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Pharmacy Access by Nurses



I am not sure if this is the proper forum, but any assistance would be appreciated.

I have recently accepted a position as a CNO for a LTACH hospital. They have a practice here that i believe is no longer acceptable according to JCAHO/CMS.

Pharmacy is in house about 10 hours a day and on call the remaining 14 hours or so. Probelm #1. A patient who is admitted after hours: They want the charge nurse to review all medications for appropriateness, interactions, allergies and so forth. Problem #2. Charge nurses have access to a mini pharmacy where they are suppose to mix antibiotics, obtain medications and so forth. This is all without pharmacy verification.

I have managed other LTach Hospitals who did not have 24 hour pharmacy coverage and we did have policy that did allow a one time dose of certain medications to be administered.

So any help would be appreciated. Also if you could provide a link to literature supporting my disagreement with this practice i would appreciate it. I do have a call into the Board of Nursing.

Thanks for your help and assistance.

Music in My Heart

Specializes in being a Credible Source. Has 10 years experience.

What you describe is precisely what happens at our hospital.