msmellnhead

I have no problem with having a pt charged with assult with or without the blessing of management. With the growing meth problem healthcare worker are increasingly subjected to violence. I think we need to get past all this P.R. crap and demand to be respected.

I usually give detailed quote. With growing violence against health care providers the details may be important later. Especially if the pt is threatening.

reason for not giving med 1: no hospital policy or procedure 2: giving med in car violates 30 min post inj observation time 3: chance of adverse medication reaction away from immediate emergency supplies 4: overall liability 5: Not included in dr order 6: HIPPA reason pt wants injection in car 1-"limited mobility" but pt lives at home alone, still drives, walks without assistance. Pt walks from her home to the car at least twice a day to come to the hospital. We provide wheel chairs at the front door and someone to push them if needed. When she arrives she sends her daughter in to register her. Why not send the daughter to the car with a wheelchair to bring her in. She would be walking less of a distance doing this than the distance from her car to her front door at home.

I went to work today (small community er) and had an stange circunstance. The registation clerk called to let me know that a patient was here for her eveing injection. She is getting antibiotics IM BID. When I went out to get the patient to bring them to the treatment area I was told the patient was in the car. I simply said when she comes back in please send her back. The clerk then told me that I was to take the medication to the parking lot and give the injection to patient while she was still in the car. I went to the department and contacted the supervisor and she confirmed this information was correct. I proceeded to inform the supervisor I felt this wasn't a good nursing practice and refused to give the medication. What do you all think about providing "road side assistance?"