Here is the situation. I work in a residential facility for kids with psych/behavioral disorders. They currently give all kinds of OTC's with no standing order, just a consent upon admission from parent/guardian. I brought this up with the director twice--- both times she assured me we were covered just with the consent. I know better.....
And another thing that bothers me.... the med "system".
The kids are on lots of psych meds, with lots of changes, naturally. They come on bubble pak cards, from an outside pharmacy. When a kid is d/c, or a med is changed, they keep that med, and we use it to start another kid on it if we get an order or a new admission. They just cross the name out and write the new kids name. There is a closet FULL of meds. So when something new is started, we go to the cabinet, get it out and put that card in the kids binder. Now I know this isnt kosher, but I need something to go to her with, since she is obviously clueless that this cant happen.
How would you approach this with her without sounding confrontational?
