Quote from Debhil50
I was told that I should of assumed the Dr. Did not want any coumadin given that night.
Well that's kind of ridiculous. Why make a guessing game out of it rather than just writing, "Hold Coumadin tonight?" This is a very poorly written order for another reason: What if the RN present to receive the order wasn't the one who was to be passing medications that night? The order contains no indication that the evening nurse shouldn't give the med that is due. So, no, this was not right on the doctor's part.
If you want to get technical about it, this wording could cause another error - one in which both the 3 mg and
the 2.5 mg are given the next night. Because the 3 mg was never officially stopped.
I would not accept discipline for this. I mean, they could suspend me for 3 days if they wanted to but my resignation would be forthcoming; in fact I would bring my 2-week notice letter with me on Monday just in case. Just on principle. People treat you the way you allow them to.
Be calm and professional on Monday and see if you can make your case about the way in which the order was written and how that could've led to at least a couple of errors other than the one you (supposedly) made. If you are asked to comment or sign anything for your personnel file I would write that you gave an ordered medication as ordered.
That said - any order that could possibly have more than one meaning should be clarified, and that is your duty - both to recognize it and to follow through with the phone call. If you aren't 100% confident about what the physician wants you to do with a Coumadin order, you must call.