kimdav

what do you mean by one order or separate orders?

sorry - let me add some details: iv 1mg morphine for severe, po norco 5/325 (1) tab for mod, po tylenol 650mg for mild

At the hospital I work at there has been some discussion regarding the appropriate admin of pain meds. Doctor ordered pain meds for mild Q8 hours, mod Q8 hours, severe Q6 hours.There was no order for breakthru pain or unrelieved pain. Pt received pain meds for severe pain at 0230, then at 0445 received pain meds for mod pain. Is this proper admin? My understanding of pain med admin is (in this example) the pt should NOT have received the 0445 dose as it is too early, next dosing of any med in this case should have been 0830. At 0445 when pt still had pain the nurse should have called the doctor for a one-time or breakthru/unrelieved med order.

It took 8 years for my acceptance and I was applying to all state and community college RN programs from northern cali to silicon valley. I had excellent grades but no health care work experience. I never made a wait list during that time. On year 8 I told myself it was my last round of apps....hard to keep hearing no. Then I received a letter that I had been accepted into a school closest to me! My advice is to KEEP AT IT! Don't give up

I'm a California RN working in an acute care hospital. I work in a mixed Tele & med/surg unit. I'm aware of the tele ratio 1:4 and med/surg ratio 1:5...here's my question. At the start of my shift I receive my assignments - 4 med/surg and 1 patient wearing tele monitor, making my total assignment 5 patients. Does that assignment violate ratio? Some managers and other RN's believe the 1:4 ratio means all 4 patients are tele monitored. Can anyone clarify?