daisybasket48

Thanks for all the help! Yes, we do have a pharmacist that comes in and makes recommendations. I am in search of that listing...I work 11-7 and am the only nurse in the building...so I can look and look! If I don't find the list tonight, I am going to leave a note for my DON to see if I can get it to send faxes to the PCP's! I never thought of that before! Again, thanks for all the help! Megan

Hi all! I'm pretty new to this, so please excuse me! I am currently an LPN...I graduate in December and take my boards for my RN in January! I work in an Assisted Living Facility and feel like a total pill pusher. I am sure that a lot feel that way, but I don't know what it is...it may be that I am a new nurse and want to make a difference, but our residents take waaaay too many medications. I have a few residents that are on 15+ meds daily. Does that sound ridiculous to anyone else or just me? I will be leaving my employer in December, because they don't hire RN's and I want to try to make a positive impact on my resident's health prior to my departure. Ok, so my questions are... 1. We do not have a medical director, all of our residents go to a PCP for health issues. We currently have approximately 30 different PCP's that we work with. How do you go about asking to have certain meds D/C'd? I have res. that are on a MVI, but then also take Vit. E, Vit. C, Vit. B12. That is daily. Then I have some that are on a MVI plus Folic Acid and Iron. I was taught in school that your body only uses what it needs from Vit. and Minerals and the rest is flushed from the system...was I taught wrong? 2. It seems that PCP's are ordering adjunct meds without really looking at the problem. I have a res. that takes Lyrica BID, Kadian BID, and Klonipin BID. That doesn't include her Reglan, Prevacid, Advair, Spiriva, Synthroid, and the list goes on. I wish I had a MAR here now, cause I am sure a lot of you would have to pick a jaw up off the floor after seeing them! How do you present to the PCP that there might need to be an adjustment in meds or a DC in meds that have been taken for 20 plus years and may not even be effective anymore? 3. Does anyone out there have drug holidays? If so, could I get some information on that? I really truly believe that some of my residents are on so many meds that they are in the body, fighting against each other and not producing a desired outcome as prescribed. Ok, I'm sorry if I have bored some or brought up issues that have been an issue for years, I am just sick and tired of PCP's just RXing meds to do it. It seems like they have gotten to be like PEZ dispensers and rather than treat the problem, they are writing scripts to shut people up! I look forward to any and all advice out there! Thanks in advance! I've only been a nurse for 1 1/2 years, so I am new to this! Megan

I have all of that information. Now I am looking for something specific. I haven't found any information that gives me information on the actual implications and interventions that a nurse is responsible for with marfan syndrome and genetics! Thanks for the help though! Megan

Hi all, I am pretty new to allnurses.com and am in my maternal-newborn clincial rotation. We have to do a genetic presentation for other nurses that will count as CEU's for them. I have to do my presentation on Marfan Syndrome. My question for all of you seasoned nurses? What are Implications for Nursing? I have to have more than 5 and address some that relate to Marfan syndrome and also some that relate to genetics and nursing. I have googled it every way I know how and am at my wits end trying to figure it out! Please, if anyone can help me I would appreciate it very much. Thanks in advance, Megan, LPN:uhoh3: