I work a medicare/LTC unit. We do not have an in house pharmacy, nor a Pyxis. Many times, our admits come in after 1500.. We get the orders, transcribe and fax to pharmacy. The pharmacy delivers tid..approx 1000, 1500 and 2100. The DON wrote orders last week for a homeopathic
OTC didn't come in until 2130, so I began the med the next AM.
Today I was "written up" because I didn't give the med. I have been taught from day one in nursing school that the "Right Time" is an hour before to an hour after, in this case 1900-2100 would be correct.
I raised that to DON and she stated " But you give the initial dose anytime. You could give it at midnight, and it would still be the 2000 dose"
Am I wrong on this one?? I anm pretty upset...doing what I was taught to do, and get slammed in the head for it...
If she (DON) is correct..I think education and discussion instead of punishment was more appropriate .
I think I'm going to write the BON and get a written opinion