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13 50. you always need to call and give report to the er nurse. OUCH! somebodys having pain, so they need a PRN pain medication what do you type in: patient has complaint of aching pain to the right shoulder 6 out of 10 not relieved by changes in position. done. give it to them. later on you follow up. effective- click it! okay prn anxiety medication whenever youre giving a prn anxiolytic in the long-term care setting you have to document three alternative measures that you did before you gave that pill. so an example would be patient noted to be yelling out and combative with staff during care. one-to-one, food, and repositioning ineffective. okay so youve tried three things whatever those three things are, you try them didnt work you have to give them that medication. say that you had a patient who has a change of condition and then you notify the doctor and they give you a new order this is what you would document: patient has complaint of sharp ab