Jump to content

PRN window

Nurses   (1,484 Views | 7 Replies)
by Cjhays Cjhays (New) New

1,742 Profile Views; 14 Posts

I was told with medication you have a one hour window... One hour prior to time alitted up to the hour after. Important ? What about Giving PRN medications do you have a one hour window?

Sent from my iPhone using allnurses

Share this post


Link to post
Share on other sites

blondy2061h has 15 years experience as a MSN, RN and specializes in Oncology.

1 Article; 4,094 Posts; 38,455 Profile Views

Our PRN's can be given 15 min before they're due. Some of thing are q2h PRN, so giving them 1 hr before would mean you could give unlimited doses, continually.

Share this post


Link to post
Share on other sites

Davey Do has 41 years experience and specializes in Psych, CD, HH, Admin, LTC, OR, ER, Med Surge.

17 Followers; 1 Article; 6,842 Posts; 85,049 Profile Views

Back when, it use to be a half hour before to a half hour after the Scheduled Hour of Administration.

Just Tonight, I went to give an Ibuprofen and the Computer told me I couldn't Administer the PRN because it was FOUR Minutes early.

I Laughed and Over-Rided the Med.

Share this post


Link to post
Share on other sites

kiszi has 9 years experience as a RN.

1 Article; 604 Posts; 16,054 Profile Views

The downside to computerized charting. I used a computer system that would only allow once daily prns to be given every 24 hours. For example, patient takes zolpidem at midnight one night and wants it the next night at 10pm…nope! We learned to put in orders with an admin note-@hs for sleep-but without putting in a daily frequency. You have to be smarter than the the computer sometimes.

Share this post


Link to post
Share on other sites

blondy2061h has 15 years experience as a MSN, RN and specializes in Oncology.

1 Article; 4,094 Posts; 38,455 Profile Views

Yep, our EMR has both of those nuances too- can't scan a PRN until the minute it's due, and can't give a daily med until it's been 24 hours. The other dumb warning is if you give an 0000 med at 2345- you get a wrong date warning. I just override those pop ups. It's dangerous to have so many dumb warnings because it primes people to ignore important ones.

Share this post


Link to post
Share on other sites

firstinfamily has 33 years experience as a RN.

790 Posts; 5,730 Profile Views

We also had a 15 minute window to give PRNs early. The computer EMR did make giving PRNs more of a pain. Overriding the program also flags it, so putting the order in so that PRNs can be given within the designated time (ie: every 4 hours) not at an exact time helped to eliminate some of the over rides. Always document the effectiveness of the PRN.

Share this post


Link to post
Share on other sites

Karou has 1 years experience and specializes in Med-Surg.

700 Posts; 8,267 Profile Views

Yep, our EMR has both of those nuances too- can't scan a PRN until the minute it's due, and can't give a daily med until it's been 24 hours. The other dumb warning is if you give an 0000 med at 2345- you get a wrong date warning. I just override those pop ups. It's dangerous to have so many dumb warnings because it primes people to ignore important ones.

That is ridiculous! I am sure some incident caused that to be added to the EMR, and it was added with good intentions, but that's just awful. Nurses will get so used to overriding those "alerts" that when they have an important alert they won't pay as much attention to it. Seems like it would create a culture where you are more likely to cause an error because you are numbed to "alert" warnings.

Best practice alerts/warnings are important safety tools when applied properly. This sounds chaotic and dangerous.

Share this post


Link to post
Share on other sites

BuckyBadgerRN has 4 years experience as a ASN, RN and specializes in HH, Peds, Rehab, Clinical.

3,520 Posts; 38,174 Profile Views

Is this more homework?

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.