I was wondering if anyone knows what to do in the following scenerios:
1. when an AP put on restraint without an order. Does a nurse:
a. take off the restraint?
b. confer with the AP?
2. When a nurse check the labs and see K=6. The nurse has been trying to contact MD for the last 30 mins, but no reply. What should the nurse do:
a. Report to charge nurse (or nurse manager)
b. Give Kayexalate
3. When receiving prescription order via phone from MD. The nurse would
a. Cosign with MD
b. Have MD fax the copy of prescription to pharmacy
c. Have MD send the prescription to the unit
Thank you in advance
Quote from pinkangely2k
For #1, I was thinking that I should discuss with the AP first and explain that there is no order for restrain, then i will take off the restraint. So, a is first thing?...It might be the other way around. The nurse should take off the restraint right away, then confer with the APNo, your right. It would be dumb to just take off the restraint without any info. What I'd the pt attacked you, pulled out lines or fell? You need to know why it was applied, if there continues to be a need get an order. (ps what's an AP?)2. I would pick a. because I need to notify the charge nurse/manager (follow chain of command). b) is not correct because an order is needed to give Kayexalate.Out of those options yes, you absolutly need any order before you give medications. 3. I know that the nurse need to repeat the order when receiving order via phone. So does the prescription need to be sent over to the unit (c) to reconfirm the order?The question is poor. When taking a phone order you write it out on the order sheet. Indicate it was a phone order and who received it. Fax it to pharmacy and transcribe it on the mar. When the doc is in next they sign it. I don't really like any of the answers provided.....Thank you
Last edit by Esme12 on Dec 20, '12
: Reason: TOS/removed txt talk