road side assistance??????

[msmellnhead]

I went to work today (small community er) and had an stange circunstance. The registation clerk called to let me know that a patient was here for her eveing injection. She is getting antibiotics IM BID. When I went out to get the patient to bring them to the treatment area I was told the patient was in the car. I simply said when she comes back in please send her back. The clerk then told me that I was to take the medication to the parking lot and give the injection to patient while she was still in the car. I went to the department and contacted the supervisor and she confirmed this information was correct. I proceeded to inform the supervisor I felt this wasn't a good nursing practice and refused to give the medication. What do you all think about providing "road side assistance?"

[canoehead, BSN, RN]

What was the reason she couldn't get out of the car?

And what did you give as the reason you couldn't safely give the injection? (I can think of lots, but I can see this starting a trend, and we'd better all have some good reasons.

[msmellnhead]

reason for not giving med 1: no hospital policy or procedure

2: giving med in car violates 30 min

post inj observation time

3: chance of adverse medication reaction

away from immediate emergency supplies

4: overall liability

5: Not included in dr order

6: HIPPA

reason pt wants injection in car 1-"limited mobility" but pt lives at home alone, still drives, walks without assistance. Pt walks from her home to the car at least twice a day to come to the hospital. We provide wheel chairs at the front door and someone to push them if needed. When she arrives she sends her daughter in to register her. Why not send the daughter to the car with a wheelchair to bring her in. She would be walking less of a distance doing this than the distance from her car to her front door at home.

[Marie_LPN, RN, LPN, RN]

I'd refuse too.

[PANurseRN1]

This is not Sonic. You do not just drive up and make your request.

Why is this pt. coming to the ED for repeated injections? This should be handled through her primary care doc. What a waste of ED resources!

[Antikigirl, ASN, RN]

Nope, I would refuse!

[VivaLasViejas, ASN, RN]

Oh good grief.......what's next, serving tea and crumpets at carside? Can we peel her a grape while we're at it?

I would've refused as well, if for no other reason than I'm NOBODY'S beck-and-call girl. Not to mention, how are you supposed to observe the pt. for any adverse reactions, or deal with anaphylaxis should it occur??

I swear, some people just ought to be:trout:

[sharann, BSN, RN]

Why not strap on some rollerskates and have one of those trays with meds on it? Then we could roll around giving meds in a parking lot and ask "you want fries with that antibiotic?"

[Marie_LPN, RN, LPN, RN]

Why not strap on some rollerskates and have one of those trays with meds on it? Then we could roll around giving meds in a parking lot and ask "you want fries with that antibiotic?"

Keep the needles capped.

(Sorry the visual on that one has me lmao)

[neneRN, BSN, RN]

This reminds me of our hospital's bright idea to give "drive through" flu shots in the parking garage; they have been doing this for the past few years and I keep wondering when its gonna come back and bite them in the ....

[ADN 2002]

Why not strap on some rollerskates and have one of those trays with meds on it? Then we could roll around giving meds in a parking lot and ask "you want fries with that antibiotic?"

That's hilarious. :yelclap:

[beautifulb]

Yeah, I think we should have a drive-thru. Do all the assessments, treatments, medications. Maybe give them a dinner. We would have to make it quick though, wouldn't want anyone complaining!