Am I in big trouble? - page 2

by ThePrincessBride

2,618 Views | 12 Comments

Long story short: Had a patient who was supposed to be getting surgery (both arms are broken). She was NPO. Dietary brought up a tray for her. I gave the patient the tray and helped her have a few bites. I totally had forgotten... Read More


  1. 0
    Quote from ThePrincessBride
    Hey everyone,

    Thanks for the replies. There was a sign on the door, but the door was open and I walked right pass it. I was in a rush and I admit that I should have been paying closer attention. I will definitely look into adding more NPO signs (above the bed) and also having dietary not bring up trays.
    As well, with an above-bed sign, even if a tray wasn't cancelled, dietary should see it and ask before delivering the tray.
  2. 0
    Quote from hodgieRN
    The nurse should have cancelled the order in the computer so there was no tray available to being with. The nurse was probably ticked because she knew the tray should have be cancelled. In my opinion, part of the fault was with the nurse. There should have been a sign on the door.

    I am not sure if the PCTs on your floor look in the chart, but you should have checked the diet order in the beginning of the shift. If PCTs don't check the chart, then everything must be ok'd by the nurse first.

    You should say something. The hospital is the last place to sit and hope something doesn't get noticed. Plus, the nurse is going to cover her butt at all costs. She's not going to accept any blame for the postponed surgery if she can, so you better state your case before you are left with just defending yourself.
    not true, doctors may change the client diet more than once in a day. So the nurse is not to blame, the pca should just fess up, we all make mistakes
  3. 0
    Quote from f8dagrate
    not true, doctors may change the client diet more than once in a day. So the nurse is not to blame, the pca should just fess up, we all make mistakes
    And the nurse should be aware of the fact the a tray was still ordered on a pt that was npo. I see it all the time...npo is ordered and the doc doesn't d/c the tray. It is the nurses job to cancel the tray if the doc doesn't do it b/c the NPO order supersedes everything else. It falls on the nurse who received the order at that time. If orders are changed all the time during the day, then the nurse is responsible for making sure an order happens or catching the orders that aren't supposed to happen. I still think two are to blame.


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