What would you do?

  1. There's this Rn from our staff, newly licensed, that just can't seemed to get TO correctly. And whenever she transcribe on the MAR, either the dosing or the time is wrong. I told her once but she seemed arrogant to admit that she is wrong. She insisted that all her TO are correct. For three weeks, a s/p gt patient received vicodin es ii tabs q4 hours ATC when the order was q8 hours i tab, plus not counting all the prns that pt got in b/w those 4 hours. This is just one example. Another has an order for Apresoline 25 mg prn q8 hours when SBP >160. She wrote instead Apresoline 25 mg qid hold when sbp<160. Any advise?
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  2. 1 Comments

  3. by   FAIRYTALES
    Quote from sweetestthing
    There's this Rn from our staff, newly licensed, that just can't seemed to get TO correctly. And whenever she transcribe on the MAR, either the dosing or the time is wrong. I told her once but she seemed arrogant to admit that she is wrong. She insisted that all her TO are correct. For three weeks, a s/p gt patient received vicodin es ii tabs q4 hours ATC when the order was q8 hours i tab, plus not counting all the prns that pt got in b/w those 4 hours. This is just one example. Another has an order for Apresoline 25 mg prn q8 hours when SBP >160. She wrote instead Apresoline 25 mg qid hold when sbp<160. Any advise?
    I am not a nurse however I pass meds in long term care as a CMT,and med errors are CRAZY.I think you tried to help this person out with no response to try to be more careful.We are talking about a responsibilty to "take care"of our people.If I was you I would most likely copy these med error tran.,and copy the original order to be turned in to the unit manager or your DON.We all make mistakes,but who has to pay for our mistakes???I can believe this person thinks they are doing it right,but to not even look at what your saying is not even smart practice.GOOD LUCK TO YOU !! HATS OFF TO YOU FOR YOUR CONCERN FOR THE PATIENTS!!!!!!!

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