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. Visit  Do_Good profile page

    About Do_Good

    Joined May '09; Posts: 73; Likes: 15.

    20 Comments so far...

  3. Visit  NMlpn2rn profile page
    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. Visit  VivaLasViejas profile page
    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. Visit  Do_Good profile page
    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. Visit  VivaLasViejas profile page
    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. Visit  caliotter3 profile page
    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. Visit  tyvin profile page
    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. Visit  Esme12 profile page
    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. Visit  Esme12 profile page
    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. Visit  Do_Good profile page
    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....
  12. Visit  JZ_RN profile page
    1
    Why would you prepour? I mean I organize the pill boxes so that all the pills for my regular night med pass are in line, then Am med pass are all grouped together, just to save time.... but I don't pre-pour or pre-pull. I pull the pill from the box while viewing the MAR as I go and then line them up on the cart, check them against the mar, then they get put in the cup and taken to the patient, then I come back and sign them off.. I don't see how pre-pouring could really even save you that much time. You spend the same time pulling them ahead of time that you spend during med pass. I mean I know med pass takes a long time and maybe you want to save time there but it's not worth a mistake. I also sign off meds as I go, and I do ones that are narcotics and crucial timing/insulin, etc., first at the scheduled hour, and if someone gets their senna and tylenol an hour late it's not the end of the world.
    Last edit by JZ_RN on May 9, '12 : Reason: Typo
    NutmeggeRN likes this.
  13. Visit  imanurs03 profile page
    1
    don't do it.
    NutmeggeRN likes this.
  14. Visit  Sehille4774 profile page
    1
    That's a really bad practice! Wow. That sucks.

    As I see it...you do not have alot of choices besides go get another job, go along with it, or do things your own way but at the expense of taking some flack.

    Obviously alot of the people are complacent at that facility or else you would not have a whole staff going along with it....and, on that note, obviously administration is aware if everyone is doing it...(Kinda hard to do anything about it if the management staff is going along with the sloppy practice)

    I have no prob. standing up for where patient safety is concerned.....but if it is a battle that I definitely have no chance of winning then I am not going to throw myself in the line of fire...for what?

    I think if it was me....(and I have been this person quite a bit) I would do it the right way...make it kinda clear that it is my right to practice in a safe way..and defend with rationales if necessary, but otherwise kinda leave the other nurses to do what they want and I do what i want...but just be really polite about it..dont give them a hard time unless you feel it will actually get you somewhere towards improving the practice of the facility. Continue to participate in the group dynamic in a positive way. If you dont make a huge deal about things...it has been my experience that in this situation you can kinda slip under the radar without having to get a whole new job.


    Being THAT nurse can come with consequences tho, in varying degrees. It can make u a target for ridicule and if admin is one of those types that tries to find a way to get rid anyone who does not do what everyone else is doing...then maybe u would be better off getting another job. You could try to go directly to admin about it and run it by them to see where they stand on it.."Hey, just so you know I do not want to pour meds that will be given by another nurse because of x y and z. And I will pour my own meds..(maybe find a nicer way to phrase it haha)....And if administration supports your right to give the meds the safe way..then problem solved, you don't have to worry about what everyone thinks of you becasue you have been told by your boss that you are allowed to do it the right way. It helps to be organized and have clear objective arguments when u go into a meeting like that.

    Good luck!!
    Not_A_Hat_Person likes this.


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