sharkiern

Okay this is crazy. I am a DON in Texas. Almost all LTC's have a on call pharmacy unless they are in a very rural area. It is never ok ay to borrow form another persons medications. According to medicare and medicaid guidelines once a medication is ordered the recieved that medication must only be used for the person. Second your ADON needs to be fired. The nurse practice act clearly stated the you must carry out doctors orders as written by the doctor. Not no mention patient rights(i.e right form). You cant just alter the form in which a drug if givien without the permission of the doctor. if this did indeed happen the are multiple violations to nursing law depending on which state you live. If it texas it is a violation. Report it immediately to your DON. He or she can dicipline the nurses involved and not report them to the board using the Minor incident clause in the rules and regulations. However if he or she if not willing to report you must under rule 217.11 standards of nursing practice or 217.12 unprofessional conduct. This are all texas rules, however i hvae worked in many states and the rules are mostly the same just number differently. I would advise you counsult your State Board of Nursing Rules and Regulations as well as your state Practice Act.

Hello, I am a RN in Texas traveling in New Mexico. Another RN I meet today was asking me about my contract pay compared to his. Mine is significately higher than his by more than 10 dollars an hr. He has been a nurse for 30 years and me 10. He stated that his company told him that in New Mexico the New Mexico Nurse Registry Program limited the amount the agencies can pay their nurses and that was why his pay is low. His pay is less than 25 dollars an hr. I told him that i think that they were giving him a load of crap but i want to know form people that work and live in New Mexico. Can anyone give me some info so I can tell him.