There have been a lot of advances, shall we say, in my ER since the dark ages when I started. We have a lab in the ER now. The techs draw the blood an do some of the blood tests. That's cool.
We now have a pharmacist. With the pharmacist comes the practice that EVERY med has to be approved by them before we can get it out of the million dollar drug dispensing machine. There are exception of course, many actually. Anything we would need right away, narcotics even. We can override the machine. Here'the thing: something like Tylenol can't be òverridden. Bacitracin (yes it's now in the machine - IT IS a drug you know) can't be overriden. So let me get this straight - I can take out ten pounds of dilaudid but I can't get a tylenol? OKAY THAT MAKES SENSE.....
Lol. I've noticed this also. Lol... Does your facility make you count colace??
ReplyDeleteno that we don't have to do
ReplyDelete10 lbs of dilaudid? How many mg is that? Me thinks the tyl is starting to get a bit of a back lash because of all the accidental overdoses over the years. There is or recently has been a class action lawsuit concerning our old friend tyl. Plus, if the pharm dispenses it it's an extra charge to the patient.
ReplyDeleteI'm amused that nurses are allowed to administer paralytics when I am preparing to intubate a patient, but if I want the patient to get propofol I have to give it myself.
ReplyDeleteI give the propool in my ER
ReplyDeleteYou can't override Tylenol because it is not an emergency medicine.
ReplyDeleteq3o82h0e42 k5k55v0y22 d7n78n7j75 e1k55b1c24 w5n64y7o86 x0v54a7l69
ReplyDelete