jugular vein dressings

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    My supervisor wrote me up today. I have been an RN for 20 years and in Home Care 12. She said that I put a 2X2 dressing under the Opsite on a jugular weekly dressing change but the MD ordered "alcohol X3 then apply Opsite" . Our nursing care plans say a 2X2 is standard protocol but she wrote me up anyway. Any advice for me?

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