Published Feb 3, 2008
allthingsbright
1,569 Posts
*stupid ?? follows*
OK, so I would never ever drop a med on the floor, pick it up and give it to the patient--but this last week I did tip the med cup over on the patients bedside table, the meds rolled out a bit, I picked them up w/ the cup and gave the patient the meds.
Now, I am a new nurse, and my little pea sized brain is telling me this is bad practice and that I contaminted the pills. But I have seen other nurses do this kind of thing and am wondering if I am being paranoid. And yes, I have been thinking about it ever since...
So my question: at what point do I get new meds from the pyxis? Nursing school would slap my hands and say every time--not sure what real world nurses do.
Duh!:icon_roll
jmgrn65, RN
1,344 Posts
Not really a stupid question. I think i would have done the same thing unless i knew or thought it was dirty. Giving meds isn't a sterile procedure. Clean yes, half the time the patients put them into thier hands and those certainly arent' clean. Well that's my 2 cents.
ORNurseAngie
48 Posts
I probably would have done the same thing. What do you think people do at home when they drop pills on the counter, i'm sure they take them anyway. I myself have dropped my teeny tiny birth control pill on the floor and still took it. I know I probably should not however I would rather take my chances with some germs than pregnancy right now.
pattycakeRN
94 Posts
I know I probably should not however I would rather take my chances with some germs than pregnancy right now.
:yeahthat:
ERNurse752, RN
1,323 Posts
I wouldn't think anything of it, as long as it didn't drop into a ring of dried pee left by a urinal or something.
I wouldn't use a needle/syringe I dropped on the bedside table, but a pill should be fine.
thanks all-i appreciate the imput!
Riseupandnurse
658 Posts
I agree; I wouldn't have any problem using a pill that had been on a bedside table unless the table was dirty. If you walked in and saw a patient had put a cookie down on a reasonably clean table and then picked it up to eat, you wouldn't take it away and say it was too dirty, would you? Same thing.
Burnt Out, ASN, RN
647 Posts
If the table is clean and some pills fall out on it, I do pick them up and give them to the patient. I would get some new ones if they rolled into some sort of body fluid on the table.
Nightcrawler, BSN, RN
320 Posts
I would do the same thing
That said...... I think it is hilarious that we consider the table clean as long as the pill doesn't drop directly into some sort of bodily fluid.....
purple1953reading
132 Posts
Consider where the pill is put, MOUTH, enough said. Alhtough, there will be the patient who finds it offensive, or family member, if done none chalantly , no one will probably even notice. I have seen it done numerous times, nobody batted an eye. I have asked that the aides keep the bedside table clean and uncluttered, as this is where they eat. One of the things I do everytime I enter a room, while talking with, or answering questions, bringing meds etc, is cleanup that table. HANG IN THERE
NurseCherlove
367 Posts
I would have done the same thing as well. Now that being said, I have to say that I can't stand to come into a room and see a urinal full o' pee sitting right there smack in the middle of the patient's bedside tray.
Of course, where to put it? I wish there could be some kind of design for a urinal holder tray thingee near the bed - as long as it was not on the bedside table where they eat and have their personal items.
BTW, stop saying bad things about yourself (pea-sized brain)!! It is hard to bridge the "what you learned in school" to the "nursing in reality".
Good question.