PRN problems

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This topic contains 11 replies, has 4 voices, and was last updated by Profile photo of Traci Walls Traci 1 year, 3 months ago.

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    Profile photo of Brock-MN

    We have a few patients at our facility that abuse their PRNs. I’ve asked their doctor to just make them part of their scheduled meds so we don’t have to chart as much during med passes and the patients get big mood swings if they don’t get their PRNs right away. Has anybody had any luck with this situation?


    The alf I work for has great in house drs that will change them to routine if needed and sometimes they reduce the dose when they do that. Outside drs are iffy. If they know how alf works they are great. If they have no clue about alf regulations and policies then it tends to be a pain in the butt. It’s a never ending learning process.


    we have a problem with staff not assessing patients for the need for a PRN. Then the patient gets nothing. Too many facility nurses are afraid of narcotics.


    I have frequent problems with patients demanding their PRN pain meds as soon as they’re due. I have had a patient call me and tell me I was ten minutes “late” giving their pain medicine, which was a PRN. There are some doctors at my hospital who will go ahead and schedule these meds for patients with chronic pain who take meds at home, but the “pain seekers” who are resting comfortably and laughing with a pain of 10/10 and take all of our time demanding pain medicine will definitely not have them scheduled by the doc.

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