Care Planning

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by nratchet
Feb 28, '08   Views: 2,458   Comments: 7

  1. I have a question about care planning certain medications. In my facility, we care plan Coumadin and Heparin because they are monitored with lab tests. Does anyone care plan other related medications, (i.e. Lovenox, ASA, Plavix, etc) and, if so, what is your reasoning?

    Thanx.





    Last edit by nratchet on Feb 28, '08
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    About nratchet

    Joined: May '07; Posts: 47; Likes: 23

    7 Comments

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  3. by Nascar nurse
    Feb 28, '08
    Occupation: Hospice Nurse Specialty: 25+ year(s) of experience in LTC & Hospice ; From: US ; Joined: Jul '05; Posts: 2,388; Likes: 5,515
    It is the expectation at my facility that we careplan anticoagulant medications with "A risk for bleeding/bruising r/t use of ________"

    Even tho I think it is overkill most of the time, I have seen it save us with state when a resident came up w/ a big bruise of unknown origin on ASA & Lovenox. It proved to them that it was an anticipated event and not necessarily an indication of mistreatment.
  4. by cadburypam
    Feb 29, '08
    Joined: Nov '07; Posts: 24; Likes: 14
    It would make sense to care plan for the type of medication prescribed i.e anticoagulant, insulin, etc...than to specify a particular medication. The only medications I care plan is anticoags. The others I don't. We have enough to keep track of to care plan all of the meds too!
  5. by Tarong50
    Apr 10, '08
    Joined: Apr '08; Posts: 5; Likes: 1
    The expectation in our center is to CP specific anticoagulant, phenergan, and individual psychoavtives
  6. by Rexie68
    Apr 16, '08
    Occupation: IV team Specialty: 21 year(s) of experience in Vascular Access Nurse ; From: US ; Joined: Nov '07; Posts: 297; Likes: 179
    Quote from tarong50
    the expectation in our center is to cp specific anticoagulant, phenergan, and individual psychoavtives
    why phenergan? we cp specific psychoactives, everything else is pretty generalized.....
  7. by flashpoint
    Apr 16, '08
    Joined: Dec '02; Posts: 1,368; Likes: 997
    We don't specify any medication on the care plan...we care plan for general types like psychotropics and anti-coagulants, but we never mention the specific medication (and we never, ever, ever call them drugs...they are medications ).
  8. by Rexie68
    Apr 16, '08
    Occupation: IV team Specialty: 21 year(s) of experience in Vascular Access Nurse ; From: US ; Joined: Nov '07; Posts: 297; Likes: 179
    Quote from cotjockey
    (and we never, ever, ever call them drugs...they are medications ).

    i don't think i've called them "drugs" as opposed to "medications", but isn't that just semantics? i mean, they are drugs.....legal, prescribed ones, of course; but heck, we look them up in the physicians drug reference, or the nurses drug book. never really thought about it, and don't think it would cause a stir......:bowingpur
  9. by flashpoint
    May 1, '08
    Joined: Dec '02; Posts: 1,368; Likes: 997
    Quote from rexie68
    i don't think i've called them "drugs" as opposed to "medications", but isn't that just semantics? i mean, they are drugs.....legal, prescribed ones, of course; but heck, we look them up in the physicians drug reference, or the nurses drug book. never really thought about it, and don't think it would cause a stir......:bowingpur
    our corporate people just prefer the term medication over drug..."drug sounds so primative...it's all about verbage!" (picture a short red-head wearing a dress with tennis shoes...screaming and waving a clipboard).


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