Hi there, ok I'm pretty worried about this so here goes.... my patient was on a dilaudid pca, and I realized after my shift the other day that when I changed out the syringe i did not clamp the iv line. thus i'm afraid i may have bolus dosed my patient when i put the new syringe in.... i changed the syringe about an hour and half before i left for the night, and basically i'm just worried something may have happened. what if i did bolus them? the patient was sleeping, but arousable when i left, vitals stable. but i'm still worried. i will always be more careful in the future. just looking for a little reassurance. thanks.