how much time for AM med pass?

I'm not sure what RCFE is but for sure it's NOT allowed in Massachusetts!

What is RCFE?

residential care facilities for the elderly

title 22 california

residential care facilities for the elderly

title 22 california

So this is more of an assisted living or personal care facility? I'm not sure of any of those regs.

In LTC or Skilled nursing...it isn't permitted and I think that is for all states.

Any way...the OPs work load is totally doable. Why does a nurse need to put on teds? Can't the CNAs do it and then you check that they are on? 14 meds and a few FS checks....probably about an hr. I have up to 26 residents with a few tube feeders and difficult dementia pts and it takes about 2 hrs or so for an organized am med pass.

There is no contest, whats important is to do it right, While I can do med pass for 44 pts including hanging some IV's, tubefeeds, blood sugars, almost alll difficult dementia/alzheimers pts in two hours, doesn't mean we all can and do.

One tip- when giving pills to an alzheimers pt- I go close to them, flash them my brightest smile and distract them with some song while i feed them the applesauce or jello with the crushed pills- goes real fast that way. Or you can put it in a sandwich with jelly.

I've never heard that pre pulling meds is allowed ANYWHERE! As one of the other posters said its not the speed with which you perform, it is that you do not make mistakes. You are however lucky to have just 14 patients!

There is no contest, whats important is to do it right, While I can do med pass for 44 pts including hanging some IV's, tubefeeds, blood sugars, almost alll difficult dementia/alzheimers pts in two hours, doesn't mean we all can and do.

One tip- when giving pills to an alzheimers pt- I go close to them, flash them my brightest smile and distract them with some song while i feed them the applesauce or jello with the crushed pills- goes real fast that way. Or you can put it in a sandwich with jelly.

I agree with the distraction part. Yes putting them in pudding or applesauce or a sandwich can be done as long as they are told their medications are in it. It is against patient's right to not be told they are receiving their medications.

I agree with the distraction part. Yes putting them in pudding or applesauce or a sandwich can be done as long as they are told their medications are in it. It is against patient's right to not be told they are receiving their medications.

I was referring to the severely disoriented and confused Alzheimers patients, I can tell 'em, but it wont make a difference. As long as I say it with a wide smile, they will take whatever igive 'em. Sad, but true.

I just started in LTC this week. I came from Cardiac Surgical Critical Care Unit, where I am used to having 1-2 patients. I had my first med-pass yesterday with 21 residents, I tried to prioritize my med pass with the people who have appointments in the morning, and who I thought based on the kardex card would be the quickest to dispense to, I am just wondering it took me approximately 2 and a half hours to pass the am meds. guess my concern is that am I prioritizing my med pass correctly, and any hints that I can get the medications passed with out being technically late on 3 residents. Will this get easier as I become more custom to the residents and med-pass routine. Thanks

Of Course it gets easier!!!

Good Job on your first med pass,Good luck on your new job!!!

I just started in LTC this week. I came from Cardiac Surgical Critical Care Unit, where I am used to having 1-2 patients. I had my first med-pass yesterday with 21 residents, I tried to prioritize my med pass with the people who have appointments in the morning, and who I thought based on the kardex card would be the quickest to dispense to, I am just wondering it took me approximately 2 and a half hours to pass the am meds. guess my concern is that am I prioritizing my med pass correctly, and any hints that I can get the medications passed with out being technically late on 3 residents. Will this get easier as I become more custom to the residents and med-pass routine. Thanks

what is done in some places, is that one side of the hall is sched. at 8am and the other side at 9am, so that when you get to the second side you have the additional hour......this doesnt work so well in sub acute or rehab....do to the different sched. of therapies

I legally have one hour before and after the scheduled time. I start my 9 am med pass at 0800 and (with 12 sub-acute pts) usually finish at 0915 - allowing time for prns, taking phone calls, finding pts who are in PT, etc.