Re: state survey question Originally Posted by tlrochelpn I work in a local nursing home and we are expecting state any time now. I've been threw a few survey's before but never had to pass as many AM meds as i do now. I am the only nurse at my station and I take care of 75 residents myself , all with quite a few morning meds. I need to know if anyone knows if not being able to meds in the diningroom at meal time is a state policy or just possible a facility policy. My facility tells me its a state thing but i've also heard otherwise. I start at 6am, have two med carts 75 residents and all AM meds at 8 am.
It is a "state thing" How in the world do you get that number of meds out within the mandated time limit? I can't believe the surveyors have not made an issue of this..We now have 2 med carts with a nurse on each for all of our units of that size.In order to avoid a large portion of the med pass interrupting the resident's meals we have also changed the medication administration times.We are also looking closely at each resident's meds-especially important with the ever changing medicare guidelines...It's always been so much easier for the docs to "just give them whatever they want" We'd have residents with a dozen or more meds,p.o.,eye gtts,nasal sprays,etc.....Our charge nurses have done a great job with this working hand in hand with a new pharmacy and the docs....With 2 med carts we generally pass meds to 20 to 22 residents.....We can actually spend a little time with them...It's a good thing
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