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- Oct 1, '09 by SuesquatchRNQuote from gwafuh_rnsorry.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.
- Oct 1, '09 by leslie :-DQuote from gwafuh_rni didn't know pharmacists could write orders...the pharmacist wrote the order 0200 pm. with the word pm on it.
am i missing something here?
- Oct 1, '09 by kanzi monkeyIt 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
- Oct 1, '09 by angel4grammaPharmacist 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.
- Oct 1, '09 by leslie :-DQuote from angel4grammawow, never knew that, angel.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.
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.)
- Oct 1, '09 by angel4grammaLOL, no except maybe he had renal issues. I have seen 3 times a week after dialysis but, can't recall once a week.
- Oct 1, '09 by belgarionI'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.
- Oct 1, '09 by SirapplesAnd 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.