nurseduck

So when was the last time you worked in a nursing home? I have never worked in an ER because that isn't my cup of tea but I would not dog every ER nurse. I happen to love being a nurse and respect any nurse that works in any field. Sure there are bad nurses but they are few, there are a few bad ER and a few bad LTC nurses but is it becasue they are bad or because of circumstance out of their control like Medicare reimbursement and nursing shortage. :imbar

You cover yourself by documenting. If you don't have the med, your document what you have done to resolve the issue ( notify family, notify pharmacy involved, notify supervisor, notify doctor, etc) If the nurse notifies all parties and nothing is done then they are as accountable as you are. I am sure you worked very hard to obtain your license and I would not do anything to jeopardize that. We need all the nurses we have and obviously you are a darn good nurse or you would not be on this website trying to find answers to your problem. If the problem is with your main pharmacy then I agree with donmomofnine, your facilty needs to make changes in your pharmacy provider. Our pharmacy site is open or on call 24/ 7. This is health care and any facility/ pharmacy has to be available and provide service 24/ 7 too. Patients are sick 24/7. Nurses work 24/ 7 so pharmacists need to work 24/ 7 too.

If you are in the classes for the right reasons than please continue on. We need good, caring CNA's. I started as a CNA and loved my time with the residents. Try to not get caught up in the politics in the facility. Keep resident focused and your residents will be the winners. GOOD LUCK!!! :balloons:

I loved my time with hospice! It was the most rewarding nursing I have ever done. I miss it so much. Best of luck to you.:) :balloons:

I feel terrible about this. We actually have two deliveries - one in the AM and one in the Pm for our buildings plus if they need to have something we provide ER deliveries. Of course we monitor the Er deliveries to see if we need to add it to theri ER kits but if the frequency isn't there our pharmacist either coordinates with the local back-up pharmacy or we send out a emergency delivery. ..... We also have deliveris for our facilities 7 days a week including Sundays. ..... I agree with the other responses that we as nurses need to stand up for our selves but we tend to not want to rock the boat but I worked too darn hard , just like every other nurse to put my license on the line for the boss. stick to your guns and chart the truth and what steps you took to provide for the resident. CYA!!!

I am a nurse consultant for a pharmacy and I would raise cain with my pharmacist if they made the LTC feel like they could not call after hours for an ER delivery for medications. A pharmacy that provides medications for a LTC needs to provide the meds 24 hours a day - 7 days a week. Our pharmacy is only closed on Christmas but even then will provide medications for a facility when requested to. That is the pharmacy's duty to fulfill their contract.