I am a new Grad RN recently hired in a LTC/SNF/Rehab with a 25 patient load needing medications, treatments, etc. My question is how on earth can one person pass meds (in typical marge quantities, most crushed in applesauce, several narcotics and G-tubes, etc.) and finish in 3 hours or even 4 hours???
I did basic math and this leaves 3-5 minutes per client start to finish! Yikes.
This was my only job prospect for the moment, and I do think I am getting some decent experience with clinical skills, handling patients with varying degrees of acuity, etc. as well as daily verbal and telephone orders, lab requests, etc. Whew! I am freaking out on medication administration alone
never mind adding in the occasional health crisis or patient crash. On occasion they bring down a certified medication LNA but I am worried about when they DON'T- what then? I'll be passing 8am meds at 12:30? That's crazy.
I know of at least one serious med error recently which resulted in a patient being hospitalized, I'm afraid that's going to be ME!
Any thoughts? I appreciate any feedback, thank you!
Are you working day shift? You have one hour before and after scheduled time. I think its better to give the right medication then giving medication on time. If I were you I will personally pull out all the medications and give it to the patient and not rely on NA. Also you get used to giving medication and get to know what you are giving and why. You can ask nurses aides to take blood pressure and pulse rate of patients who needs blood pressure medication which saves alot of time. NA can apply creams but those requires dressing changes nurses have to do it. Try to change dressing changes before NA dress them and sit them up in a chair.
Last edit by Ms.RN on Mar 31, '10