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Wrongway Medication Icons

Nurses   (416 Views 11 Comments)
by Davey Do Davey Do (Guide) Guide Expert Nurse

Davey Do has 35 years experience and specializes in Psych, CD, HH, Admin, LTC, OR, ER, Med Surge.

14 Followers; 1 Article; 75,860 Visitors; 6,121 Posts

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Friday night, while sitting in the nurses station, I was working on finishing up two admissions. Bestica, the acting house supervisor, dropped a Staff Education form on top of one the admissions that I was working on and said, "You need to sign this and give it back to me".

I picked up the form, tossed it to the side, and replied, "I'll sign it when I get a chance to review it". Bestica said, "Whatever. Joint Commision is going to be here Monday morning and we have to have it before then" and went on her way.

I remembered the form Monday morning around 0400. Now, usually, these staff education forms contain information on procedures we all know well and the documentation and signing thereof is a mere formality. For example, like the procedure for performing an accucheck. This staff education form was on follow up assessments after administering a PRN.

The information on the procedure was incorrect, noting the wrong icon to click on for administering a med! So I noted the error, drew a line through the  "I understand and will follow this procedure so help me God", signed the form and faxed it to administration.

This is a portion of the actual faxed form:

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My supervisor, RoofElmo, was unexpectedly there at shift report later that morning, and implored me to sign a fresh staff education form. I refused on the basis that the procedure was incorrect for administering meds. 

"But what they want you to focus on is the procedure for follow up assessments for PRNs" RoofElmo replied. 

"If a portion is incorrect, the entire procedure is incorrect and I refuse to follow an incorrect procedure".

About that time, Mandy the wonderful house supervisor showed up with a corrected staff education form and I agreed to sign it.

I wonder how many nurses signed the incorrect staff education form, not reviewing it, in the days before Joint Commission got there?

*DING!*

 

 

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klone has 13 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

3 Followers; 114,225 Visitors; 13,218 Posts

I don’t understand the form and what you wrote. First step says “bottle icon (for administered meds)” and you wrote “incorrect”. But then further down you hand wrote “bottle icon is for administered meds”

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Davey Do has 35 years experience and specializes in Psych, CD, HH, Admin, LTC, OR, ER, Med Surge.

14 Followers; 1 Article; 75,860 Visitors; 6,121 Posts

7 hours ago, klone said:

I don’t understand the form and what you wrote. First step says “bottle icon (for administered meds)” and you wrote “incorrect”. But then further down you hand wrote “bottle icon is for administered meds”

Thanks for your interest, klone. "Administered" is the key word, referring to the past tense.

The bottle icon brings up the meds which have already been administered (or have been missed dosed for one reason or another) and the icon with the check mark brings up the meds which can be administered.

Basically, the bottle icon is for a history and the checkmark icon is for current and future actions. 

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Daisy4RN has 20 years experience and specializes in Travel, Home Health, Med-Surg.

1 Follower; 1 Article; 6,216 Visitors; 937 Posts

More joint commission visits DaveyDo? What is going on over there at Wrongway, they must really like you!!

I bet you like those visits about as much as this Doctor..

https://authenticmedicine.com/joint-commission-can-kiss-***/

 

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Davey Do has 35 years experience and specializes in Psych, CD, HH, Admin, LTC, OR, ER, Med Surge.

14 Followers; 1 Article; 75,860 Visitors; 6,121 Posts

On 6/29/2019 at 6:23 PM, Daisy4RN said:

More joint commission visits DaveyDo? What is going on over there at Wrongway, they must really like you!!

Daisy, JC was following up on this:

 

 

On 6/28/2019 at 2:57 AM, Davey Do said:

 

My supervisor, RoofElmo, was unexpectedly there at shift report later that morning, and implored me to sign a fresh staff education form. I refused on the basis that the procedure was incorrect for administering meds. 

"But what they want you to focus on is the procedure for follow up assessments for PRNs" RoofElmo replied. 

"If a portion is incorrect, the entire procedure is incorrect and I refuse to follow an incorrect procedure".

 

I received two texts Monday after work. The first one was from my brother-in-arms psych tech Rooty Payne, and read: "Did you enjoy your meeting this morning?"

The second was from the psych dept house sup, probably Jason Hiney RN and read, "I hear you don't like confrontation".

Mox nix. My name was on the schedule when I returned to work on Friday.

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1,749 Visitors; 36 Posts

It's so nice to see/hear "mox nix." Nobody around me knows what the heck I'm saying when I say it 😕

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Davey Do has 35 years experience and specializes in Psych, CD, HH, Admin, LTC, OR, ER, Med Surge.

14 Followers; 1 Article; 75,860 Visitors; 6,121 Posts

1 minute ago, TeaPlease said:

It's so nice to see/hear "mox nix." Nobody around me knows what the heck I'm saying when I say it 😕

Yeah, TeaPlease. It doesn't matter.

We know what we're talking about.

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Daisy4RN has 20 years experience and specializes in Travel, Home Health, Med-Surg.

1 Follower; 1 Article; 6,216 Visitors; 937 Posts

Oh no, they are still worried about that door?!

You might get tired of singing 'camp town races' so i have another suggestion for you. How about 'break on through' by (you guessed it) The Doors, might make for a little excitement for you and the pts. 

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Davey Do has 35 years experience and specializes in Psych, CD, HH, Admin, LTC, OR, ER, Med Surge.

14 Followers; 1 Article; 75,860 Visitors; 6,121 Posts

41 minutes ago, Daisy4RN said:

You might get tired of singing 'camp town races' so i have another suggestion for you. How about 'break on through' by (you guessed it) The Doors, might make for a little excitement for you and the pts. 

273562736_doorrelief2.png.85d805c9cb9612e2bccf9d2f60097505.png

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Daisy4RN has 20 years experience and specializes in Travel, Home Health, Med-Surg.

1 Follower; 1 Article; 6,216 Visitors; 937 Posts

Good one DaveyDo, made me LOL..touche..

But then again that man-door looks a little funny...but oh well 'people are strange'

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AnnieNP has 20 years experience as a MSN, NP and specializes in Adult Primary Care.

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DaveyDo, you always make me laugh out loud!!!  Thank you.

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