Pre-Pour medication: to do or not to do

  1. 0
    So, I work at a facility where the other nuses pre pour meds for the 2nd shift, including narcotics. I seem to be the only one who won't do it. I'm really feeling the Love from my co-workers for this....NOT.

    Any advice is appreciate.
  2. 20 Comments so far...

  3. 0
    I would never pre pour. There are to many risks that come along with that.God forbid state ever saw that Im sure you know how bad that would be.You seem like a very smart nurse for not copying the bad habits of your Co-workers(not saying they are bad nurses because I know plenty of amazing nurses that have the bad habit of pre pouring).I know that pre pouring also saves time but it's just not worth the risks in my opinion
  4. 6
    When should you pre-pour meds?

    1) Never
    2) Never
    and 3) NEVER!

    Your co-workers are wrong. State surveyors would barbecue the facility for that, and with good reason---because it's flat out unsafe. Way too easy to grab the wrong cup when you're in a hurry (and when are you NOT in a hurry?).

    Don't worry about your co-workers...... just keep up the good work and pass your meds safely and accurately, the way you know it's supposed to be done.
    NutmeggeRN, Altra, Enthused RN, and 3 others like this.
  5. 2
    This is the way I feel as well. I work in a facility with no state oversight...we are a state agency yikes......I will keep on doing the right thing even though it's hard to deal with the scrutiny especially from the second shift workers who are used to coming in with their meds poured by everyone else. My license means more to me than being popular.
    Esme12 and VivaLasViejas like this.
  6. 3
    They're passing meds prepared by someone ELSE??!!! That's even scarier than prepouring. How does anybody know exactly what's in the med cup they're passing if they weren't there when the pills were popped? Ye gawds, I'm getting the shivers just thinking about it.....{{{{{shudder}}}}}
    NutmeggeRN, CrazyGoonRN, and Esme12 like this.
  7. 0
    Sounds like you're saying they pre-pour for other nurses. Heavens, no. If I were going to pre-pour, I would only consider doing it for myself, and only if I kept the meds where no one else could get to them. I worked with a nurse who pre-poured all the time, it helped her free up more time for sleeping on night shift. She used to hide them in the med cart and hope the DON didn't make any surprise attacks. The DON had caught her doing this and yet, she still persisted. I learned from her not to pre-pour. Not a good idea.
  8. 0
    Quote from Do_Good
    This is the way I feel as well. I work in a facility with no state oversight...we are a state agency yikes......I will keep on doing the right thing even though it's hard to deal with the scrutiny especially from the second shift workers who are used to coming in with their meds poured by everyone else. My license means more to me than being popular.
    If you are a state facility how is it that there are no state surveys?
  9. 3
    Quote from VivaLasViejas
    They're passing meds prepared by someone ELSE??!!! That's even scarier than prepouring. How does anybody know exactly what's in the med cup they're passing if they weren't there when the pills were popped? Ye gawds, I'm getting the shivers just thinking about it.....{{{{{shudder}}}}}
    I was just about to respond and then I saw that post about pouring other peoples meds and I thought WHHHHAAAATTTT???

    Oh Heck NO! Are you frigging kidding me?????

    Just when I think it can't get crazier........

    Honey.... please don't do this......let them give you the stink eye and start looking for another job maybe????
  10. 0
    Quote from tyvin
    If you are a state facility how is it that there are no state surveys?
    I haven't heard of not being surveyed but.....You don't have to self report. If you are the state and you report to the state........(shrugging shoulders)
  11. 0
    Quote from tyvin
    If you are a state facility how is it that there are no state surveys?
    I really don't know why we don't have any kind of oversight. It is a correctional facility. I think the worst part is if an inmate doesn't show up for a prepoured narcotic, they leave it in the drawer for the next shift to use...can you believe it? Then that narc is sitting there and who knows how it is used. And....I'm considered not a "team player" because I don't pour and I destroy a narc not used....


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