I would like to get some advice about a patient i had yesterday. My first shift off of orientation was kinda crazy. My patient had a PEG tube, Rectal tube, ostomy with a PEG in it to administer vanc and a triple lumen cath. Everything was going well until about 4pm. Then I had a order for a mag rider and potassium 60meq over 6 hours. The K would start at 4pm. At 6pm there was an order for Zosyn iv and the vanc through the ostomy tube. There was iv nutrition also running all day.
I ended up leaving alot of work for the night shift which I am still beating myself up over. I really didn't want to do that. So I am trying to see what I could do better.
Could I have run the Potassium and Magnesium at the same time? I ran them one after another. Which put everything was behind. Could I have ran the Zosyn at the same time. I ended up leaving the zosyn and vanc for the next shift as well as 3 K. I am know it's a learning process so an advice would be helpful.
I would have call the pharmacy for help but I had 4 other patients that all started having there own problems at about 4pm also. So I didn't have the time.