help please! morphine side effects! - page 3

so a resident has been prescribed .1ml of mophine. when checking out the bottle and narcotics sheet the resident had 30ml. the last person to give the medication wrote 29ml. STUPIDLY ive been reading... Read More

  1. by   tothepointeLVN
    Quote from tewdles
    I imagine that all of us nurses know that this is a "bad practice" setting the scene for serious medication errors. I am surprised that your nursing or facility management does not put a stop to it for their own corporate liability reasons.
    Well here's the thing. A lot of hospice companies in my area all do this in many cases the standard order set is in mL not mg. I can see writing it like that for the family but for the nurses no. The nurses even document in mL

    Also I've always wondered about calling it by it's brand name Roxanol rather than MS which is always what is on the bottle. What if a nurse reads the med sheet and is well she just have some Roxanol but hasn't had any Morphine yet so I'll go ahead and give her some. I didn't know Morphine had a brand name before I started doing hospice.
  2. by   tewdles
    The hospice agencies may be prescribing morphine in ml rather than mg but it is a dangerous practice and should not be encouraged.

    There is a big difference between writing medication instructions for patients/families and writing them for professionals. Even so, medication instructions should always include the dosage in mg as well as a volume descriptor, even for families, and especially when the medication is a controlled substance.

    I think that many people use the name "Roxanol" because it is easier than saying morphine sulfate, is fewer letters to write, and everybody knows what you mean. Roxanol is always 20mg/ml, whereas morphine sulfate could be any variety of things given in a variety of routes. We should order using morphine sulfate rather than a brand name, to be correct.
  3. by   tothepointeLVN
    No disagreement on that. It's like pulling teeth sometimes in report to get the last dose given in mg. Because they won't say 0.25mL they'll say 25 or 5 or 1 meaning 0.25mL, 0.5mL and 1mL (supposedly)
  4. by   allysun1
    Learn from this NON mistake. Check and double check. This is a blessing. Something like this has happened to me.
  5. by   maelstrom143
    Quote from redhead_NURSE98!
    Is it wrong of me to nitpick at those of you who typed ".1" instead of "0.1?"
    OMG!!! THANK YOU! THANK YOU! THANK YOU! Three pages of this most interesting post and I kept fretting over the .1, .1, .1!!! It was driving me nuts! So glad to know I was not the only one...
    Please, use a leading zero before the decimal point? It drives me absolutely bats when others write orders like this without leading zero or with a zero after a decimal point