I just need some advice on this one, and it's making me NERVOUS. - page 4

by sherabear

8,537 Views | 52 Comments

I am a new grad LPN. I started my very first nursing job last week, and have been orentating since last Wednesday. On the wing that I will be working on, I have 1 resident in particular that asks for PRN Ativan at least four... Read More


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    Quote from sherabear
    I am a new grad LPN. I started my very first nursing job last week, and have been orentating since last Wednesday. On the wing that I will be working on, I have 1 resident in particular that asks for PRN Ativan at least four times per day, and other nurses have openly admitted to not giving it to her but telling her that they have. This resident does not exhibit any overt signs of increased anxiety at all, and her behavior doesn't change whether she receives the medication or doesn't. The nurse I was orientating with did the same thing; she will tell her that all her pills are in her med cup and administer away. Like I said, there are no changes in behavior; she believes she got her ativan, so she doesn't ask for another one for 6 hours (she gets it every 6 hours PRN). I did the same thing last night, but suddenly I'm under investigation, despite the fact that it's been going on far longer than I've been there. I'm suspended without pay pending investigation, and I'm just wondering if anyone knows what typical outcomes are. My nurse manager just said that re-education would likely be the result, but that doesn't make me any less nervous!

    The more I think about this, the more concerned I get. You have expressed no remorse. You're initial post was asking how much trouble you'll be in. While it's a legitimate concern, you should spend some time thinking hard about all the comments left here to you.
    SE_BSN_RN, anotherone, kakamegamama, and 2 others like this.
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    Wow Bad situation for sure

    1. Judgmental and dishonest nurses.
    2. Wrong decision on your part Always do the right thing . There us NO room for dishonesty in nursing!
    3. Sounds like you are working with some nurses with major personality problems and it probably starts at the top!
    4. Work hard be honest pray for good result
    Good Luck!
    anotherone and kakamegamama like this.
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    Quote from NurseDirtyBird
    As a chronic anxiety sufferer, I take offense that anyone would think that because someone doesn't "look anxious," then she must really not need her medication.
    That's what I wanted to say. Someone close to me takes ativan multiple times a day for anxiety. Others may not recognize the differences in how this person feels between doses but this person sure does.
    Jill2Shay, anotherone, and kakamegamama like this.
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    Quote from squatmunkie_RN
    Wow that's kinda harsh punishment. I've told a pt that I'm giving pain medicine when in fact I was just pushing 5cc of NS. But that was because the MD didn't want to order iv pain medicine. It was a last resort and miraculously that solved her problem lol.
    This really disgusts me and makes me feel rather sick inside, both that it was done and that it is now talked about so casually.

    It is our position to be a patient advocate. Not judge trial and jury.

    OP, I hope you learned your lesson. The only sympathy I have is that you are a new nurse and need guidance. What your coworkers failed to provide we are giving you here. Don't ever ever ever do that again.
    SE_BSN_RN, Ruas61, kakamegamama, and 2 others like this.
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    What was wrong with giving them the ativan?I'd rather have my pts sleeping !
    anotherone likes this.
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    Wow. Just wow......I'm thinking more and more that I don't ever want to leave a loved one alone in a hospital/longterm care facility/fill in the blank location...... I KNOW there are still good, safe practitioners of nursing care out there, but goodness.....
    Vespertinas likes this.
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    Nurses shouldn't play god.
    If a patient is saying they would like ativan, they should be given ativan if it is ordered. Who am I to judge if they are having anxiety, depression, etc.

    With all the people in the world walking around with anxiety, suicidal thoughts, depression that nobody ever bats an eye to, how do you truly know what your resident is thinking / feeling?


    Learn from it and move on.
    kakamegamama likes this.
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    Quote from blackvans1234
    Nurses shouldn't play god.
    If a patient is saying they would like ativan, they should be given ativan if it is ordered. Who am I to judge if they are having anxiety, depression, etc.

    With all the people in the world walking around with anxiety, suicidal thoughts, depression that nobody ever bats an eye to, how do you truly know what your resident is thinking / feeling?

    Learn from it and move on.
    ^This!!!
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    The patient is on the call light constantly, that is enough to set off an alarm that this patient is suffering from severe anxiety. Did you have to go through a psych rotation, if you did you should know that anxiety manifests its self many ways. Just like pain it is what the patient says it is. Never with hold a medicine with out orders or parameters, basic nursing 101.
    Hygiene Queen, SE_BSN_RN, RainRN1, and 1 other like this.
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    Actually if the OP gets the physician to order it as a scheduled med, the nurses who are currently not giving it will give it if they have to sign for it. So that would be a way to ensure she does get the med and therapeutic levels are reached. Same theory as pain meds ATC.

    Quote from anotherone
    I would suggest no such thing to the dr .
    morte, Hygiene Queen, and SE_BSN_RN like this.


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