Intermittent Pain Meds
This is the most appropriate time to remove PRN pain medication from the ADC.
What is AFTER a pain assessment has been performed?
This is when the partial dose waste of a PRN pain medication should take place.
What is "as soon as possible"?
(Definitely before the end of shift)
It takes this many nurses to complete the Omnicell Cycle Count.
What is 2?
(and they must be PHYSICALLY PRESENT at the Omnicell)
Your fentanyl infusion bag has run dry. Prior to (or simultaneously to) removing the new bag you must do what with the old bag?
What is waste the completed bag?
You can make an anonymous report of suspected, potential, or actual drug diversion using this forum.
What is the Corporate Compliance Hotline or Origami?
You have completed the yellow Controlled Substance Administration Record with a second RN. This should be done with the completed form.
What is send to the pharmacy?
You are caring for 2 post-operative patients. Patient A reports 7/10 pain and requests pain medication. Overhearing this request, Patient B states their pain is 5/10 and they also would like pain medication.
This is the correct number of patients to remove medications from the ADC for at the same time.
What is ONE patient?
This is the correct time to resolve a discrepancy.
What is immediately?
AND Notify unit leadership of any outstanding discrepancies that require resolution or investigation
A witness must confirm what before signing off on a return of a CDS?
What is correct medication and dose?
A continuous fentanyl infusion is ordered on an intubated patient. The Fentanyl is currently running at 25mcg/hr.
The order reads: Titrate by 25 mcg/hour every 30 minutes to goal CPOT score less than 3.
The nurse increases the fentanyl drip by 25 mcg and documented CPOT score is 0. Name the failed patient right.
What is right dose?
One of your peers routinely asks you to witness wastes for IV narcotics that they state were already deposited in the Rx Destroyer. This is an example of what behavior?
What is Waste Diversion?
You are administering a PRN narcotic that is not stocked on your unit. What do you need to document on the yellow Controlled Substance Administration Record?
What is the administration and waste?