Am I In trouble? - page 4
by gwafuh_rn | 2,909 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
- 0Oct 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
- 1Oct 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.)
- 0Oct 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.
- 0Oct 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.