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Moral of the story: Never give IM injections?

Geriatric   (3,089 Views 18 Comments)
by hnwbeachbum hnwbeachbum (New Member) New Member

460 Visitors; 7 Posts

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You are reading page 2 of Moral of the story: Never give IM injections?. If you want to start from the beginning Go to First Page.

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

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@nightowl

If I am reading the original post correctly the OP took 2 other staff with her to restrain the agitated patient so that she (the patient) would not move unexpectedly causing the OP to accidentally stab someone else. No one got an accidental stick.

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Nightowl_lpn specializes in Long term care.

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Oh, I misread it. Thank you b

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460 Visitors; 7 Posts

Update, I explained what happened, wrote my statement, making sure to be very clear that the resident was able to move her hands if she wished the entire time, and everything is fine. I was told I need to document better in the future about how I give injections, not just the behavior leading up to the injection.

I'm interested in this topical lorazepam, and definitely will pick the nurse practitioner's brain about it the next time I see her. Also, I will look into insurance. I promise. Thanks for the responses.

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amoLucia specializes in LTC.

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To OP - many nurses here use NSO for our malpractice insurance. I'm sure they're on-line. Do not delay - it's your professional practice at stake without it.

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CapeCodMermaid has 30 years experience as a RN and specializes in Gerontology, Med surg, Home Health.

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My medical director tells us topical Ativan is not well absorbed and therefore not a very useful drug...especially if someone is freaking out.

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ktwlpn is a LPN, RN and specializes in Med Surg, Homecare, Hospice.

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Not many studies have been done on it. We use it because it does takes the edge off and it's better then the alternatives. Our DON, medical director and psychiatrist think it's safer for the staff and causes less trauma to the resident. It's been a great help in cases in which we were struggling to get the behaviors of some really challenging residents under control for the safety of the other residents and staff. It's been effective and enabled these residents accept basic care,food, fluids and psychoactive drugs on a regular basis. Best thing-the admin and docs want the staff to be safe...that's awesome.

Our goal has been to admin the drug BEFORE the resident gets totally out of control. Just like any other unit we try all appropriate intervention first, track the behaviors to try to determine the triggers,etc.

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