"A Long-Term Care Leader's Guide to High Performance" also features accompanying downloadable, how-to guides that include: Three Steps to Transforming the Medication Pass
: Individualizing Care and Managing Workflow; Rethinking the use of Position-Change Alarms; Eliminating Off-Label Use of Antipsychotics: A 10-Step Guide for Nursing Homes; MUSIC & MEMORYSM: Implementation Steps to Maximize Benefits: A Nursing Home Leader's Guide; Common Infrastructure Self-Assessment.
While rounding last evening, I assisted one nurse with her bedtime medication pass
; she told me how much difficulty she was having adapting to the new process.
Elganzouri, Standish, and Androwich (2009) found that every medication pass
was interrupted because of other staff members, missing medications, or other patient care needs.
AristaCare examined survey data dating back three years and recognized trends in infection control, medication pass
, falls, documentation, and managing difficult patients.
First, many patients come into the hospital on multiple medications from home, meaning that it is not unrealistic to be administering 5-10 chronic medications per patient (in addition to administering pain medication, antibiotics, managing IV lines, etc.) during my 0900 medication pass
* Medication rounds (medication pass
routines) for giving OLNS may decrease wastage and increase consumption.
Simply put, innovations such as eMAR and mobile computing workstations can improve medication pass
efficiency and overall resident safety.
When the surveyors investigated the incident, it was determined that the nurse had not been observed during the medication pass
since her orientation.
In medication administration, nurses have a chance of being interrupted with every medication pass
(Smeulers, Hoekstra, van Dijk, Overkamp, & Vermeulen, 2013).
If the nurse waits until the entire medication pass
is completed, the documentation may be skipped, leaving it to speculation whether the drugs had been given.
For example, reducing medication pass
at night meant using fewer staff on the 11 p.m.
Use open-ended questions such as, "How do you feel the medication pass
went?" Often students are able to pinpoint areas where they need more growth.