Would you give a drug someone else pulled from a pyxis? - page 3
by squatmunkie_RN 5,360 Views | 29 Comments
For example: if they handed you a pill still in the wrapper? You know it's the right pt/right med etc....there is an EMAR record. I'm NOT talking about giving a syringe full of a medicine you have no way of confirming what... Read More
- 1Feb 12, '13 by BSNbeDONEQuote from nrsang97Believe it or not, if you are assigned the right set of patients, their families won't allow you time to do anything! I actually had to have another nurse give my meds because the families were so ***** relentless, that I just didn't have time to even GO to the med room. At the end of the shift, the charge nurse came to me and said, "if you will come back tomorrow, I promise you that I won't give those patients to you as long as they remain here". She felt so guilty because I went down that hall at the beginning of the shift and LITERALLY, didn't come back up the hall until AFTER the next shift took over. I was an LPN on a med/surg floor when that happened. The next day, I came to work but I didn't clock in until AFTER the assignment was made...you know, just in case I felt ill suddenly and mysteriously. Lol!Really? I can't figure out how busy they are that they can't be pulling out their own meds. Seriously?Last edit by Esme12 on Feb 12, '13 : Reason: TOS
- 0Feb 12, '13 by dah dohIf its in the packaging and you look at the mar then it's not a problem. We also do it in an emergency all the time, especially codes or rapid sequence intubation when there are doctors barking at you and chaos all around you and the nurse or pharmacist who drew up the med into the syringe is standing next to you. Not ideal, but it happens all the time!
- 0Feb 12, '13 by LLT1964redIn the name of giving the patient the best care you can,and sometimes you have to do it fast,its a fact in some situations that it is best to do this/always have witness to see if your drawing up/diluting narcs or anything that you feel you need a 2nd check...meds in original packs unless completely not possible.Trust is a big part of nursing.You hold your coworkers capable and responsible for these things as they hold you responsible..There are a few out there that might try cheating the system but somethings gonna look funny if they arent doing the meds like the rest of the nurses do,,ie diverting,and they will get caught...others will notice.IN er especially true.I would generally grab the stuff and go in the er room,draw/dikute w other staff present,,
- 0Feb 12, '13 by SoldierNurse22Absolutely. I've done it before, in fact, and it can be very safe if you follow the normal precautions that you'd take had you pulled the meds yourself (ie, don't use them if the blister pack is opened, do your 3 checks, etc).
However, the time I gave meds that were pulled by another nurse, I caught an error in the med pass while checking the meds (still in their blister packs) against the EMAR, so don't assume anything!
- 0Feb 12, '13 by imintroubleI thought this was a pretty cut and dried thread. Yes or no. I'd give the med if it were still wrapped, just like everybody else. I've done it before.
Then I thought about incidences when I've given a med for somebody else. If it's anything that lowers pressure, I want to know that's not a problem. Since I trust all the nurses I work with, "It's ok" works for me.
If I was asked to give Coumadin, I'd have to know the INR.
There are drugs that aren't as simple as giving a Tylenol, and require a little investigation.