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It behooves me to understand why do these little old ladies especially...you know the ones,they are the nicest patients ever who got like 100 pills. You take you time pull and verify each pill. Place it neatly into a medicine cup then these nice patients take your medicinal cup then all of a sudden dumb all the pills onto their sheets on their stomach, pills start rolling everywhere and they start taking them one by one by one.....WHYYYYY!!!! :banghead:
I have a guy who's had teeth removed recently, so he's got Chlorhexidine to swish & spit out to prevent infection. Last night when I gave it to him, I also gave him a pain pill with a cup of water. He took the pain pill with the water. Then - and I kept telling him to swish and SPIT OUT the Chlorhexidine - he poured it into his mouth, spit it back out into the water cup, but then picked it back up and drank it! Makes me wonder if he was doing that in his room the other few times I'd given it to him. Of course, I immediately looked up how dangerous that was to swallow it, and given that it was only 5mL, it didn't appear to be too bad, but will really try to make sure he doesn't do that tonight.
All after you just read off each one, stated what each was for, asked if they had any questions BEFORE opening each package and placing them into the medicine cup in front of them. I cannot remember which tiny white pill is which, that's why I went over everything BEFORE opening them:(
And what about when you do all that...and then they say oh I'm refusing that white one today....arrhhh
Or when they absolutely do not want that little white pill today because (fill in the blank) it makes me feel funny, or it makes my feet tingle, or my neighbor told me her cousin took it and died. So you round up a witness to help you waste it, etc., and 30 minutes later their daughter comes to the desk to complain that you didn't give it. GGRRR!
Or when they absolutely do not want that little white pill today because (fill in the blank) it makes me feel funny, or it makes my feet tingle, or my neighbor told me her cousin took it and died. So you round up a witness to help you waste it, etc., and 30 minutes later their daughter comes to the desk to complain that you didn't give it. GGRRR!
Or it's the end of the shift and the narc report is ran and you are told that you pulled the pill such and such for so and so but it wasn't documented as being given. God, I wish that report also included if it was refused/dropped/spat out and then WASTED in the same PIXIS that generated the pulled med report...nope, had to be manually checked:arghh:...yet another task to complete before leaving.
Glycerine82, LPN
1 Article; 2,188 Posts
I lay a tissue down on the bedside table and pour them out onto it so they don't roll off onto the floor. Works pretty well.