IV access and scheduled antibiotics

[beeble]

Pt lost PICC due to thrombosis at 4 pm. New PIV placed 11 pm, infiltrated right away. Pt has been on q 4 hour IV abx. So far missed 4, 8 and now midnight doses. Mom of this patient very angry no IV access established, and charge nurse decided mom is 'abusive' and that this could wait till morning. What is wrong with this scenario?

[psu_213, BSN, RN]

Pt IV abx. So far missed 4, 8 and now midnight doses

charge nurse decided mom is 'abusive' and that this could wait till morning.

Did anyone contact the doctor about this and tell him/her that there was no IV access and the pt was missing multiple ABX doses? The doctor may not have been helpful, but you can't just skip all these doses and say "oh well, tough luck" and not notify the MD.

As for the issue with the mom being abusive...perhaps she was. However, did the charge nurse use this as her rationale for why IV access could wait until the morning? What gives this charge nurse the right to independently decide that the pt could go so long without prescribed medication? Not to mention that just because a family member is deemed "abusive" that does not mean we take it out on the pt.