Leave me alone when I'm passing meds!!!!!

Specialties Geriatric

Published

How would you answer this question?

When nurses are interrupted during medication administration, errors can occur in practice. What percentage of the time do nurses make mistakes when interrupted during medication administration?

a. 22%

b. 31%

c. 74%

d. 100%

The correct answer is "c" 74%.

In a study by Westbrook, et al. (2010), the authors found that interruptions occurred in about 53% of medication administration events resulting in at least one procedural error in 74% of patients, and one clinical error in 25% of administrations. Although many errors were considered to be minor, 2.7% were considered to be major errors resulting in complications or mortality.

The take home point here is that nurses are interrupted frequently during medication administration and that mistakes happen frequently, some leading to catastrophic results. Seek a quiet environment when you give medications and give your peers a break, by leaving them alone during their medication administration.

From:

Westbrook, et al. (2010). Association of interruptions with an increased risk and severity of medication administration errors. Arch Intern Med, 26(170); 683.

Specializes in Geriatics.
This is a serious issue that really should be the focus instead of worrying about wiping down the glucometers.

I get more interruptions during a medpass from CNA's than I do from family members and they should know not to interrupt the nurse during the medpass. "So and so wants pain medicine" "So and so needs xanax" "So and so wants her pills".

Unless its a critical issue, save it. I am aware of the patients who need pain medicine and know when their next dose is going to be. Everyone will get their pills.

Well if my patients needs something regardless if the nurse is doing her MED pass or not I tell him or her right then because I might forget. Multi-tasking is necessity for nursing screw your MED pass.

Wow this is a shocker i will always remember this while in nursing school

Specializes in neuro/ortho med surge 4.

I work in a hospital and I get interrupted also. We have a computer on wheels and we have to bring it in to the room to scan the meds and the ID band of the patient. It is usually a family member asking me all kinds of questions when I am trying to scan meds and make sure I do not make a mistake. I will politely inform them that their questions can wait because i do not want to make a mistake with loved one meds. Or it is the interuptions from CNAs, phlebotomists, resp therapists, dietary, PT, phone calls from pharmacy, xray, catscan, MDs, etc. etc.

I am really surprised that nurses don't harm more patients with all of the interruptions we have to deal with.

Specializes in Geriatrics, Home Health.

I hated the day shift because of the endless interruptions.

Specializes in Geriatrics.

I ask my CNAs to write requests on a piece of papre i have on the cart just for that reason. They happily comply as this saves them time waitting around for me to complete what I'm doing (drawing narcs, hanging IV's etc...). My problem is the patients who's room I just left after giving them thier meds who suddenly remembered they are in pain and want thier pain meds NOW! (I asked them before I left the room).

Specializes in LTC.
Well if my patients needs something regardless if the nurse is doing her MED pass or not I tell him or her right then because I might forget. Multi-tasking is necessity for nursing screw your MED pass.

I see where you are coming from but it is DANGEROUS.. to interrupt a nurse in the middle of a med pass. We worked hard to get our licenses. My med pass is something I take very very seriously. I am medicating patients and it might only seem like pills and vitamins to some, but its narcotics and heart meds that can be very dangerous if an error is made. For example.. I pop a b/p med in the cup.. and you tell me about said patient who needs a pain pill. I break my concentration .... go back to what I was doing. and put the same b/p med in the cup. Double dosing the patient (It never happened to me yet god forbid.. but just using this as an example).

What about sending a note to the familes and let them know the reasoning behind the sign or apron. This could work with most families.

Specializes in Geriatics.
I see where you are coming from but it is DANGEROUS.. to interrupt a nurse in the middle of a med pass. We worked hard to get our licenses. My med pass is something I take very very seriously. I am medicating patients and it might only seem like pills and vitamins to some, but its narcotics and heart meds that can be very dangerous if an error is made. For example.. I pop a b/p med in the cup.. and you tell me about said patient who needs a pain pill. I break my concentration .... go back to what I was doing. and put the same b/p med in the cup. Double dosing the patient (It never happened to me yet god forbid.. but just using this as an example).

Well I worked hard for my license as well I might have worked as long as nurses have but it means something to me too. And not reporting something in a timely manner could cost me my license and chance in ever farthering my nursing career. And I have been in too many situation where I have "waited'' on the nurse to finish her MED pass and by been to situation had gotten worse....and who do they blame....CNA!!! or the nurse will lie and claim I had not told her anything. I guess better my license then hers. But you have to realize that the CNAs have a responibility to alert the nurse at any status changes, minor and extreme. May when I become a nurse I will see things differently. But I will certainly keep mind of this the next time I need to tell my nurse something.

Specializes in LTC.
Well I worked hard for my license as well I might have worked as long as nurses have but it means something to me too. And not reporting something in a timely manner could cost me my license and chance in ever farthering my nursing career. And I have been in too many situation where I have "waited'' on the nurse to finish her MED pass and by been to situation had gotten worse....and who do they blame....CNA!!! or the nurse will lie and claim I had not told her anything. I guess better my license then hers. But you have to realize that the CNAs have a responibility to alert the nurse at any status changes, minor and extreme. May when I become a nurse I will see things differently. But I will certainly keep mind of this the next time I need to tell my nurse something.

I am fully aware of the CNAs' responsibilities, thanks. And maybe if you do become a nurse, you will get what we all are saying when the CNAs' are all interrupting you during your medpass where technically.. according to current rules.. the meds are already very late. But thats a whole different can of worms.

We have a new grad RN supervisor that will stop your med pass at least a 100 times to ask the dumbest questions. She came and asked me last week where does she insert a g-tube. Uh if you don't know I won't trust you to do it! The other day she inserted a foley catheter into a female resident orifice, I wouldn't have known about this if the CNA hadn't come and told me that the resident keeps urinating on her bed pad and the drainage bag is empty!!!! I have only 20 residents and when I am not working with this RN my med pass is 45 minutes to an hour, when she works its usually over 2 hours. I have to watch the CNAs and babysit her!!

Well if my patients needs something regardless if the nurse is doing her MED pass or not I tell him or her right then because I might forget. Multi-tasking is necessity for nursing screw your MED pass.

Do we work together?! I think I've just found the CNA who is forever interrupting my med pass for the most trivial of things. :uhoh3: Because you might forget to tell the nurse, you feel the need to interrupt the med pass. And doing just than can contribute to a med error that just might kill someone. I suggest you work on some memory techniques.

Screw the med pass...?? Seriously? Unless the patient's life is on the line right at that moment, it can WAIT. Just keep a notebook or some sort of paper in your pocket, write it down and leave it for the nurse on the med cart. That way, YOU won't forget and the nurse is notified and problem of your poor memory..solved.

Come back and post when YOU are the nurse being interrupted for everything under the sun by a CNA with an attitude like yours. I'd be willing to be you'll be changing your tune real quick.

Specializes in LTC.
We have a new grad RN supervisor that will stop your med pass at least a 100 times to ask the dumbest questions. She came and asked me last week where does she insert a g-tube. Uh if you don't know I won't trust you to do it! The other day she inserted a foley catheter into a female resident orifice, I wouldn't have known about this if the CNA hadn't come and told me that the resident keeps urinating on her bed pad and the drainage bag is empty!!!! I have only 20 residents and when I am not working with this RN my med pass is 45 minutes to an hour, when she works its usually over 2 hours. I have to watch the CNAs and babysit her!!

We have a supervisor like that.. shes just has no common sense. Shes not a rude supervisor but she constantly interrupts me and tells me to call doctors when she clearly knows there is a nurse at the desk. After her 400th interruption I said I am listening but I am just going to pop out her meds while you'll talk..

I had 25 patients plus I had to do as much of the first med pass on the other cart as I could. So I got about 38 residents done in 4 hours. (Includes 2 G-tubes and fingersticks).

+ Add a Comment