Just my hospital?? - page 3
Just the other day, a new policy became official in my hospital. We can no longer give meds on a range schedule. Like 1-2 Percocet Q4 hrs. Now we have to give 1 and then if the pt. needs it we can... Read More
Apr 21, '07We have had MAKs for about 2 years, and since then, instead of a range, we'll see 2 orders in the MAK for the same med, like 1 tab q4 PRN pain, and another for 2 tab q4 PRN pain. Works.
Apr 21, '07It is a JCAHO recommendation slash/mandate. Range dosing is not allowed many places now. I think it is very stupid and yes, in many cases, will cause more problems than anything else, particularly in surgical cases where two percoset are really needed on schedule to keep pain under control. It's forced some people to play games with signouts/times, etc. E.G. giving percoset more like 5 or 10 min apart to keep patients appeased. OR coaching patients to qualify their pain as "severe" e.g., 6 or 7, to get the full dose. Definately a horrible thing. It eliminates nursing judgement, as well, which is what is drilled into our heads all throughout nursing school.
Apr 21, '07Of course the doctors know this policy; they sign off on the standing orders!!!!
They have no more choice than we; JCAHO is bigger than they are as well.
Those of you not doing this who are JCAHO-accredited, it will be coming to you!