Roxanol is a highly concentrated liquid form of morphine sulfate. It can be swallowed or administered as a sublingual. It is used frequently in hospice situations to relieve pain in patients who are no longer able to swallow.
is it safe to give roxanol 20mg/ml (0.25ml) every hour x 3 doses to a end stage COPD pt by a unlicensed caregiver with an instruction from an RN?
Sorry I couldn't answer sooner, but I've been out of town for the past week.
Only a doctor can prescribe medication, so I would imagine the RN is relaying the doctor's instructions. If the patient is at home, any caregiver can administer the medication – a license is not required. If the patient is in a nursing home, hospital or hospice facility, you'd have to check on their rules and procedures regarding the administration of medications.
I can't comment on the dosage as that is something a doctor has to determine for each individual patient. What is good for one patient may not be good for another. If you're concerned, don't hesitate to speak up and ask questions.