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Discussion

Absolute No-No's

Hi: I hope to get a lot of input from this question. As experienced nurses, what are some things especially related to medication administration, but anything else, that you would classify in red for a nurse to never, ever do? Also, what have been the consequences of nurses doing these things? Thanks, in advance!!!

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  • Experts

Giving antihypertensive meds without first obtaining the patient's blood pressure is rather dangerous. The consequences to doing this should be obvious.

Failing to routinely obtain temperatures on a patient on antibiotic therapy is unwise. After all, an infectious process is still occurring if the temp is 104 degrees, but how do we know the temp is elevated if we never monitor it?

Administering rapid-acting insulin to diabetics is unwise when we're unsure if they're going to eat anything. I've seen too many people with hypoglycemic reactions and bottomed-out blood glucose readings because somebody gave 15 units of Humalog a whopping 90 minutes before lunch time.

Giving crushed meds through a PICC line is an absolute NO! Yes, I've seen someone do this before.

Giving Potassum directly into an IV - instant cardiac arrest...not good!

Faxing a lab result for a PT INR rather than calling a physician. Giving coumadin for weeks without getting a PT INR as ordered. Giving coumadin too early or too late. Not taking seriously that the effect of medications being used inappropriately can result in a patient's death!:angryfire

This is what I meant to say regarding consequences:

"Administration of concentrated potassium injection can be fatal. Parenteral potassium chloride solutions must be well diluted, thoroughly mixed and administrered by slow i.v. infusion. Pain at the injection site and phlebitis may occur. Extravasation is to be avoided"

Hi: I hope to get a lot of input from this question. As experienced nurses, what are some things especially related to medication administration, but anything else, that you would classify in red for a nurse to never, ever do? Also, what have been the consequences of nurses doing these things? Thanks, in advance!!!
There are many things you should and shouldn't do when administering medications. But the two most important IMO is to know what you're giving--- not just blindly follow an order, and never ever attempt to cover up an error.

Recently, a nurse highlighted PM meds on the MARS to help distinguish which meds were to be given on what shift.

It caused confusion with a lot of nurses. I know I was looking for a DC order.

We flogged her good.

  • Guides

Never give a med you didn't draw up or retrieve. (Except in a trauma or code when a pharmacist is drawing up meds).

steph

  • Guides

There is NO "5-second rule" in medication administration. If you drop a pill on the floor---GET A NEW PILL.

I don't even take pills that fall on the floor in my own home. Blech!:no::barf02:

I worked in the ER. You should never ever let a seizure pt get up and walk to the bathroom(until theyve received their bolus)...even if they do say they're fine. I hated seeing other nurses letting their pts walk to the bathroom. We had one pt seize in the bathroom and the door was locked. Had to wait on security.

Also remember that many meds that can be given through a central port cannot be given peripherally at the same concentration.

[banana]

never make fun of nursing administration to their faces, or to anyone who might betray you!

[/banana]

:lol2:;):lol2:

im a student but i would think never to give a med without using the 3 checks and six rights aswell as not giving a med you didnt pull yourself ( unless its er)

Always make sure the patient takes all the meds before you leave the room. I've gone in to rooms and seen meds sitting on the patients bedside table that were from the previous shift. I've seen nurses get fired for this.

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