Notmarvin

Thank you everyone for your replies. Allnurses got me through school and is now offering peace of mind as I begin a new career as a baby nurse!

mds1 that actual thought crossed my mind my entire shift. I get sick to my stomach thinking about leaving meds laying around, and the fear that today will be the day they aspirate. Not on my watch

Thank you toomuch. I did not realize that I could simply call and get the med times changed. Every day I am learning more of what I am able to do so as to be a patient advocate. If I work with the patient again I will absolutely call and request med time changes. I think that would make a world of difference and keep the pt happy as well.

I am a brand new RN of two weeks and have run into an issue I cannot get a clear answer on. I work on a very challenging Med-Surg unit and have had one day of orientation with a preceptor and am now pretty much on my own. I have a pt who has been admitted for many months and waiting placement. My MAR shows she has dozen of meds scheduled between 0800 - 1100. I have worked with her for the last two days and each am she refuses all meds and demands to take them around 1030. I have been charting refusals and have dispensed the meds as 'patient request' at the later times. Other RNs on the unit say this is how she does them, they leave them bedside and she takes them as she pleases. I am uncomfortable with this as that I cannot keep track of when she takes them. I can recite the medication admin rights in my sleep but does patient desires trump those rules? Should I omit the am meds and refuse to give them when she asks for them late am, or give them when she will take them? Hoping to keep my license long enough to pay off my student loans I would love any help!