bolusing without an order....yes or no?
background story to the question:
i work same day surgery and we had a patient, male, late 30's, in phase 2 recovery s/p knee scope. he got 5 of versed and 200 of fentanyl total, on top of gen anesthesia. c/o being slightly dizzy during most of his stay, not unusual. after he got up to go to the bathroom and came back to sit, he was still c/o dizziness but no nausea. the RN taking care of him decided that on top of the 2L of LR he had already gotten, that she was going to bolus him. so that is exactly what she did. 500 mL LR bolus in 10 minutes...without an MD order.
i feel like this shouldn't have happened or was even necessary....thoughts? opinions? reasoning either way?