What shift does the 7am med pass? - page 3
by keepitsimple0025 4,575 Views | 30 Comments
I do 11-7 for the first time tomorrow, I've seen yesterday's LPN who worked 11-7 marked off the med pass for 7am for today. ex. She did 11-7 on 3/14/13 and she signed off the 7am med pass for 3/15/13. I thought the 7-3 shift did... Read More
- 0Mar 17, '13 by NurseKatie08When I worked in LTC, we never had meds scheduled for 0700, 1500 or 2300, unless it was for a special reason (say, Q36 hours Vanco or something of the like). Standard med pass times were 0800 for dailys, 0800 & 2000 for q12, 2000 for qhs, 06-14-22 for q8, 06-12-18-00 for q6 and 1800 for coumadin. On the off chance that something was scheduled for change of shift, the off going shift was responsible for giving it. Same as now where I work in the hospital. I work 1500-2330...if something is due at 2300. If it wasn't given at 1500, I give it with my first round, but as courtesy would have it, the offgoing nurse usually will have given it.
- 0Apr 2, '13 by SuzieVNQuote from BrandonLPNThere shouldn't be meds scheduled for 7am.
One of the more ridiculous aspects of LTC are those facilities that have meds scheduled at 7am.... and 8am..... and 10am.
Except in very few isolated cases, there's no need for any shift to have more than two med passes. Ever.
It's bad policy to schedule a med pass at a time that two shifts collide- if there's a major mistake, which nurse will be held accountable, since both were present at 7?
- 0Apr 2, '13 by AngelRN27Quote from stardust80916Do you technically mean a two hour window? One hour before, one hour after... or are things different in Colorado?In Colorado in an ALF if a doctor specifies a time on the the order then there is only a 1 hour window.
If you mean just one hour TOTAL, I think that makes a medpass pretty impossible in the LTC setting, not to mention most med-surg floors...
edit: Just realized that you specifically mentioned ALF; it is still a total of two hours for us, though.
- 0Apr 3, '13 by AngelRN27Quote from stardust80916I'm curious to know what kind of meds would need a specific administration time with such tight parameters? Just for personal knowledge.No we still have the 2 hour window for all other meds. Some doctors specify a specific time at which they want the med given. Only in those cases does the 1 hour window apply(30 min before and after). Fortunately that doesn't happen often.
- 0Apr 3, '13 by stardust80916That is up to the doctors discretion. I agree, however that there doesn't seem to be any meds that would require those parameters. We just do as we're told. Never question or argue because we don't have the authority to do so. As a QMAP we are not trained to really do much of anything except follow doctors orders exactly, admister meds properly, fill out a MAR, and fill MRBs. So, no assessing allowed. That is why I want to further my career. I've had more than enough of these restrictions.