Ok so I work as an lpn in LTC. We hae a resident who is a bother so to speak. He continually tries to get out of bed at night and has had a few falls. I know he is worrisome BUT
I worked 7-3 this week (I'm PRN so I work all the shifts) an I started to notice that in the mornings, this man was heavily medicated. He has an order for Klonopin 0.5mg QHS which evening shift is happy to give just to help keep him in bed. I've worked the shift. I've given it to him myself. But I wasn't aware of the level of sedation he was under until I worked day shift this week.
Hes so over medicated in the AM that the first day I worked, I thought he was in a coma and had had a stroke. Did neuro checks and watched him closely. He didn't fully wake up until around lunch. Which means he didn't eat breakfast and apparently NEVER does due to the over sedation....not a good thing.
So I approach the NP about my concerns. She D/C the Klonopin to my relief. The next morning he was awake, alert and verbal and ate ALL of his breakfast meal! Wonderful!
Well the 3-11 shift throws an outright fit about the Klonopin DC. They call the NP at home and have her reinstate it. All bc they didn't want to have to run to his room and put him to bed every time he tried to get up.
I know now it's annoying. I've worked that shift and gotten frustrated with him myself BUT I was unaware how sedated he was in the AM also.
Im upset that the Np gave in to the pressure from the nurses and gave this med back! I informed her that they were wrong. That it is illegal to sedate someone just bc they are annoying....apparently she needed reminding!!!!! This is abuse! There are laws protecting this man. But no one cares. My DON, the ADON, the NP. I feel like the nurses threw a fit and she gave them what they wanted bc she favors them. Sorry if I'm not here to discuss manicures with you. I don't kiss ass. I care about my patients and that is all.
what is the deal??? Why am I the only one who cares??? What should I do? Opinions welcome.
Your facility sounds like a *****. You can report what is happening to your state.
Last edit by traumaRUs on Jan 26, '14
: Reason: TOS