LPN in home care

Posted
by zizi2677 (New) New

Can an LPN in home care changes the meds time from 4pm to 5pm without DR approval?

Alex Egan, LPN, EMT-B

Specializes in Home Health (PDN), Camp Nursing. Has 9 years experience. 6 Articles; 857 Posts

If you just want to change the time on a once daily medication I woildnt feel the need to notify the doctor. However any questions should be directed to your RN supervisor.

JustBeachyNurse, RN

Specializes in Complex pediatrics turned LTC/subacute geriatrics. Has 12 years experience. 1 Article; 13,949 Posts

Unless there is a specific order such as give Prilosec 40mg PO at 5pm

Daily....if not sure ask your supervising RN

zizi2677

4 Posts

the med is anti seizure med felbatol she wanted to change the time from 4 am and 4pm to 5am and 5pm. due to the patient is coming late from school 4.40 pm and she dosen"t want to give it late. i think it will mess up with the other meds due on 6pm ( the window one hour before and one hour after). I think it will be safer to wait until tomorrow and call the MD that's all.

pookyp, LPN

1,073 Posts

I would get an order.

JustBeachyNurse, RN

Specializes in Complex pediatrics turned LTC/subacute geriatrics. Has 12 years experience. 1 Article; 13,949 Posts

Let the supervising RN know and consult with the physician. There may be a reason the drug is timed that way whether interaction with other drugs or smile compliance

traumaRUs, MSN, APRN, CNS

Specializes in Nephrology, Cardiology, ER, ICU. Has 30 years experience. 163 Articles; 21,071 Posts

Moved to Home Health Nursing