Recently a nurse (RN) where I work chose to admin a prn bucally instead of via g-tube. The order stated via g-tube. This client has a high risk of aspiration. I did not find out about this until after it had already happened and was working in a different building at the time. Can an RN change the route of medication without an order? Would this not be considered a medication error? Is this something I should encourage the other nurse who called me upset about the situation to persue in regards to reporting a med error/talking to management? She did chart that she opposed this decision, she is an RPN, and the the RN chose to do regardless of her objection. It is possible that this resulted in harm to the client, he was sent to hospital later on that day however I have not worked since and do not know why he was transferred.
Mar 18, '12
by loriangel14 Guide
Why does this have anything to do with you? OK so she changed the route.If the poop hits the fan it will be her getting heck not you.You are not responsible for her practices.I have seen nurses use nursing judgement and change routes when appropriate.
Now I agree that not wanting to give an unscheduled flush is a lame one but whatever.It's not your problem.
Last edit by loriangel14 on Mar 18, '12
Mar 18, '12
this is considered medication error. why not just call the doctor and get the order changed?
i had a patient once who had a g-tube and an npo order but when she was actively dying, we got an order to administer morphine sublingually.
op, i think you are advocating for your patient and not trying to find fault with your coworker. i give you kudos for that.
Last edit by agldragonRN on Mar 18, '12