Quote from akulahawk
I'm a current student... just not 1st semester. In 1st, you pretty much work entirely under the direct supervision of the clinical instructor. After 1st Semester, we're checked off on PO med pass with our clinical instructors and can usually do PO meds on our own. Certainly this is the case with 3rd Semester students. As long as I'm familiar with the meds, I can give them. We still have to have an RN or Instructor with us when we do anything except rate verification of IV lines or inject a medication. Next Semester, we'll do IV push meds and the like, and toward the end, we'll do pretty much everything.
Don't worry, there's lots to learn and a reason why your school does what it does. (Med error prevention!!!!!)
Quote from dudette10
When you say "PO meds on your own," do you mean give them after the instructor has reviewed them/labs/VS/NPO status/etc. with you, or do you mean that you check the MAR and just give whatever is scheduled on your own without any supervision?
If it's the latter, hrm. I, as the nurse responsible for the patient, wouldn't like that. At all.
In 2nd and 3rd Semesters, we do review with our instructors those things for check-off. We're also required to write up every med that our patients have ordered as part of our prep. This is so we know what we're giving, why, and what to watch out for, including relevant labs. We do let our supervising nurses know what we're doing so they know what's going on, but we are not required to have someone observing each and every time we give PO meds. If the supervising RN wants to, that's perfectly fine. We actually do a lot of communicating with the nurses we're assigned to, so they're really not unaware. At one facility, we're the only
program allowed to pass meds to patients. This includes the local BSN program.
And yes, there have been many times that I've held a med because it was inappropriate to give. I notify the nurse I'm working with about it and why so that med isn't inadvertently given by someone else.
We have access to the Pyxis systems and can pull most meds on our own. If we're not familiar with a med, we can't give it. We're expected to look up unfamiliar meds before we give them. While it is uncommon for us to give meds to a patient that we're not assigned to, we look up any unfamiliar meds, check any relevant labs for that patient, and notify our instructor what we're doing for approval to give those meds. We're not entirely unsupervised, however the level of supervision for 3rd Semester students to give PO meds is a lot different than it is for 1st Semester students. Even in our program, I would be VERY uncomfortable with 1st Semester students giving meds at the current level of supervision I have right now.
And this also is what has been agreed to with all the hospitals we go to, and my program.