absurd to me. I park my med cart right in the DR during supper. Best time to get everyone all at once.
    Blackcat99 likes this.
  3. 0
    I sure wish we were allowed to park our med carts outside the DR at mealtimes.I think it is always best to give meds with meals. However, we are not allowed to bring our carts off our unit period. So what usually happens is that our 5pm meds are given very late.
  4. 1
    If the evening meal is served at 5 pm the times need to be changed. depending what meds we are talking. If you are talking prevacid or such they need to be ~ 1/2 hour before meal, CA++ can be after. etc.
    Quote from Blackcat99
    I sure wish we were allowed to park our med carts outside the DR at mealtimes.I think it is always best to give meds with meals. However, we are not allowed to bring our carts off our unit period. So what usually happens is that our 5pm meds are given very late.
    Blackcat99 likes this.


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