The morphine and Levsin are supposed to be given every 4 hrs, but can be given every 2 hrs as needed. The Ativan is to be given as needed, but can be done every 6 hrs.
The first thing the LPNs do when they get here is to give ALL medications whether or not it's time or whether they're needed or were just given, especially the Ativan. Uncle did not want that medicine, he didn't want to be knocked out. The one rude LPN gave it anyway even though the RN said 15 min. prior that it wasn't needed.
I suspect they just want him drugged up to make their job easier. A sleeping patient is an easy patient.
They're basically going against the doctor's orders. When we tell the nurse in charge (RN) she always comes up with some excuse backing them up. As it was, my cousin had to kick out the rude LPN within an hour of her getting here because she was so rude, hateful, and disrespectful. We handled everything fine until the new one arrived 6 hrs later.
We're considering not continuing with the 24 hr nurse care and asking if a nurse could just stop by once or twice a day. Has anyone else had issues like this?
Describe what is happening.
(and just wondering if you are saying LPN and it is the CNA that is giving the medication to make the bath easier or changing him?..if that is the case CNA's are not supposed to give medication and this should be reported)
And if a patient refuses medication then it should not be given.
And is it possible to keep the medications locked so they can only be given when they are due? This way if the Hospice employee wants to give medication and it is not time you can refuse to get it until it is time to be given. (the sticking point here is the .."as needed"...)
By the way you can always ask for a different Nurse, LPN or other staff person if you feel that your or the patient is not being treated with respect or dignity.