Quote from kellycinalli
No, I clarified if with the doctor and continued the iv until it was 2 liters which is total of 20 hours. When i came on it should of been 10 hours infused. And I'm not saying anyone is perfect including myself but the patients sodium was low and needed the fluids.
My thread is merely asking if the other nurse should of been responsible as well. My don is the one who ultimately makes the decision who will be written up. I have made a million mistakes myself. But we are supposed to check, right dose etc and I feel as though this goes back to nursing 101. I like this nurse and wish I didn't even have to write an incident report. The doctor was upset and spoke to the don about the incident.
I know this site isn't for bashing nurses but let's face it. Everyone isn't equipped to be a nurse. Someone who doesn't do a tx all weekend on my patients sacrum which was a St 4. Well that is neglect. So, some nurses I have compassion for and some I wouldn't let them touch me with a stick. Meaning the ones who are neglectful. But, I like this girl and wanted to educate her and show her what's right.
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Ah, I see. From your original post, I thought you meant that it was only supposed to run for a total of 10 hrs.
However, I think people are critical of your first post because you are implying that for one mistake, a nurse should have her license taken away. I agree that there are some nurses who I cannot sympathize with, but there is a difference between neglect and an honest mistake. If this nurse continuously makes mistakes with IV orders, then perhaps suggest she double-check any IV orders with another nurse until she gets the hang of it?
As for your unanswered question about the person doing the chart checks, I think they should at the very least be made aware of what they missed so that they can learn, too. I've faced a similar problem, where the day shift nurse missed an order to infuse IvIg daily (the patient had already received the first dose in ER that day), and the night shift nurse doing the 24-hour checks missed it, too. It was by pure chance that I found it in the morning, so fortunately the patient did not miss any doses of that critically needed IvIg. At shift change, I pulled the night shift nurse to the side, showed her the order, and informed her that she missed it in her chart checks. She was very apologetic and realized she needed to take more time doing her chart checks to be more thorough. No drama, no pointing fingers.