I had a patient the other night who had IV depakote ordered for 24 hours. I checked the pyxis and the patients medication bin and there was no IV depakote to be found. I even checked the main pyxis which has most of the meds. Nothing. So I called the house supervisor and she brought me two vials up from the ER. I can't remember if the dosage was supposed to be in micrograms or milligrams. Either way it was 1000 mg or mcg. Well, I gave it IV push. I didn't realize until report that this may not have been the right thing to to do. The nurse I was reporting off to questioned me. So I came home and looked up Depakote. Apparently if it's given IV it's supposed to be mixed in D5W and infused over an hour with no more than 20 mg/minute.
So, I messed up big time. I just assumed that because it was in vials that it was to be given IV push. I just sent a text to the nurse I reported off to asking if the pt. was ok. This nurse was one of my preceptors so I trust her. Anyway, I'm not sure what I should do. I'm assuming I should go ahead and file an incident report. Have any of you heard of giving Depakote IV push? Any words of wisdom for this overwhelmed new grad? I feel like the worse nurse ever!!!