Prns

  1. When a long term patient ask for.prns what is late to give meds to patient once they request it.
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  2. Visit Pamcorey profile page

    About Pamcorey

    Joined: Jan '18; Posts: 9; Likes: 7
    Specialty: 1 year(s) of experience

    15 Comments

  3. by   Pamcorey
    When a patient request prn what is policy on delivery time
  4. by   Rose_Queen
    The policy is going to be specific to your facility. Have you looked for it or asked your supervisor?
  5. by   brownbook
    Most policies are annoyingly vague about specific time frames.

    You need to do some critical thinking.

    Is the patient asking for a PRN pain medication because they are going to go to physical therapy soon and know it will be painful? Then you need to get the PRN before PT starts. Are they asking for a PRN pain medication because the are having a lot of pain and their regularly scheduled pain medications aren't working? You need to get that quickly before their pain becomes intolerable.

    Are they asking for a PRN stool softener, you can probably get to that when you have the time, even 1 - 2 hours?

    Are they asking for a PRN nitroglycerin tablet or spray for chest pain? Then you need to get that a soon as possible.

    Are they asking for a PRN sleeping pill? Then you need to get that before it is so late they will be sleeping through breakfast.

    If they ask you during your shift you need to give it before your shift is over and not pass it off to the next shift, unless they ask you 30 minutes or less before your shift is over. Then there may be reasons it is best to pass it on to the next shift.

    What PRN medications are you usually giving?
  6. by   Pamcorey
    I have and nobody knows..ask and due was 3:29ak and med tech did noy bring till 4:55am
  7. by   brownbook
    I'm guessing English is not your native language. PRN means give the medicine only if the patient requests it. I can't understand how a PRN medication can be due at 3:29. I don't know what ak means?

    You need to tell your charge nurse or supervisor that when you ask the med tech for a PRN medication you don't receive it till almost two hours later. Your supervisor or charge nurse will need to speak to the med tech.

    If this happens once in a while and the medication is not urgently needed maybe it is okay for a two hour delay. If it happens all the time, or if it happens when the patient needs the medication quickly you need to tell your supervisor.
  8. by   Pamcorey
    Im sorry but it waa due at 3:29 because I got 8 hours prior. All prns are due 8 hours apart or if i did not take take prior dose and wake up at a certain time. Like tonight I will miss a dose. If i get my prn at 9:45pm the next 8 hours wil be 5:45. If i dont get it then i have ti wait till 7am. The last time. I complained about prns being late The Texas Medicaid ppl cxld my medicaid for making false accusations. So its all when they log it in the computer and write it down. It makes it looks like the patient is lying. They believe the med staff that is why I am asking is there a required time when a med tech should deliver the prn once it is requesred.
  9. by   Pamcorey
    I wrote a new post to your post. I did not see thw reply button till after i post.
  10. by   Pamcorey
    That is mean English is not my native language. Dont worry u wasted ur time on me. I am sorry got a new pen for my android.
  11. by   brownbook
    I'm very confused, maybe another nurse can help you.
  12. by   Pamcorey
    Ur probably right. it was a simple question:What ti m e frame is a prn due to the patient kinda like on a routine schedule it can be an hour before or late. I just had a simple question.
  13. by   Hygiene Queen
    Quote from Pamcorey
    Ur probably right. it was a simple question:What ti m e frame is a prn due to the patient kinda like on a routine schedule it can be an hour before or late. I just had a simple question.
    That depends on your facility. We had to give any pulled PRN's within 30 minutes of pulling them, though it wasn't really enforced. Some places may give you more or less time.
  14. by   Rose_Queen
    Quote from Pamcorey
    Im sorry but it waa due at 3:29 because I got 8 hours prior.
    So are you the patient in this scenario? If so, this is not where you need to be addressing your concerns. You need to address your concerns with the facility.
    All prns are due 8 hours apart or if i did not take take prior dose and wake up at a certain time.
    You clearly misunderstand the purpose of a PRN medication. They are not due at scheduled times- they are to be given if requested. Orders dictate the minimum amount of time between doses or general timing (such as bedtime for sleep aids).
    Like tonight I will miss a dose. If i get my prn at 9:45pm the next 8 hours wil be 5:45. If i dont get it then i have ti wait till 7am.
    Again, continued lack of understanding about PRN medications.
    The last time. I complained about prns being late The Texas Medicaid ppl cxld my medicaid for making false accusations. So its all when they log it in the computer and write it down. It makes it looks like the patient is lying. They believe the med staff that is why I am asking is there a required time when a med tech should deliver the prn once it is requesred.
    Again, needs to be addressed with the facility.

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