Ok, so I was kidding about the cheese part. Sorry.
I'm looking for input. My hospital is looking for ways to reduce medication errors, specifically errors of omission and "late" meds.
We have a computer-entry system that prints out orders for us. Our care plans
are all printed out and have the meds highlighted for the shift.
Couldn't get much easier, but for some reason, we're still not giving the meds on time. We have a Pyxis. The wait time to get meds doesn't seem excessive.
I've been racking my brain here. I'm good at thinking outside the box, but am not having any luck coming up with solutions. I was wondering if anyone out there had some special ways of reducing med errors at their institutions.
Feb 25, '04
Our charge does not take patients, or sit on their butts. They help with the am med "pass" while we assess our patients, meet with the docs. We changed a position to 11a-11p to be purely assistive, we're short now so from 11-3 we have a nurse that "floats" unassigned until 7pm. that helps with admissions, meds again, helping with Iv's what ever you need. when staffed that person floates from 11-11.
Now I'm 100% sure that adding MORE staff, won't be part of your solution, but consider you resourses... how is your charge utilized, ours on days does pure bed control and assistive. They never sit. On busy days the assistant manager joins in as well as the manager. I've been other places. I know this is not the norm. but it is WHY I chose this unit.
We have the same ratio's of other units, but choose not to carry fewer patients at times but use the truly assistive personal, for meds and help because a heavier load is sooo doable, with help.
Speaking from an ICU with 2-3 patients 3-4 if just swanned and stable on heavy, non titrating drips waiting transplant. 6 months in, no late meds. plus the other nurses when done with their meds always ask "what can I do to help" No one really sits until every one is done, then we chart. it works great.
Last edit by heart queen on Feb 25, '04
Feb 26, '04
There's too many variables going into a med pass. You can't just walk into an assignment and expect everyone to get their meds on time. Sorry but someone sometime is going to be late, unless they ignore other patients needs. "Sorry I can't help you to the bathroom, I must pass my meds. Sorry I can't take report on the ER admission, I must pass my meds."
I say relax and don't expect miracles. If most of the meds are passed in a reasonable amount of time, I'm happy. But stuff happens. Give me a safe ratio, no admissions, and plenty of nursing aides and my meds will get passed on time, otherwise get out of my face.
Last edit by Tweety on Feb 26, '04
: Reason: several typos...opps...