Quote from morte
you need to get standing orders for things like this, it is silly to have to call doc in the middle of the noc for this....that said, it must be done until you get the standing orders in place.....
I HATE HATE HATE this situation. It is just STOOOPID!
I hate it when my patient spikes a temp, no tylenol ordered. I deliberate. Page the doc-get the order? Give the tylenol, ask for the order in the morning? Here's how I usually handle it-
1) text page the doc only if I have other things to request or report (bundle 'em up)
2) Check that the patient isn't getting acetaminophen in another med, or that they don't have out of whack LFTs-then give them the med, write a note on the chart asking for the order, document giving the med on the flow sheet.
And yes, I feel the burden of responsibility as it is not my place to "prescribe" any medication. There are some docs that would rather be paged.
No, I don't worry about losing my license every day. Certainly not for this. But if my assignment is too heavy for one RN, or if there is a situation I know I can't handle, you bet I will loudly make a stink. Cause if I don't, I'm just ASKING to hurt a patient. (and lose my license)