No meds on 11-7

[TigerxLiLy]

Opinions please on the following:

1. Is it possible to eliminate scheduled meds for 11-7 shift (GERD, Synthroids,etc) -- do you guys believe these meds could be taken on 7-3/3-11 and still be "effective".

2. We are a 100-110 bed facility -- how many would say "Hell No!" to on 11-7 shift being the only RN with 6 cNAs? No scheduled meds (if we can get rid of them...) except PRNs, no dressing changes, just making sure patients stay alive/deal with emergencies and manage the CNAs

[ocean.baby]

Litbitblack - I want to work where you work. It sounds as if staffing is excellent!

[VANurse2010]

My proposal is no charting except as needed/emergent/prns(all medicare A/B and medicaid charting on 7-3/3-11), no scheduled txs (may have to do a PRN cant rule it out), no scheduled meds. The only hiccup I see.. is the willingness to accept the responsibility AND someone on continous tubefeeding... but it shouldnt be a issue...if your just checking position and hanging a new bottle ....

AND some diaylsis pts (we only got one right now) leave to go at 5am - but thats case by case...

Personally, I think writing notes on PRN effectiveness is ridiculous. There should be a flowsheet on the MAR that can chart pain rating or response without the need to write a note.