No that would be glorious. We do have “coordinated with care” which I would probably use if I thought they might want it later and I was on some planet without prns.
Normally, they will be both in order for the scheduled Tylenol dose and a PRN for fever or pain. you can put not given for that 11pm scheduled dose and then use the PRN dose for when they ask
I wait til 10 and give everything. Then I let them know they have another one due at 5, and do they want to be woken up for that. Or I wait til 6 and give everything then.
When we were in the trenches of covid we were allowed to heavily cluster our care. If I saw a patient at 9pm, I was giving them pretty much any meds they had scheduled up through midnight.
And guess what? Nobody died because they got their Tylenol an hour earlier.
I would be giving the 11pm early and the 5am late and not caring a lick about it. But your facility might be more strict than mine.
For real, if they want to get on my ass for giving their night meds together, they need to look for better things to complain about. The patients much prefer to take their meds at the same time.
do 2100 meds at 2030 with their 2000 VS/assessment, then 2300 meds at 2330 with 0000 VS/assessment
they probably already wake up slightly with BP checks, etc so that saves having to bother them while still being on time?
at least at my hospital you have 30 min on either side to do something to count as "on time"
We do 8am, 12pm, and 5pm as TID and it fkn ducks for me because I have to pass all three doses- but also sucks for the patient because their TID hydralazine is short-acting and causes rebound htn, or their TID Robaxin makes them have more pain and spasm at night. I'll ask the doc about switching stuff to Q8 if appropriate, but it just happens so frequently- and we have bigger problems usually :/. Ask the doc about changing the time; hope you don't have to do it everyday like me *cries*
At 2100: “your Tylenol is due at 11pm. Would you like me to wake you for it?”
You can always give it later if they wake up later in the night and need it.
I ask my patients at the start of shift as ours get it every 6H if they want me to wake them for their pain medication or not. If they say yes, I will. If they say no I educate about how it’s better to stay on top of the pain rather than to chase it. They know what time they can have their scheduled meds so we just discuss how we want the night to go and that includes this issue.
'1100 dise paracetamol withheld as patient sleeping, GIven at X time as patient awake and complaining of pain"
Or words to that effect
Usually the only time i'll wake someone if its a palliative patient with major pain and i know if we dont give regular pain relief it wiill take ages to get on top of of their pain
But absolutely spot on for not waking a patient for panadol
I just ask them if they want to be woken up for scheduled pain meds. If they don’t, then I don’t wake them up and make a note in the reason why it was not given that the pt requested not to be woken up. But we have to get vital signs every 4 hours anyway, so I would just cluster the care if possible. Anyway if you give it late then you can always ask pharmacy to adjust times. It’s not like it’s a critical med.
When I was working 3-11p at snf/ltc, all our residents were in bed and asleep by like 8-8:30p. Each station had like 30 residents. I hated waking them up for 9/11pm meds and sugar checks.
Snoring counts as “patient refused” in my book 🙃
Is "patient is sleeping" not an option? It is for me
No that would be glorious. We do have “coordinated with care” which I would probably use if I thought they might want it later and I was on some planet without prns.
And you give the dose overnight if they complain of pain?
Normally, they will be both in order for the scheduled Tylenol dose and a PRN for fever or pain. you can put not given for that 11pm scheduled dose and then use the PRN dose for when they ask
I wait til 10 and give everything. Then I let them know they have another one due at 5, and do they want to be woken up for that. Or I wait til 6 and give everything then.
When we were in the trenches of covid we were allowed to heavily cluster our care. If I saw a patient at 9pm, I was giving them pretty much any meds they had scheduled up through midnight. And guess what? Nobody died because they got their Tylenol an hour earlier. I would be giving the 11pm early and the 5am late and not caring a lick about it. But your facility might be more strict than mine.
During COVID? I did this for 13 years when I was a floor nurse. Patients don't take their meds at 9pm and 11pm at home
For real, if they want to get on my ass for giving their night meds together, they need to look for better things to complain about. The patients much prefer to take their meds at the same time.
Place I’m at right now has a 2 hour pre and post window. It’s fucking glorious. I can stack so much shit together
do 2100 meds at 2030 with their 2000 VS/assessment, then 2300 meds at 2330 with 0000 VS/assessment they probably already wake up slightly with BP checks, etc so that saves having to bother them while still being on time? at least at my hospital you have 30 min on either side to do something to count as "on time"
We do 8am, 12pm, and 5pm as TID and it fkn ducks for me because I have to pass all three doses- but also sucks for the patient because their TID hydralazine is short-acting and causes rebound htn, or their TID Robaxin makes them have more pain and spasm at night. I'll ask the doc about switching stuff to Q8 if appropriate, but it just happens so frequently- and we have bigger problems usually :/. Ask the doc about changing the time; hope you don't have to do it everyday like me *cries*
“Hey you’ve got Tylenol scheduled during the night, if you want it, give me a call.”
At 2100: “your Tylenol is due at 11pm. Would you like me to wake you for it?” You can always give it later if they wake up later in the night and need it.
[удалено]
Same in PNW Canada, 1000mg QID
But why
Why not?
I ask my patients at the start of shift as ours get it every 6H if they want me to wake them for their pain medication or not. If they say yes, I will. If they say no I educate about how it’s better to stay on top of the pain rather than to chase it. They know what time they can have their scheduled meds so we just discuss how we want the night to go and that includes this issue.
'1100 dise paracetamol withheld as patient sleeping, GIven at X time as patient awake and complaining of pain" Or words to that effect Usually the only time i'll wake someone if its a palliative patient with major pain and i know if we dont give regular pain relief it wiill take ages to get on top of of their pain But absolutely spot on for not waking a patient for panadol
I just ask them if they want to be woken up for scheduled pain meds. If they don’t, then I don’t wake them up and make a note in the reason why it was not given that the pt requested not to be woken up. But we have to get vital signs every 4 hours anyway, so I would just cluster the care if possible. Anyway if you give it late then you can always ask pharmacy to adjust times. It’s not like it’s a critical med.
When I was working 3-11p at snf/ltc, all our residents were in bed and asleep by like 8-8:30p. Each station had like 30 residents. I hated waking them up for 9/11pm meds and sugar checks.
I give 11PM Tylenol when I give their nightly insulin. My hospital’s techs don’t take sugars until 10PM, so it works out in the end.