With the new "Memo" sent out by CMS for clarification on GTube medications, and the Regulation still posted online conflicting what the update says, what is everyone doing as far as GTube meds go?
Online, the CMS regualtion states as of this morning on page 432 "While it is noted that some facility policies ideally adopt flushing the tube after each individual medication is given, as opposed to after the group of multiple medications is given, unless there are known compatibility problems between medicines being mixed together, a minimum of one flushing before and after giving the medications is all the surveyor need review. "
It is utterly rediculous to sepearte crushed meds that are mixed in water just to pour them down the same tube during the same administration time. Next they will be asking us to administer crushed meds PO seperately. They are going into the same stomach at the same time. What difference does it make if they are seperated or not as long as the meds are compatible?
What is everyone doing for this situation? We have surveyors in house at this very moment. So far going well but I highly anticipate a citation on this very topic.