Another stupid question..Do you know the answer?

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another question the interviewer asked:

the physician writes an order for a resident and leaves. you as the nurse cannot figure out whether the order is written as q.o.d or q.i.d

the doctor cannot be contacted because he/she is at the y. (i have never had that happen unless he/she was going out of town they always answered the pager) anyway....

what do you do?

god help me! i could not think of the answer at a moments notice.:banghead::banghead::banghead:

anyone know the answer?

i promise i won't take so long to respond. i am home now and will post the answer tonight!

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Give the first dose? (You would have 4 hours to get the order clarified.)

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Specializes in ICU, PICC Nurse, Nursing Supervisor.

me personally i don't give anything unless i have a clear order. so unless this is a matter of life or death i will wait until i can track him down .

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Specializes in Gerontology.

Whats the med? Whats the normal dose?

Finally - contact the MD in 2 hours when he's done at the Y.

Call the Y and have him paged! (only if you are really really brave!)

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Whats the med? Whats the normal dose?

Finally - contact the MD in 2 hours when he's done at the Y.

Call the Y and have him paged! (only if you are really really brave!)

Can you believe the interviewer gave me no name of the med. Just told me that the order was for a med and the nurse couldn't tell if it was q.o.d or q.i.d and when I post the answer...everyone is gonna say WTH??? because you brought up a very good question about the med's name...which no one knows!

:wink2:

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Specializes in Home Health.

I would not give anything until I clarified the order.

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Add an "accidental" mark that makes it look clearly like one or the other and if it turns out wrong, swear that's just how I found the order? I get the prize, right?

Oh, wait... that's not it... I know! I'll just hop in my car with the patient's records and drive on over to the Y, hunt down the MD, and make sure that he/she writes the order CLEARLY this time!

No? How about taking the approved, spelled out steps for reporting illegible writing? Certainly, the facility takes this problem seriously and has guidelines and standards in place to prevent such problems and remediation for those who continue to write illegibly, right? Hmm... still not it, huh?

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Call the Y and have him paged! (only if you are really really brave!)

Assuming you know the med, I would do this. If the doctor doesn't want to be bothered with important information regarding HIS pt, he should have either wrote legibly and/or not been a doctor. :D

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There is a reason that qid and qod (and qd, for that matter) are in the "do not use" abbreviations list. Technically, it is not a valid order and should be rewritten, but if the facility allows clarification orders by phone (some don't), I would take that route.

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Specializes in Mental Health.

If this question is as stupid as the last one, then the answer is to pass on the information to the following shift.

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Specializes in L&D, PP, Well-Baby, Ambulatory Care.

None of the docs I know would be caught DEAD at the Y! Nosirree, the trick is to belong to the most expensive club in town so that everyone present knows just how important you are when that pager goes off (and the doc can then broadcast his/her irritation loudly on his/her cell). :D

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given the fact that the doctor wrote the order, but you can't tell if it's qod or qid , and you can't find him/her.... you, as the nurse are supposed to call the pharmacy or look in a drug book!

i told the interviewer that i have never failed to find the doc, and she said "no, in this case you can't find the doc, he/she is unavailable, so you call the pharmacy or look in the drug book"

omg, give me a break!:banghead::banghead:

promise, no more questions. i have decided that the interviewer is certifiable. i should call the state hospital! lmao.:banghead::banghead: :no:

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