AM PM Med Pass - page 2

by LTCRN4LIFE 4,065 Views | 14 Comments

I want to change the med pass time to am pm with the synthroids, coumadins, ABX and few select meds at scheduled times. Has anyone else done that? My Pharmacist Consultant says I need to do it through CQI....committee, Policy... Read More


  1. 0
    Quote from mrfrost
    Most med aides in this area have 60 residents each. Thay dont do anything but medications. My nurses handle PRNs. Never had a complaint from med aides. and they are always in compliance. Here, nurses have to order medications ( or reorders ) because MA cannot. Nurses have to do all transcriptions to MARs because MA cannot. All MAs have to do is pass meds. I can see the positives in open blocks of times to give meds. Just wouldnt work here. Some resdidents are too demanding with wanting their meds. I can imagine my MA on one hall with residents on another hall wanting their meds "right now". Talk about chaos. Dont want to be in the middle of that. But hey if it works.....
    That would have been much nicer! I had to assess any chest pains, SOB, etc for any resident on my cart, reorder meds, update MARS, admin all PRN's and I was expected to help the charge nurse and CNA's if needed. I stuck out my ltc experience for a year and then left and never looked back! I guess my old classmate who had the 4 hr block thing said it worked well for their facility. We moved all med passes for one of our two floors an hour back and boy did we hear about that one! Same with sleeping pills that were scheduled into night med pass...
  2. 0
    60 residents on a med pass....my staff would freak! They think they're overloaded now.
  3. 0
    I have a system that seems to work but it's difficult at first. The only thing we needed was MD approval once we laid out how we were going to work the meds. Since we are 100% EMR, it was necessary. On all med passes, our ratio is 30:1. Every 10 patients are scheduled like this: first 10 patients, QD meds 8, BIDs 8/4, TIDS 8/12/4. Second 10 patients, QD meds 9, BIDS 9/5, TIDS 9/1/5. Third 10 patients, QD meds 10, BIDS 10/6, TIDS 10/2/6. Synthroids are night shift given at either 0500 or 0600 depending on where they are. This is not fool proof, because when you get Q8's or Q4's, it throws off a little, but it has really helped. Also, all nurses on all shifts have to agree to start the medpass in the same place and proceed in the same direction/ manner. OH, and Coumadin is the same, they are stepped based on the evening pass. When scheduling medications, we always look at what they already have and tie them in to the above schedule IF WE CAN. Obviously we can't sometimes, but it truly helps in the long run. LTC has gone haywire with pills. I feel so bad that our nurses want to spend more time with patients but cant because the average pill-per-pt is so high.
  4. 0
    We do the AM/PM system at our facility and have for almost 2 years now. No issues with pharmacy or the state. We do have some scheduled meds, as well as some timed for personal preference, but over all it's AM and PM. Nursing gives any PRN medications, but medication techs pass the rest.
  5. 0
    Quote from NurseGuyBri
    I have a system that seems to work but it's difficult at first. The only thing we needed was MD approval once we laid out how we were going to work the meds. Since we are 100% EMR, it was necessary. On all med passes, our ratio is 30:1. Every 10 patients are scheduled like this: first 10 patients, QD meds 8, BIDs 8/4, TIDS 8/12/4. Second 10 patients, QD meds 9, BIDS 9/5, TIDS 9/1/5. Third 10 patients, QD meds 10, BIDS 10/6, TIDS 10/2/6. Synthroids are night shift given at either 0500 or 0600 depending on where they are. This is not fool proof, because when you get Q8's or Q4's, it throws off a little, but it has really helped. Also, all nurses on all shifts have to agree to start the medpass in the same place and proceed in the same direction/ manner. OH, and Coumadin is the same, they are stepped based on the evening pass. When scheduling medications, we always look at what they already have and tie them in to the above schedule IF WE CAN. Obviously we can't sometimes, but it truly helps in the long run. LTC has gone haywire with pills. I feel so bad that our nurses want to spend more time with patients but cant because the average pill-per-pt is so high.

    Post made me lightheaded.


Top