Absolutely can not be done (at least not in our facilities) for safety reasons and nurses are signing they "administered" - not left the med. there. Nurses need to explain to the resident - "I know this is a pain, but you need to take the medication while I am here for safety reasons I can not leave it here" as they hand them a glass of water. Holly QI in CT
> -----Original Message----- > From: Wiedemann, Betty R [SMTP:[EMAIL PROTECTED] > Sent: Tuesday, November 11, 2003 12:37 PM > To: '[EMAIL PROTECTED]' > Subject: RE: Rt. self administration of meds > > No I'm talking about nurses preparing and leaving the med for administration > at the convienence of the rt. > > -----Original Message----- > From: Debbie Settle [mailto:[EMAIL PROTECTED] > Sent: Tuesday, November 11, 2003 12:21 PM > To: [EMAIL PROTECTED] > Subject: RE: Rt. self administration of meds > > > The resident has the right to self administer meds unless they don't want to > do it OR if the CAREPLAN TEAM does not believe the resident has the ability > to assume the responsibility. There needs to be some type of asswessment > done which address any dxs that may interfere with the ability to self > administer meds (dementia, depression, psych dx, etc...) Their cognition > must also be addressed, as well as the physical ability to self administer > medications. If a resident is determined to actually be able to administer > their own meds, they need an MD order AND to be periodicaly reviewed to > ensure they remain able to do do. *****BUT BE CAUTIOUS.... I once had a very > sweet little lady who was alert and oriented MOST of the time who wanted to > administer her own inhalers. Her order was for "2" puffs. During the state > survey the nurse handed her her inhaler, and she promptly gave herself "4" > puffs. when asked by the nurse how many puffs she was supposed to have she > stated correctly "TWO." Needless to say, we recieved a deficency. > > > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of > Wiedemann, Betty R > Sent: Tuesday, November 11, 2003 11:42 AM > To: '[EMAIL PROTECTED]' > Subject: Rt. self administration of meds > > > Our staff is challenged with rt. that will say." Oh, just leave it I'll take > it" We've all been there and tactfully respond we are not allowed to do > that. So our ingenious staff felt that if they were to have the Dr write an > order that the rt. could give if we prepare that that would be OK. I say Oh > No. I am from the old school. the very old school that says you prepare you > give. . Input please. > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org > -----------------------------------------------------------/ > /---------------------------------------------------------- > The Case Mix Discussion Group is a free service of the > American Association of Nurse Assessment Coordinators > "Committed to the Assessment Professional" > Be sure to visit the AANAC website. Accurate answers to your > questions posted to NAC News and FAQs. > For more info visit us at http://www.aanac.org> > -----------------------------------------------------------/ /---------------------------------------------------------- The Case Mix Discussion Group is a free service of the American Association of Nurse Assessment Coordinators "Committed to the Assessment Professional" Be sure to visit the AANAC website. Accurate answers to your questions posted to NAC News and FAQs. For more info visit us at http://www.aanac.org -----------------------------------------------------------/
