Donnagg123

In a discussion today it was brought up about holding meds. A nurse said legally you can hold 3 doses without notifying MD. I thought you have to let MD know asap if you are going to hold meds? Legally how many doses can a nurse hold (if there are no...

I just need to vent. I am very frustrated with the new narcotic rules. The rule is now even Norco's we have to have a valid script and a code before getting into the E-box. Some may say well that is not unusual. BUT when you work nocs and new admits ...

We give IV vanco PO. The pharmacists swear it is cheaper to reconstitute and give PO than to give the PO pills.

see if you can change to a crushable form of something similar. My pharmacy usually recommends senna.

I know the answer but want opinions. What to do when a patient family is insistent that the person is in pain, yet the patient consistently denies pain and no symptoms of pain when family says resident is. Here is what happened. A patient who is hosp...

What about a patient that has dementia and management is saying this person "has to" get up for day on night shift as therapy supposedly does this resident 1st when it is very obvious the person does not want up on night shift. Don't they still have ...

Thank you for that. :) She implied it was a law and she said "legally" and I was like ??? I did not think it was.

I did not mean to imply that you would never use nursing judgement to decide when to hold or not. I was just curious where she came up with the "3 dose" rule. If that was just a standard or some law I had never heard of. Of course if I held say colac...

Even with parameters you can only hold so many days / doses then you have to notify md right?

Besides passing midnocs meds (frequently) and 5-6 am meds lots of nebs sometimes accuchecks in the AM if they get no coverage. In the meantime finishing up everything 2nd did not get done in regards to processing orders and finishing admissions. Mont...

I know this is old, but ...do you work where i work?? It sounds awfully familiar... LOL

Never assume things because it does not work that way where i work. For CII they have to have a copy or the original valid script or you are not allowed to get into the EDK. It is illegal. period. They used to be able to send us a 3 day supply withou...

you are correct! so you don't know they do not have the script till too late. OR if someone has increased pain at noc (even for established residents) if you do not have a script you still cannot get into narc edk. So yeah these new rules may be help...

how about "shortness of breathe" ..... it is shortness of breath!

How many people are you guys responsible to give the lax to and how many do you usually leave for her? Depending on how many I would say that she probably feels like you are doing it on purpose at 1300 so then she is responsible for the next step at ...

sorry to say this is sooo not true. I work 3rd and we do all of the above and then some. I have learned more on 3rd because there is a lot less staff to help so you are forced to learn it all.

Here Here! I work noc's and it seems like if I get 15 minutes to sit and do nothing I would consider myself lucky (same for the CNA's).

You are very lucky! I work 3rd and we get 2 nurses for 3 carts, and also have to do census, sending meds back to pharmacy, processing orders, ALL the cleaning, not including a laundy list of meds and treatments and more. I would have the nurse do lik...

Okay, I am curious if I am right or are other co-workers right. Are CNA's allowed to look in charts? I question this for two situations - one was a CNA who went to look in her grandmothers chart for information (curiosity reasons) and when I told her...

Okay, first I think I need to clarify. I was not trying to make sweeping judgments on the CNA profession as a whole I was just talking about where I work. I am sorry if I offended some but it was not an attack on the CNA profession. Was I saying tha...

Oh no! I would never say it hateful or mean or berade a CNA. If I had to discuss this it would be in private quietly. But the CNA's I work with just pick up charts and start looking in them without asking me or anything. I do tell the CNA's certain t...

I can see both sides of the issue. I have seen people end stage brain cancer and the family still refuse him to be a DNR. Another example was a woman who before her stroke was lively and would look at people who are just laying around like lumps and ...

as I work 3rd - we see a lot of thyroid mediciine / stomach medicine - IE levothyroxine/synthroid, Prilosec/omeprazole, protonix, Reglan/metaclopramide, etc. Also we usually give the osteo pills: Boniva (monthly) actonel or fosamax (weekly). I have ...

I personally have not had to deal with it too much as I work third shift but I have a few examples for you. There was one family member who said well we don't want so and so to see dad (when the so and so is a close relative to the dad). Or there wa...

I agree with everyone else. Do what your heart says. I am an RN who works LTC and the whole timein nursing school I hated every other area of nursing but geriatrics. You get to know every detail about the patient, it feels more like a home, there is ...