If a patient gets a narcotic, ex: Morphine Sulfate, scheduled q 12 hrs but they refuse it when it is due then want it a few hours later. Is it OK to give them that narcotic when they asked or do we tell them that it was counted as a refusal and not in the time frame anymore?
I'm just confused - would I get in trouble for not giving it because they didn't get it when scheduled (and state they're in pain) or would I be in trouble for not giving it at the correct time (ex: 4 hrs late)? Most patients have alternate PRN's scheduled but what do you do if a patient is heart set on getting the medication they refused a few hours ago?
I also work night shift and so sometimes questionable at calling MDs for stuff like this when they are asleep.