Whats the order say?
I have a question…
On the floors or facilities where you work, is there a policy to determine how long after a PO med is given? can a nurse give an IV or IM breakthrough pain med?
I work on a floor where this subject is up for much debate and those who medicate a certain way (either refuse to give an IV or IM med within a certain time or do give an IV or IM med after a certain time) are often criticized by those who do it differently. When asked management always asks “whats the order say?” and the order just says for breakthrough pain and does not specify. These times management states it is up to the nurses discretion, which leads to very confused patients when one nurse will give a med within this time frame and another won’t.
Our floor gives ALOT of narcotics, and pain control is a HUGE part of our care and effects our HCAHPS in a major way. We deal with a growing population of patients who have chronic pain and have had a long history with pain management so this is a very big discussion topic between our nurses who cannot seem to agree.
Any comments would help thanks!