LTC med nurses-Are you obeying all of the rules? - page 3
I just got a bunch of paperwork about meds at my LTC. According to the policy, I am required to check for all allergies each and every time before administering meds. I am also required to check for... Read More
3Oct 11, '12 by BrandonLPN, LPNIt's true that the nurse administering the med is ultimately responsible. But this doesn't change the fact that a med nurse cannot check the expiration date on every bottle/pack of pills before pouring it. If you follow the "ultimately responsible" argument to it's logical
conclusion, you come up with some pretty absurd scenarios. Is the med nurse responsible if the pharmacy dispensed the wrong pill into the bottle? Is she responsible if another
nurse transcribed the med order on the wrong MAR two months ago? Is she responsible if the night nurse boxed off the wrong days on a "every third day" med during changeover? Is "best practice" to examine every pill against the picture in the med book before giving it? Should we leave the med cart and look up every newish med in the pts chart to make sure there's an order and no transcription error. Should we dig out last month's MAR to make sure all the little boxed off dates jibe up? Where does it end?
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0Oct 12, '12 by ktwlpnQuote from CapeCodMermaidKnowing you through your posts here on allnurses leads me to believe that you would never berate a staff nurse for not completing the med pass within the appropriate time frame.Sadly,managers and DON's like you are few and far between.I have witnessed co-workers being literally screamed at in the middle of the hallway for running late with the med pass from H*ll.Again, another instance of thinking a regulation or recommendation is silly or time consuming or make work.Giving a resident an expred medication or a medication they are allergic too could have far greater consequences than giving them a daily med an hour late.