Changing medication Forms

  1. 0
    Can/should a RN change a mediction form without an MD order. ex MAR reads: ASA 325mg PO every am (one 325mg tablet).

    the nurse med room nurses crushs the med or change it to a BC powder without an MD order.

    How do you feel about this?
  2. 16 Comments so far...

  3. 1
    I guess it would depend on the situation....we crush to put in a suspension solution or water to give to our kids because it doesn't come any other way. Is it a person who can't swallow pills? But you also have to be aware that certain things can NOT be crushed.
    cfaith likes this.
  4. 3
    Changing the form is going from IV to PO or subq. Crush a PO tablet and it's still going in PO, right? As long as you're working with something that is safe being crushed I see no issue here.
    psu_213, bebbercorn, and cfaith like this.
  5. 0
    what do you mean by "form"?

    If you mean route, then yes, you need an MD order to change the route

    If you mean paperwork, then no, as long as the route is the same
  6. 0
    Quote from classicdame
    what do you mean by "form"?

    If you mean route, then yes, you need an MD order to change the route

    If you mean paperwork, then no, as long as the route is the same
    If MAR says tablet can I change to liquid or a powder?
    If it gum can I change it to lozenger?

    If it says suppository can I change it to solution and give as an enema???

    Those type of changes? Not the route ....
  7. 0
    Quote from cfaith

    If it says suppository can I change it to solution and give as an enema???
    Do you mind giving an example of this?
  8. 1
    Sign....is this home work?
    Hygiene Queen likes this.
  9. 1
    I think the person to ask is your risk manager or Educator, if you are in a facility. If this is homework, I would lean towards ALWAYS following orders to the letter. You can learn in practice what the law is for your area and what the practice is in your facility.
    cfaith likes this.
  10. 0
    no not homework, not anymore. I'm waiting to hear from my practice board. just taking the temp on here. I am the Clinical Improvement specialist/Educator for my facility Great minds think a like!
  11. 0
    Steriod suppository
    , nurse gave steriod enema as replacement as it was available.


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