rules of injections

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been doing it a long time and will not bend--learned you draw what you shoot and only shoot what you have drawn! have pressure to shoot what others draw up--still refusing!!!!

Where do I find this guideline to show to "powers in charge"????? Have looked all over tx board website it's my license at stake(they don't have one) or my job HELP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Waste the med per NPA protocol.

I'm pretty sure our hospital got cited by JHACO for this very thing within the last year because all the nursing staff had to complete an education refresher for it.

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Tazzi--she never asks anyone to watch--already has them in syringes and then asks you to shoot. (Wouldn't change my mind though) Several of you say is a trust issue--she also hands out samples, changes meds etc. without dr's order-don't trust her any farther than I could throw her--can only hope doc's stop her now.

The docs are not the only ones who can stop her. She is practicing medicine without a license and should be reported to the BON.

Sharon, you're right, I got you mixed up with Christen. Many sorries!!

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Specializes in all facets of clinic fp to surg et ob.
The docs are not the only ones who can stop her. She is practicing medicine without a license and should be reported to the BON.

Sharon, you're right, I got you mixed up with Christen. Many sorries!!

am afraid for job--they would find out it was me and office mngr would fire!! im scared--population under 3000 no other jobs in field closer than 2 hours-- can you report anonymously---or is there protection for reporting??? I report to chief of staff every time I see it.

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been doing it a long time and will not bend--learned you draw what you shoot and only shoot what you have drawn! have pressure to shoot what others draw up--still refusing!!!!

Where do I find this guideline to show to "powers in charge"????? Have looked all over tx board website it's my license at stake(they don't have one) or my job HELP!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Rember this- On the other end of that needle is a human being you don't want to kill. This human being is someones mother, father, child, husband, wife, ect.. Think twice. Never ever give a medication you did not draw up, or did not watch being drawn up. Never give a medication labled by someone else if you did not see it drawn up.

On the other side of a human being is the court system, the loss of your work life, and the shame you would feel and live if you harmed/killed a patient.

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This is why we have a procedure for administering medications....we were all taught this procedure in Nursing school. Check your medications carefully everything must match or else you DO NOT give it. No matter WHO drew it up or prepared it. If anything is missing or does not match or you have a question about whether the medication is correct you get it checked and do not give it. That is why we have these national standards of care. to protect us and our patients. WE the NURSE, are the last check point and barrier to protect patients from errors. We know that errors can occur...we are all only human. Use some critical thinking!!!

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I too have worked in a hosp setting which limits IV pushes given by LVN. My RN counter parts would NEVER give anything handed to them by anyone, and I have worked with some of them for 5 years. When I have meds I need them to push, I get everything together and they draw it up, or if they are fixing meds for their patient, they'll watch me draw it up and label it.I would never give anything i didn't draw up myself, nor would I ask anyone else to.

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Don't give it even if it is your friend. We learn things in nursing school for a clear reason. Just because nursing school is over does not mean you can go and change things. The 5 rights, always, and never change it, ever. Good nurses still crack those books, read, and are strict about medication administration. Nursing is ever growing and changing, but medication administration never changes, the 5 rights.

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Specializes in Rehab, Med Surg, Home Care.

Yipe. I would never, ever dream of injecting a med I hadn't drawn up- but it occurs to me that we all draw up saline flushes and carry them around in our pockets, and we pass these back and forth without a thought. Labeled or not, that's probably not a great idea! :uhoh3:

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Specializes in Rehab, Med Surg, Home Care.

I don't get how you could save part of a vial of a med for later. Our process for signing out narcotics requires a witnessed waste if the entire vial is not administered, and our Pyxis would register removal of one vial every time a separate dose is administered. Unless an intact vial was removed, the vial count would be one too many- and we'd have some 'splaining to do!

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First ... if I'm "saving" the syringe is always labled. And I save it only if I think the original ordered dose won't be enough (or if I'm supposed to be giving to effect (0.5 dilaudid repeat x 4 to pain) And it's only me that will be giving it.

As far as how it works from the Pyxis ... when I pull out the 2 mg dilaudid, I just say "yes" to "am I going to administer all." If I don't use it with that patient, just go back into the pyxis and waste later. We have lock boxes on our nurse's stations where we can keep these syringes as long as they are labled with patient name, drug, dilution/dose ... etc.

And yes, in a code, the drugs are flying, and we have one nurse that draws, another that administers ... but with verbal check as the meds are passed along.

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Won't do it....can't make me!!

:bow: AMEN! There could be pee in that syringe for all I know!

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No way! Even people you trust make mistakes.

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