I have been discussing psychoactive medications with clients recently as I have a number of QA studies going. I was very surprised at the number of nurses who have indicated they are taking various psychoactive medications [and have been for years]. I had no idea. I am also realizing that nurses who are taking these medications are more apt to ask physicians to order for residents. For a very small sample I am realizing that nurses on the medications hesitate [do not do] dose reductions in residents and have higher utilization % for residents. Perhaps they know something we don't.
I'm not mellow, I don't want to be mellow but I am sure clients would love to prescribe for me.
I have no opinion, I do not have enough experience evaluating nurses taking this type of medication. My only experience is myself, I zone out on a chlorotrimeton.
Delores
I agree with Holly - I think it needs to be decided on a case by case basis, whether it is affecting the nurses performance or not. It may be considered discrimination to make a blanket statement, when someone needs a med to function, etc. But if it is putting residents in danger then you may want to terminate the employee or at least see that she gets help so that she can function safely.
Delores L. Galias, RN, RHIT
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