Am I In trouble?

[gwafuh_rn]

I worked last Tues,night shift (7pm - 7am). An lvn was the one who endorsed me the patients that i will be taking care during my shift.One of the pt has an order of vancomycin iv q tuesday and it was written at 02:00 pm by the pharmacist?The lvn told me that it was given already so the next dose will be next tues.Vital signs were taken by the cna.by 1200am the temperature was 102.8 as reported by the cna.I gave the pt tylenol 650 mg.By 4am it was 103.8 so I called the doctor and told that the pt has a high temp.I also told my supervisor the pt's condition.My supervisor even checked chart for present/past orders,labs,etc.Until the end of my shift,the doctor didnt call back so I endorsed it to the am nurse.wednesday afternoon,the am supervisor told me that the pt had a sepsis beacause the vancomycin was not given and is now in ICU.The pt is not in distress,just a high temp because of sepsis.Am i in trouble??!!! Hope the experienced nurses here will give me an advice..

[belgarion]

I'm kinda curious about the dosage schedule myself.

Don't sweat your license unless the guy is related to the governor or something.:chuckle (Just kidding) Yeah, you have to take part of the blame. Just make sure you learn from it.

IMO, you might get to spend a little quality time with the clinical manager , DON, or whoever handles this stuff. Of course, few others will probably get to pay a visit to the same person. This sounds like an opportunity to close some gaps in the system. I hope everyone learns from it.

[Sirapples]

And the next time a medication is not charted off, but you got in report that it as given, (or even if you didnt get it in report that it was given) inform your supervisor. Protects you as well.

And I have never heard of a once a week vanco dose. I cant imagine that doing anything for anyone.