Today in clinical a fellow classmates nurse kept taking a syringe and taking fentanyl and drawing some up extra from the iv line and giving it to the patient. She said at one point during the day she had to give the patient 300mcgs. Before the other student left she told her not to tell anyone she had been doing that all day long. Does this go on in the real nursing world or is this completely wrong?
Mar 26, '13
by Esme12, ASN, BSN, RN Senior Moderator
This goes on ....yes. Is it right? The answer is a resounding...NO!
First it is narcotic and if she isn't documenting this...how is she accounting for the drug. It also leaves the MD in the dark about the amount of medication it is requiring to keep the patient down.
Have I done it? Yes, rarely....if I'm in CT and I need that patient more sedated I will give a little extra and get the order later. That would only be because I didn't think ahead for extra sedation for the trip.
It doesn't matter what else the patient is on this nurse should not be bolusing this patient that much without orders and not recording it. Don't be the bane of her existence but remember when you become a nurse what you should not be doing.
Last edit by Esme12 on Mar 27, '13