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Will make out with whoever invents a heparin/Synthroid blowdart gun. You Can Just Supercalifuckilistic Kissmyassadocious shirt. I’ve been here for eleven hours, the last thing I want at this point is getting bitched at for giving meds. Synthroid has always been on my shit list for the sole reason that my hospital gives it at 0600. My patients hate being woken up for it. I usually try to give it as close to report as possible, since we’ve been on a kick of waking people up for that recently. Even if I put in the med rec that my patient takes Synthroid at 0800… guess when it’s scheduled for? Funny thing is, breakfast doesn’t come on my unit til almost 0900. Ugh! When I was a phlebo during nursing school, we started our morning run at 0330! The only unit that was free from this torture was postpartum, which started at 0530 unless they were awake at 0330 with a feed. You kidding it’s the BEST. * BRIGHT OVERHEAD LIGHTS* Hi! I’m Kataani and I’m from the lab I’m here to get some blood from you ~ wakey wakey
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Night shift repletes everyone’s lytes! Official You Can Just Supercalifuckilistic Kissmyassadocious shirt. That’s how it is on my unit, too. The worst is when you think you’re basically done and then all these sodium phosphate orders come in at 0645. You’re absolutely right, I’m just bitching. T-shirt design near me. I guess my point is that I’ve never had a patient who actually takes it at 0600. Everyone seems to take it around 0800. This is true, but if the patient is taking it improperly at home and the dose is titrated with that in mind then it’s perfectly fine to give at breakfast. When I worked in retail pharmacy, I had a few patients that refused to take their synthroid early and would take them with breakfast with the rest of their meds. MD titrated to effect and moved on unbothered. I documented on the script that the patient was counseled by rph and also moved on.
You Can Just Supercalifuckilistic Kissmyassadocious shirt
Welp. You Can Just Supercalifuckilistic Kissmyassadocious shirt. I gave a three year old oral clinda at five am today and that went about how you’d expect it. If we could just get all kids to have a port and a g tube installed, that’d be great. My hospital is now adapting a new policy of changing all daily meds to 0600 instead of 0900. I’ll give daily meds at 0600 when they start making day shift do evening meds at 1800. An hour before shift change is a shitty time to schedule a major task like that. Night shift gets the morning meds out of the way so day shift can work on getting patients discharged. Supposed to increase patient turnover but I feel like it’s not going to help. Ya I’ve even given protonix (assuming that’s all they have a 0600) with a 0400 antibiotic just so I don’t have to do it in one more hour.
My hospital has the same policy. You Can Just Supercalifuckilistic Kissmyassadocious shirt. Although I feel it’s inappropriate to give you a copy of our internal policies, I can summarize the gist: Non time sensitive medications are those scheduled daily or twice a day where taking 2 hours before or after the scheduled EMAR time wouldn’t cause any dramatic change to the therapeutic effect. I think it may even use the word “should” not “must” … I forget and I see it as doing my part. There’s no difference in the drug so why not go for the cheaper choice in packaging and then spend the money elsewhere? Kinda irresponsible to spend taxpayer money willy nilly when there are cheaper alternatives.
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