Bruising on cialis
Bruising on cialis If ever I needed a good shot of Bromo Seltzer it is now.
Bruising on cialis My nerves need soothing.
Bruising on cialis My head is pounding.
Bruising on cialis I have an acute case of acid reflux.
Bruising on cialis My blood pressure is sky high.
Bruising on cialis I’m not sick.
Bruising on cialis I did however, bruising on cialis receive an email from the Emergency Nurses Association.
Bruising on cialis If you have ever considered joining ENA, bruising on cialis now is the time.
Bruising on cialis They are on our side.
Bruising on cialis Somebody has to be.
Bruising on cialis JCAHO has finally crossed the line.
I present to you the latest in Stupid JCAHO Tricks, bruising on cialis as described in an email sent to all ENA members.
On April 6, bruising on cialis the Joint Commission rescinded the Interim Action for Standard MM.4.10 EP 1 for Emergency Departments. Bruising on cialis Therefore, bruising on cialis in accordance with MM.4.10 EP 1:
Bruising on cialis “…prior to dispensing, bruising on cialis removal from floor stock, bruising on cialis or removal from an automated storage and distribution device, bruising on cialis a prospective pharmacy review is expected for all medication orders unless a licensed independent practitioner controls the ordering, bruising on cialis preparation, bruising on cialis and administration of the medication; or in urgent situations when the resulting delay would harm the patient, bruising on cialis including situations in which the patient experiences a sudden change in clinical status.”
Translation: before you are even allowed to remove a medication from your Pyxis or take down a bottle of medication from the shelf in your ER, bruising on cialis the pharmacy has to review the order. Bruising on cialis Except when the resulting delay would hurt the patient.
JCAHO acknowledges the delay!
Am I missing something here?
Never mind the effect on already impacted emergency departments.
Never mind that the only “licensed independent practitioner” in an ED is the physician (or maybe a nurse practitioner or physican’s assistant). Bruising on cialis They will now have to “control” the ordering, bruising on cialis preparation and administration of all medications the pharmacy can’t review.
I hate to be the one to break this to JCAHO, bruising on cialis but some hospitals don’t have the luxury of a twenty-four hour pharmacy.
Never mind all those pain medications you order for patients with chronic back problems or migraines.
- You can’t touch that dial on the Pyxis until you are given permission by the pharmacy.
What about the patients that come in with a single-spaced 81/2 by 11 medication list that must be transcribed?
- Better write up that medication reconciliation form STAT, bruising on cialis because the pharmacy won’t take the patient’s list. Bruising on cialis You have to fax them the official list for review. Bruising on cialis In my facility we asked if we could just copy the patient’s sheet and attach that to the form. Bruising on cialis Apparently this will occur about the same time as pigs begin to fly (I’m paraphrasing).
What if the pharmacy does not recommend giving the ordered drug (for whatever reason) and the doctor disagrees?
- Can the ED staff still give the ordered drug?
- Can the pharmacist actually override the physician’s ability to prescribe a specific drug?
How long before we have to fill out a special form to document an “urgent” situation if we do give medication before the review?
JCAHO, bruising on cialis you told us we had to put locks on all the doors and we did. Bruising on cialis We thought it was stupid, bruising on cialis but we did it.
Then you told us there must be a medication reconciliation form and almost every hospital I know of put the onus of this on the emergency room nurses. Bruising on cialis We think it is asinine. Bruising on cialis But we do it.
You told us we had ask about and document cultural beliefs on the chart. Bruising on cialis Every single patient I ask looks at me like, bruising on cialis “What the heck are you asking?”. Bruising on cialis That mandate was useless. Bruising on cialis But we do it.
JCAHO, bruising on cialis you may say “JUMP!” and the hospitals will say “How high, bruising on cialis Master?” but the emergency departments will not.
The Emergency Nurses Association is in partnership with the American Academy of Emergency Medicine (AAEM) and the American College of Emergency Physicians (ACEP) to oppose this accreditation standard and this mandate will not stand.
Make no mistake. Bruising on cialis We will fight this with every fiber of our being.
Hell hath no fury like that of the nursing profession when pushed to the brink. Bruising on cialis And this time we and the doctors are of one mind, bruising on cialis one opinion.
JCAHO, bruising on cialis you are in danger of becoming a joke.
Your standards are ludicrous.
Enough is freaking enough.