I work at an ICU and started as a new grad. I've been an RN for a little over a year now. I floated and had a pt that had labs drawn at 0200, I came in at 0700. There K was WNL but mag was a little low. However they were not on a replacement protocol, usually they are if they are a cardiac pt, so I didn't think anything of it. The night RN also didn't think anything of it. I didn't see this pt being a cardiac pt, this was not a cardiac ICU. However, this pt has been getting one time doses of lasix.
Sooo, I get floated back down to my unit. The charge calls me 3 hrs later, right at the end of my shift and said that she just didn't understand the situation. Basically saying why didn't this pt's k and mag get replaced especially when she is getting lasix and is a cardiac pt? She was having rhythm changes at this time. She also said "I won't write you up since it is not fully your responsibility to check labs, the cardiac MD should have also been aware."
I was kicking myself!!!! I really didn't even think about it and didn't really see this pt as a cardiac pt. I was also pissed that the charge nurse was thinking about writing me up. It made me so scared. I feel stupid and I was making constant excuses in my head..like the night RN should have replaced it blah blah blah. And I was thinking about the pt the whole time and hoping that they were ok. I just can't stop thinking about this situation.