Sooo many crushed meds... - page 2

by beatrice1 | 4,030 Views | 16 Comments

I am a new Grad, just started in a LTC facility. I have no complaints about the place, the DON is wonderful, very supportive, I got a great orientation...ect. One thing that I am not comfortable with is that ALOT of the... Read More


  1. 0
    Quote from 46oldnewrn
    You can always add the meds to water that say "do not crush" but I must say In my 4 years of nursing not a SINGLE DARN PERSON has died because their med's were crushed. Just Sayin!!
    i love that , and its so true , i too work in a ltc facility , and i work in a wander risk hall with all dementia pts . all but one person you have to crush there meds , some of the res will refuse there meds everyday every time just because they have no idea what your doing, two specific residents will only take there meds in penut butter and jelly sandwiches , as a nurse sometime you gota do what you gota do, within reason of coarse, is it better i give this person their ativan , bp med , diabetes med ect ect or just circle it as not giving cause they refused??
  2. 6
    "You can always add the meds to water that say "do not crush" but I must say In my 4 years of nursing not a SINGLE DARN PERSON has died because their med's were crushed. Just Sayin!!"

    Sure, people aren't really gonna die,(at least we hope not!) but they are not getting their needed medications in a timeframe that is appropriate. It's like getting a big bolus when you need the med to work slower and for longer.

    Here' let me crush your oxycontin...you'll feel good for a bit, but then have fun being in pain for the rest of the night when this wears off in 2 hours. Geesh
    LockportRN, LTCangel, morte, and 3 others like this.
  3. 0
    And this is why I would never return to LTC. Too many practices that make me question protocol/practice. Being in the hospital environment is so much easier as far as getting a hold of pharmacy, doctor, etc.
    Definitely, if you have a pharmacy to contact, do so and see what they suggest. Then you can call the PCP and tell him your concern and what pharmacy suggests. Some docs will go with the pharmacy suggestions. Others will tell you to follow the orders (I have had irate doctors tell me to mind my own business and not tell them how to take care of their patients in the past). Just do what you need to do and CHART, CHART, CHART!
  4. 2
    Crushing meds can change the way they work. Some even causing toxicity or numbing the mouth posing a choking hazard.

    Here is the list of the ones you shouldn't crush:

    http://www.ismp.org/tools/donotcrush.pdf
    LockportRN and Hospice Nurse LPN like this.
  5. 1
    The veteran nurses are doing it as a time management tool or just because they're lazy. Both reasons are the wrong reasons. Like others said, check with the pharmacy; get your questions answered and pass meds safely.
    LockportRN likes this.
  6. 1
    "What really sucks is when you ask the doc for a form that can be crushed now you're going from a daily med usually to a three or four times daily med which just increases the work load and stress for everyone involved, including the resident who doesn't want to be taking any pills in the first place."

    Definitely need more alternatives...if all the crushed meds were changed to liquids you would have to deal with dozens of little bottles everywhere...
    Forever Sunshine likes this.
  7. 1
    Quote from GLORIAmunchkin72
    "What really sucks is when you ask the doc for a form that can be crushed now you're going from a daily med usually to a three or four times daily med which just increases the work load and stress for everyone involved, including the resident who doesn't want to be taking any pills in the first place."

    Definitely need more alternatives...if all the crushed meds were changed to liquids you would have to deal with dozens of little bottles everywhere...
    And when one of those bottles spills! Stickiness all over the med cart. I hate liquid meds and the residents hate them even more.
    LockportRN likes this.


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