Med administration prior to 1980

Nurses General Nursing

Published

I left hospital nursing prior to pyxis invention, bar coding meds etc.

Thinking how med administration is designed to cut down on patient error/theft/drug abuse but is more time consuming opening each tiny med packet, scanning and recording. Darn if I don't have difficulty at home opening benadryl blister pack....iron tablets backing and plastic holder refuse to budge quite often (packaged to prevent kids from OD on iron tablets as happened in past)

Sometimes long for the days of having little white paper box with plastic slide that you could easily remove pills from (unless your arm got jostled from passing staff/patient and pills went flying everywhere).....

Thankfully, filling out individual patient tags for souffle cups filled with meds then placing in metal tray for entire floor ceased at start of my training.

Glad glass IV bottles thing of past...

took just on patient in DT's that smashed bottle on edge of night stand standing their threatening me to realize how dangerous they could be as a weapon....thankfully my 70 yo aide walked in, and in 70's speak, trash talked patient into submission "Boy look at that mess I now have to clean up, get the h.... back in your bed"....learned alot from THAT encounter

Lets turn back time and reminence about passing/administering meds in days gone by.....

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

1974

a room full of little 4x4x12 deep lockers with each patients med in it. one key for the floor. hn sat at the door and watched you open the door, put the packs in the little cup unopened and handed the key back. it took hours for 40 patients. narcs were in2 drawers below the lockers. again the hn had the key and cosigned everything.

(big hug pyxis big hug)

Specializes in Community Health, Med-Surg, Home Health.

Pyxis in my hospital causes more grief, I am sorry to say. It is set up where if medications are not poured within a half hour, it will not open, and a report is generated to the DON that a medication error has occured. After the hour, nurses have to call the doctor and ask for a new order-and have an argument with him. There is only one pyxis on each floor, not on the medication cart, so, again, more misery. I work in the hospital's clinic (thank goodness), so, we have not faced that nightmare. But, now, with computerized charting, they are not placing sealed and numbered prescription papers in it. This will start next week. I can only see how horrible this will be.

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Originally Posted by TazziRN viewpost.gif

Counting narcs individually each shift on paper logs and passing the keys....like passing the baton.

We still did this up until about 4 years ago!

Um.... we still do this! :uhoh21:
Specializes in Geriatrics, Hospice, Palliative Care.

Yep, we do as well! I'm a new nurse so it causes me anxiety, even tho I am extra careful when giving narcs...but you know how hard it is when someone is having a melt down at the med room door (I work on the geri floor of a psych hospital).

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Um.... we still do this! :uhoh21:
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