Am I In trouble? - page 4

by gwafuh_rn 2,866 Views | 37 Comments

I worked last Tues,night shift (7pm - 7am). An lvn was the one who endorsed me the patients that i will be taking care during my shift.One of the pt has an order of vancomycin iv q tuesday and it was written at 02:00 pm by the... Read More


  1. 0
    Quote from gwafuh_rn
    sorry.thanks for the help.

    No need for a sorry. I just don't want you twisted up over this. Learn to let this stuff go or nursing will eat you up.

  2. 1
    Quote from gwafuh_rn
    the pharmacist wrote the order 0200 pm. with the word pm on it.
    i didn't know pharmacists could write orders...
    am i missing something here?

    leslie
    kanzi monkey likes this.
  3. 0
    It sounds like a systemic error to me--that is, everyone involved was partially responsible. But only for the missed dose--not the sepsis. Don't put that on yourself.

    As far as calling the doc with the temp--I'd recommend notifying someone with a temp over 102 (that varies based on the patient--sometimes I'd let them know with something lower, sometimes I'd give some tylenol, check the temp in an hour, then notify.)

    A vital sign that abnormal requires a little closer attention.

    Again though--the sepis...not your fault.

    Learning experience experienced
  4. 1
    Pharmacist can and do write orders. I see less than yrs ago but Dr will ask them to order antibiotics per protecol depending on labs. They also order labs when the Dr misses it.
    leslie :-D likes this.
  5. 1
    Quote from angel4gramma
    Pharmacist can and do write orders. I see less than yrs ago but Dr will ask them to order antibiotics per protecol depending on labs. They also order labs when the Dr misses it.
    wow, never knew that, angel.
    never, ever saw or heard of it.

    do you know why a pt would be on 1x/wk vanco?
    (thought i'd go 2 for 2.)

    leslie
    wooh likes this.
  6. 0
    LOL, no except maybe he had renal issues. I have seen 3 times a week after dialysis but, can't recall once a week.
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    I'm kinda curious about the dosage schedule myself.

    Don't sweat your license unless the guy is related to the governor or something.:chuckle (Just kidding) Yeah, you have to take part of the blame. Just make sure you learn from it.

    IMO, you might get to spend a little quality time with the clinical manager , DON, or whoever handles this stuff. Of course, few others will probably get to pay a visit to the same person. This sounds like an opportunity to close some gaps in the system. I hope everyone learns from it.
  8. 0
    And the next time a medication is not charted off, but you got in report that it as given, (or even if you didnt get it in report that it was given) inform your supervisor. Protects you as well.

    And I have never heard of a once a week vanco dose. I cant imagine that doing anything for anyone.


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