Can you get in trouble?

[Rnhm13]

Can you get in trouble if you lie to a patient about a medication? Coworker said they gave a vitamin but told pt is was something else, a PRN. Pt has psych problems and has become depended on this med when they don't need it. What do you think?

[amzyRN]

I think one could probably get in trouble by lying to a patient. There are ways to illicit cooperation without lying to a patient. I personally think it's wrong.

[heron, ASN, RN]

To point out the obvious, we don't have a lot of information on the situation in the OP.

That being said, given just the info provided ... I would hope the nurse in question got in a lot of trouble. S/he essentially administered a placebo, a practice many consider unethical.

Was the placebo prescribed as such or did the nurse make a unilateral decision to use it?

[Rnhm13]

The placebo was prescribed. I think it's wrong too.

[OCNRN63, RN]

Lying to a patient is not an option. Use of a placebo is considered unethical unless informed consent has been obtained.

[mluvsgnc]

I'm glad the placebo was prescribed, otherwise said nurse would have been waaaay out of line, IMO. And the fact that it was prescribed indicates that the primary care person is aware of the situation. Plus, the pt. is going to have to know at some time that s/he has been getting a placebo, and then what?? I would also like to know if all avenues have been exhausted in getting the pt. off the med with his/her knowing. Also, is the placebo having the intended effect? I think more info. is warranted.

[TheCommuter, BSN, RN]

Administering a vitamin when the nurse has misrepresented the pill as some other PRN medication violates the ethical principles of veracity (truth telling), beneficence (doing good), and autonomy (self-determination).

Integrity should be the name of our game in the nursing profession.

[roser13, ASN, RN]

"Can you get in trouble if you lie to a patient about a medication? Coworker said they gave a vitamin but told pt is was something else, a PRN. Pt has psych problems and has become depended on this med when they don't need it. What do you think?"

Who is determining what a patient does or does not need? That, to me, is the most egregious offense here.

[morte, LPN, LVN]

it appears, after further clarification, that it is the doc.

"Can you get in trouble if you lie to a patient about a medication? Coworker said they gave a vitamin but told pt is was something else, a PRN. Pt has psych problems and has become depended on this med when they don't need it. What do you think?"

Who is determining what a patient does or does not need? That, to me, is the most egregious offense here.

[heron, ASN, RN]

The placebo was prescribed. I think it's wrong too.

There's a lot of debate over the use of placebos without informed consent. Personally, the only experience I've had was an incident in which a resident ordered the use of NS instead of an opioid pain reliever on a person with end stage AIDS. I refused. She dc'd the order.

[Surprised1, MSN, RN]

Administering a vitamin when the nurse has misrepresented the pill as some other PRN medication violates the ethical principles of veracity (truth telling), beneficence (doing good), and autonomy (self-determination).

Integrity should be the name of our game in the nursing profession.

I wish I could like this more than once.

To me, this situation is about much more than "can you get in trouble?"