Morphine Authorization - page 3

by Tropigirl05RN 3,295 Views | 24 Comments

I'm new here and not sure if this is posted in the right area. I've always loved coming to this site as a lurker but decided to join :) The other night I was working (NOCS) and had a pt. who was given an order for Morphine on... Read More


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    Quote from Psychtrish39
    GM2RN, If you will read my prior post in this posting you will see why. I spoke at length about what is going on in my state. I agree it is a stupid rule and its something pharmacy in my state in some LTC corporations let pharmacy handle and I sure don't understand why the pharmacist in question would do that but pharmacy in LTC on the West Coast anyway is getting way too much power over physicians and nurses. I blame LTC corpoatations myself.

    I've read the answers and get what is being said about the process and why it's done, so maybe the word "why" isn't really what I mean. I'm looking for something deeper. What I don't understand is how this process prevents diversion, misuse, mistakes, or any of the other things that the stated intention is supposed to do. It seems to me that it's not patient focused at all, and the only thing it does is get in the way of caring for patients.

    That said, I don't think the answer I'm looking for exists. I think the best I'm gonna get is what has already been offered.

    Thanks.
  2. 1
    Thanks for all of your input. I definitely get frustrated with pharmacy in the LTC setting. They seem to revel in the fact that they can approve/deny giving patients the medicine they need (although maybe just our pharmacy haha). Hope you all have a great Independence Day weekend!!
    Psychtrish39 likes this.
  3. 0
    Quote from GM2RN
    I've read the answers and get what is being said about the process and why it's done, so maybe the word "why" isn't really what I mean. I'm looking for something deeper. What I don't understand is how this process prevents diversion, misuse, mistakes, or any of the other things that the stated intention is supposed to do. It seems to me that it's not patient focused at all, and the only thing it does is get in the way of caring for patients.

    That said, I don't think the answer I'm looking for exists. I think the best I'm gonna get is what has already been offered.

    Thanks.
    GM2RN,
    I agree it does none of those things and makes a nurse's job in LTC even harder. I get angry about it and ask co-workers and they say its because of diversion and don't question it and that perhaps why nurses in LTC are treated poorly in general. Out here in PacNW its just the facilities that are ran by huge out of state corporations. Maybe that has something to do with it and I love LTC and the patients and I will miss all I have ever taken care of but I have never been so disrespected as a person and an RN working LTC by management. It has about broke my spirit and made me question why I am a nurse. That issue there and among others in the field. I know I am not the only nurse because the same facilities here need nurses all the time. Its a tight job market and if they were treated nurses well they would stay. Thank you for your thoughts and I am glad the OP brought it up. It bothers me so much and who in the end it hurts is the resident in pain.
  4. 0
    Quote from Psychtrish39
    GM2RN,
    I agree it does none of those things and makes a nurse's job in LTC even harder. I get angry about it and ask co-workers and they say its because of diversion and don't question it and that perhaps why nurses in LTC are treated poorly in general. Out here in PacNW its just the facilities that are ran by huge out of state corporations. Maybe that has something to do with it and I love LTC and the patients and I will miss all I have ever taken care of but I have never been so disrespected as a person and an RN working LTC by management. It has about broke my spirit and made me question why I am a nurse. That issue there and among others in the field. I know I am not the only nurse because the same facilities here need nurses all the time. Its a tight job market and if they were treated nurses well they would stay. Thank you for your thoughts and I am glad the OP brought it up. It bothers me so much and who in the end it hurts is the resident in pain.

    There are bad work environments for nurses everywhere, but from reading the threads on this BB it seems that those problems and the number of those toxic environments are multiplied many fold in LTC. And if the work environment is bad for the nurses, the patients necessarily have to suffer for it.

    It is very disheartening to hear that so many good nurses have to leave LTC for the reasons you stated, and that patients needlessly suffer because of the demands that are put on the ones who stay.
  5. 0
    Quote from miss81
    Where I work Pharm has no say in the matter. Can you tell me why they would have any authorization to say "No"? (just wondering...)
    don't forget the OP is in the USA therefore Acute on Chronic Narcotic Panic will prevent good patient care


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