There is a resident where I work who is on Hospice. This is what Hospice wrote for her:
Roxanol 0.5MG/0.25mL Q4hrs. PO/SL for anxiety/SOB.
What is supplied is:
I believe they wanted her to have 5MG (which is 0.25mL) Q4hrs. The order was entered into the computer as Roxanol 0.5MG/0.25mL, and she had been getting 0.25mL Q4hrs.
by staff. During the 11-7 shift (we have to do chart checks on all new orders), the error was discovered. The resident has been getting 0.5mL Q4hrs for the last 3 days.
Now, my co-worker (another LPN) found the error, and I double checked the order along with our supervisor. We feel that the order was improperly written by hospice. My calculation confirms that:
D/H x Q = dose. 5MG
20MG X 1mL = 0.25mL. (what I feel they intended to write it for.)
The more we try to figure it out, the more we are getting unsure of ourselves. What are some other thoughts on this??