Jump to content

Medication Adm in FL

Florida   (1,473 Views 9 Comments)
by Murrphy Murrphy (New Member) New Member

340 Profile Views; 1 Post

advertisement

So I know if you are administering meds through a g-tube u crush and administer each separately.

In a nursing home, if they get their meds crushed and added to pudding/applesauce do you have to crush and administer each pill separately?

I don't see that there are orders to crush meds where I work (unless it is a g-tube)?

I don't want to get sited for med errors!

Share this post


Link to post
Share on other sites

KelRN215 has 10 years experience as a BSN, RN and specializes in Pedi.

1 Article; 7,344 Posts; 67,647 Profile Views

Would you administer each pill separately if the patient could swallow pills? I don't know about others, but I take all my pills at once. I don't necessarily crush and give everything separately in a patient with a G-tube either.

Share this post


Link to post
Share on other sites

905 Posts; 12,966 Profile Views

We typically get an order "okay to cocktail meds" when dealing with g-tubes.

Share this post


Link to post
Share on other sites

loriangel14 is a RN and specializes in Acute Care, Rehab, Palliative.

6,922 Posts; 36,087 Profile Views

I always given them all together, whether it's a tube feed or crushing with pudding.

Share this post


Link to post
Share on other sites

BrandonLPN has 5 years experience as a LPN.

3,358 Posts; 35,117 Profile Views

The only place you crush and administer each pill separately is in nursing school and in the imaginary NCLEX-hospital.

As always, though, you should check your facility's policies and procedures.

Share this post


Link to post
Share on other sites

FLArn has 20 years experience and specializes in Hospice, LTC, Rehab, Home Health.

503 Posts; 10,616 Profile Views

And when the state surveyor is following your med pass. (Actually I always gave each Gtube med separately and never gave meds - e.g. Tums, cough syrup - without an order because your patients' or families will rat you out in a heartbeat and never know they've done it) " What do you mean I can't have a Tums? You gave me one yesterday!":facepalm:

Share this post


Link to post
Share on other sites

BrandonLPN has 5 years experience as a LPN.

3,358 Posts; 35,117 Profile Views

And when the state surveyor is following your med pass. (Actually I always gave each Gtube med separately and never gave meds - e.g. Tums, cough syrup - without an order because your patients' or families will rat you out in a heartbeat and never know they've done it) " What do you mean I can't have a Tums? You gave me one yesterday!":facepalm:

how do you finish on time, crushing each pill separately? Plus my residents would have a fit if a nurse did that.

I agree that you got to be careful just handing out cough drops or Tums. I'm lucky to work in a facility with generous and liberal standing orders for such things. And they are all indefinite and print out each month on the MAR! So I don't have to go through the horsepoop of writing out a new standing order for each Tylenol or every dose of maalox.

Share this post


Link to post
Share on other sites

FLArn has 20 years experience and specializes in Hospice, LTC, Rehab, Home Health.

503 Posts; 10,616 Profile Views

I never found that it took that much extra time. Also the one time I tried to "save" time by mixing the meds, they congealed into a horrible thick glob in the plastic cup so I had to discard the whole mess and repour the meds; then I had to order replacement doses for all of them. So much for time saved. I don't remember what the meds were since this was very early in my career.

Share this post


Link to post
Share on other sites

73 Posts; 1,773 Profile Views

crushing meds... ugg. I always seemed to get one patient who would quiz me on every med, then refuse about half of them. After the first time I had to "waste" a crushed med, I was certain to get the patient to agree to take them before I crushed them.

Yes, it takes more time but less than "wasting" after a refusal.

Share this post


Link to post
Share on other sites
  • Recently Browsing 0 members

    No registered users viewing this page.

×