how exactly would you approach this? i am asking, not being contentious. we care of patients like these frequently, with "patient advocates" who somehow manipulate (maybe that isn't the correct word) the MDs into prescribing meds like dilaudid, benedryl, trazodone, xanax, ativan, librium, phenergan, seroquel, gabapentin, amitriptyline, restoril in 1 sitting. most are scheduled and cleverly labeled PRN.
i once questioned some orders being "not safe" and was grilled by the an MD and charge nurse. roughly, "if the vitals are stable, you have no reason to deny a patient their medication." even if i spread medication out an hour apart, some do not metabolize out in an 1 hour. and i'll get terminated for time management issues. any ideas?