Question: If there is a PO order for pill medications (especially narcotics), are we able to dilute them in water for administration if you suspect a patient of cheeking them? Or should we consult with the ordering physicians prior to dilution? Being a newbie ER nurse, in the few couple of months I've been in the ER, it's been one hell of a ride considering the patient population. And I know I am not the first and I won't be the last nurse to experience someone cheeking? But in all purposes of protecting my license and not enabling the sale of controlled substances, ie. dilaudid, on the streets, are we as nurses able to do just that? Dilute the pills for administration?