Question : what do you do when the chart says something but in this case the parents say something else? I had a child that was desat to 80 and parents didnt want me to give o2 at all, saying "no,once you start giving 02 she's going to be dependent on it we already researched it" dad bagged foeven after I explained 3 minutes won't do it because that's only when its at high liters and over a long period of time. The child was bagged for 5 min but still remained 80%. Then parents said she will come up. Well she stayed like that for 30 min and I felt totally useless. Its in the chart to give 02 if sats go below 92%. Another case is when the mom of a 1 yo boy said a feeding was every 3 hours over a 24 hr period but the 485 does not have that on it,says last feeding at 9pm. Also chart says duoneb q 4 hrs prn for congestion and I gave it but mom starts yelling "no he was fine with saline and cpt and cough assist,I don't like meds at all." You should have asked me,"he was very congested. She then said" I would have told you not to give it and instead do cpt and cough assist every 30 min but no meds." (Order ssays q 4 hours prn) I'm thinking ok, if I can't use my own nursing judgement with these cases,then why am I here. Both are home care cases. What is the chart for? The mom in the second case said the book and doctors orders are there but you have to go by what I say, even if they conflict. Sorry, but if child in case1 stil is 80 after 1 hour and suffers damage and child 2 aspirates would I still legally be on the hook, esp for not following orders? Even if I document everything?
