Quote from dolcebellaluna
Like, I start off fine but the last 4 patients seem to take forever, no matter how I prioritize it. I've tried the "easy" residents (walky talky) first and I've also tried the crushed in apple-sauce residents first, with almost the same results!
Something that just dawned on me today was to make sure all of your meds are in alphabetical order in the cart, so you can just go straight down the kardex and straight across the drawer. Also, make sure your cart is stocked before your shift starts (if night shift doesn't do it for you).
Dude, same here! I know you're supposed to leave work at the door and vice versa but when I get home I can't help but think who should i give meeds out to first and in what order? ANYTHING can happen during med pass. one of the LPNs told me to act like one of those things will happen during med pass. And maybe that'll help speed things up. idk..
Quote from amoLucia
One month is hardly any length of time to become speedy!!!! It takes time, esp because EVERYTHING is new and is also time-consuming (phone calls, MD interax, families, emergencies, etc, and esp eye gtts and GTubes). And all the BP parameters you have to do.... And what does the stock Colace bottle and stock EC baby aspirin box look like? It takes time, even for us ancient ones!
One thing concerns me about your post - your comment about giving meds by memory? You're giving meds acccd'g to the MAR. I'm guessing you just worded your post funny. Just don't get into a habit just giving meds by memory. Things change and then there'll be errors. I know there are nurses who probably do give meds by memory. Bad habit.
Remember your training's good technique. And there's no award or prize for 'Fastest Med Pass Nurse'. No plaque to hang on a wall!
You'll be OK - but since you did ask for tips >>>>>> Make sure your med cart is super-well stocked, you know all your supplies!
That's where I lose time, like I need Glucerna or tissues, lancets, preps, etc. PP reminded me that I also lined up my med cards, not alphabetically, but by the order on the MAR. Granted someone else may pop back THEIR med cards into my sequence, but by and large, they would be pretty much in order.
Okay, so it's not uncommon for med pass to take forever. Got it. I'm not trying to be the fastest med pass nurse lol. I'm just having trouble finding my judgement on when to take a break off the floor. it seems crazy for me to never have time for a break in the 3 weeks i've been on my own cart. But i guess that's a nurse's life story right? like how nurse's will be lucky if they find time to pee..
another thing i have trouble finding time for is charting on the ones who need it q shift. I have three. we chart by exception at my facility. it doesn't seem bad but the other day PT wrote in like 7 new orders that i needed to transcribe.
my staff manager keeps reminding me YOU CAN'T DO EVERYTHING ON YOUR SHIFT. somethings you have to pass on.
im the kind of person who will bend over backwards for my patients. i feel bad passing on my tasks during MY shift to the next nurse. i could go on about an LPN who didn't accept the task I gave her. I'm an RN, so…. um nope i'll keep this comment short.
And passing meeds by memory. yep okay. bad me. won't do it.
Quote from IaCountryGirl
Certain meds do have to be given at certain times but if you have a lone vitamin I would see about changing the time on it. We can change the times provided the doctor didn't give specific orders like give at bedtime, etc. I regularly go through meds as I'm passing to see what could be moved to a more convenient med pass time and then go thru the proper procedure (which sometimes does involve asking the doc and getting an order).
basically i just want to try and finish med pass so i can find time to do important RN things, discharge/admit/readmit residents, charting, etc. and also LEAVE ON TIME. i've stayed 4 hours after my shift one time to finish charting. my work doesn't like paying me OT lol.
but thanks for the help guys!! (:
i hope this weekend will be better.