Hello all, I have what might be considered a naive question for all of you experienced in NICU. Namely, how do you streamline medication administration?
What I mean by that: I am a newly graduated nurse. In clinicals there were essentially two different ways we gave medications. If your preceptor was your professor, you did the five rights of medication, then looked up all the details of the medication (purpose, drug class, contraindications, average dose...), did the math to calculate how many mililiters you needed and how long to push it (if an IV med) collected the med, repeated the five rights, etc. If, however, your preceptor happened to be a member of the unit staff, things went differently: you did the five rights and the math for IV meds and gave it asap. During one hectic med/surg clinical I was warned that "we have a lot of patients to get to and you don't have time to do all that (looking up information). I know it's safe so let's go give it." Okay...
So here's the thing: when you're a nurse on your own, especially starting out in NICU, and you're not all that familiar with the medications, as far as: what is contraindicated with each, average doses, etc. how do you streamline the medication administration process while still looking up enough information about your meds to do safe practice? I don't want to dawdle and look up a lot of unnecessary information, but it seems like to be safe you should know contraindications to giving the med, average dose for a pt your age and size, compatibility with other running meds and any "special instructions"... and that takes time, even taking a minute to look up a med takes up a lot of time if you have a lot of meds to look up.
So, experienced NICU nurses who were once newbies, how did you handle this?