Latest Likes For P B and J

Latest Likes For P B and J

P B and J (2,326 Views)

Joined Nov 30, '10. Posts: 110 (34% Liked) Likes: 125

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  • Apr 10 '15

    Quote from phaniea69
    1.) Collaborate w/ a pharmacist and get a recommendation from him/her that we can then suggest to the MD.
    This. In my facility asking pharmacy for a pain consult is a nursing judgment. We call pharmacy, talk to them about pain management (or lack of) and they come do a thorough assessment, including gleaning info from the chart as far as current pain meds, usage, home meds, effectiveness, etc. Pharmacy then makes suggestions directly to Doc, and follows through to assess effectiveness of the new regimen. Our pharmacists and doctors seem to get along very well, and work together. I had a patient recently that was not getting effective relief from his meds, pharmacy was consulted, and the solution (that worked fabulously!) was a BID Xanax added to the scheduled meds.

    I will also talk to the patient about what they have used in the past, and ask for this directly. "Smith in 252-1 complaining of back pain 7/10 45 minutes after X was administered. States he takes Y at home q6. Can I get an order for this? Thanks!" I almost always get what I ask for, and if not Doc will usually call and explain rationale.

  • Mar 14 '15

    Quote from phaniea69
    1.) Collaborate w/ a pharmacist and get a recommendation from him/her that we can then suggest to the MD.
    This. In my facility asking pharmacy for a pain consult is a nursing judgment. We call pharmacy, talk to them about pain management (or lack of) and they come do a thorough assessment, including gleaning info from the chart as far as current pain meds, usage, home meds, effectiveness, etc. Pharmacy then makes suggestions directly to Doc, and follows through to assess effectiveness of the new regimen. Our pharmacists and doctors seem to get along very well, and work together. I had a patient recently that was not getting effective relief from his meds, pharmacy was consulted, and the solution (that worked fabulously!) was a BID Xanax added to the scheduled meds.

    I will also talk to the patient about what they have used in the past, and ask for this directly. "Smith in 252-1 complaining of back pain 7/10 45 minutes after X was administered. States he takes Y at home q6. Can I get an order for this? Thanks!" I almost always get what I ask for, and if not Doc will usually call and explain rationale.



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