Quote from markdanurse
4. RN's used to be able to mix drugs in piggybacks for I.V. administration. Now pharmacists have completely taken over that arena too. Why is this important? Well, just this...did you ever need a drug in an emergency situation, like Mannitol, but had to wait for a pharmacist to mix it and you get it back in 30 minutes when you could have mixed it in 5 minutes flat? Look around you...nursing's skill set is being taken away, but our nursing leaders are demanding us to have more education. Why? Nurses aren"t smart enough to use strict aseptic technique to mix drugs in an emergency situation?
there's a very good reason that nurses aren't allowed to mix drugs on the floor anymore - many, many, many critical med errors that resulted in patient injury and death. yeah, it sucks to have to wait for meds, but unless your pharmacy has severe problems, they should be able to get emergency drugs to you pretty quickly. to tell you the truth, there are plenty of nurses i know that, if i was the patient, i wouldn't trust to give me the right drugs in a regular situation. add on to that the stress and hurry of an emergency, and it's a recipe for disaster.
maybe the system isn't perfect, but in this case i definitely think we should leave the mixing of drugs to the pharmacists. it is, specifically, what they went to school for, and the more checks there are in the system the more safe it is for the patient.
i wonder why we're so worried about losing our skills to other professions. i know that i am personally extremely grateful to PT and OT, for example, for everything they do. i know that i could not do everything i'm supposed to do as a nurse and also perform these duties. that's why it's called an interdisciplinary team. we work together to do what's best for the patient. nursing isn't going anywhere for a long time. why do we so jealously guard what is considered "our" territory when the best interests of the patient clearly lie in having the most qualified people perform each task, rather than one semi-qualified person performing it all? or, if you're arguing, for example, to have a nurse whose only job is to perform physical therapy on a floor, do you really believe that the nursing shortage is a lie, and that there will be enough supply to teach nurses to do all these things and thus put these other people out of a job?