fangirl

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1. Independent by day, dependent at NOC

   fangirl posted a topic in General Nursing

   So, there's this patient who during the day is completely and totally independent. Showers self, feeds self, dresses self, walks unassisted, you get the picture. But, at 7pm, they change gears and demand staff to do all ADL'S for them. They will hit ...

2. How many is too many? Medication errors

   fangirl replied to fangirl's topic in Medications

   Update: Leslie is no at the facility.

3. How many is too many? Medication errors

   fangirl replied to fangirl's topic in Medications

4. How many is too many? Medication errors

   fangirl replied to fangirl's topic in Medications

   The narcotics are signed out on the MAR, but not in the narcotic book and the narcotic count is correct. Therefore, they weren't given. If she signed the meds out and the patient refused, the count would be correct or over by one. If a patient refuse...

5. How many is too many? Medication errors

   fangirl replied to fangirl's topic in Medications

   When asked, Leslie says, "how did I miss that?" My thought is as you are flipping pages of the MAR, you see a narcotic and think you'll finish popping the other meds out of the cards and then go back, sign the narcotic book and pull your narcotics. T...

6. How many is too many? Medication errors

   fangirl replied to fangirl's topic in Medications

   Also, whoever finds it has to call the family.

7. How many is too many? Medication errors

   fangirl replied to fangirl's topic in Medications

   We do count narcotics each shift. The meds are signed out in the MAR, but not in the narcotic book and the count is corrrect. As an example, Sally is ordered Lortab every six hours routine at 0600 1200 1800 and 0001. I take the keys and count at 0700...

8. How many is too many? Medication errors

   fangirl replied to fangirl's topic in Medications

   Extra doses of psych meds have been found on occasion.

9. How many is too many? Medication errors

   fangirl replied to fangirl's topic in Medications

   When i go to the narcotic book to sign out the dose I have to give, and I see that the previous dose wasn't given, what am I supposed to do? The responsible thing to do is bring it to a managers attention, which I do. I apologize that it appears I'm ...

10. How many is too many? Medication errors

    fangirl posted a topic in Medications

    I work with a nurse, we'll call them Leslie, (not their name btw). This person has had a ton of medication errors, mostly not giving narcotics. We still use the paper sheets for narcotics, not a computer pixys system. The MAR will be signed, but not ...

11. So nervous about med errors

    fangirl replied to Ioreth's topic in Pre-Nursing

    I've been a nurse for almost 2 years and a CNA for 6 years. Med errors do happen. Check your orders, recheck them, then check them again. Med errors happen. The important thing is that if you make a mistake and realize it, tell your supervisors d own...

12. Medication errors

    fangirl replied to fangirl's topic in Medications

    We didn't used to get written up unless the error was major or caused harm. Lately, we are short staffed, so more errors, so here come the write ups. Nobody wants to turn in a medication error because of the paperwork and someone will be getting a wr...

13. Medication errors

    fangirl replied to fangirl's topic in Medications

    That's the annoying part of where I work. You have to disclose everything. It sucks for building rapport with families. And it's almost always narcotics. I dread hearing the words med error.

14. Medication errors

    fangirl replied to fangirl's topic in Medications

    The most common are orders that are misinterpreted and transcribed wrong, and people signing out narcotics in the medication administration record, but not in the narcotic book, which means they're not given. We still have paper MARs and paper narcot...

15. Medication errors

    fangirl replied to fangirl's topic in Medications

    I completely agree about the paperwork. It is absolutely ridiculous! As an example, if someone has a small scratch, self inflicted, this is what is involved: call family, call doctor, call unit manager, put in treatment order, print Treatment recore...