Nine Or More Meds?

amylpn24 · May 1, 2009

You're right, we do careplan potential problems but taking nine or more medications does pose a potential problem, that's why it is a quality indicator. Not sure about other states - but Kansas wants to see this careplanned...if not there, they are likely to tag us. There are certainly alot of things that we careplan that are ridiculous. This may be one of them, if you do have to careplan this, I hope my post will help.

rapkeygurl · Oct 6, 2009

have not seen a farting careplan but I know a few DON's and admin's that need one

CapeCodMermaid, RN · Oct 6, 2009

I've never been in a facility that got cited for not care planning 9 or more meds. Unless it's a problem, it doesn't need to be care planned. If something triggers on the MDS, you don't HAVE to care plan it if in the RAP you document your decision making process.

rapkeygurl · Oct 6, 2009

so funny today was doing rapkeys and looked back at the previous nurses careplans and what I did see but "resident is on 9 or more meds" anyway this resident is now on 5 meds this quarter.

susanthomas1954 · Oct 10, 2009

Well, this is where the dumb blonde in me comes out. I just look up at the DON with cow eyes and say, "What should that care plan look like? I think I need to see an example of how you want that written." (This doesn't work as well as it did 35 years ago, but then she's stuck. How can she refuse to instruct you on what she wants done.) She writes on a blank care plan and you shove it in the 67% of charts in the facility, after "personalizing" it. I believe that was the national average on last month's QI-67% of our patients are on nine or more drugs. WE need to CARE PLAN the pharmaceutical companies.

rapkeygurl · Oct 11, 2009

lol - maybe we should careplan the drug reps that give all the docs those freebies lol that makes them choose the most expensive drug for our medicaid residents.