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Discussion

Could she do this?

Ok, so I had a little problem with one of my mom's nurses in the nursing home that she is in. This women was going to withold my mother's IV antibioitics because she "didn't think they were working." My mom's doctor seemed pretty adamant that she had to be on this medicine for 8 weeks to get rid of her staph infection. So my question is, does this nurse have the right to withold treatment from my mother? I am not sure that it matters, but the nurse is an LPN.

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Is it one of the antibiotics you can measure with a peak and troph? I wonder how many times the med was held by this nurse before you ever found out about her OPINION. Because that is what it is, just an opinion. :nono:

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Thanks to all who replied. My mom did get her medication that day because we stuck to our guns and wouldn't this nurse push us around. I just can't beleive this happened, I am glad I was there. Scary.

Thanks to all who replied. My mom did get her medication that day because we stuck to our guns and wouldn't this nurse push us around. I just can't beleive this happened, I am glad I was there. Scary.

Was the nurse held accountable at all for this?

Okay, I'm going to play devil's advocate here, but we don't know the whole story and we really can't judge the nurse without it. Say you have a patient on Vanco and Timentin pending culture results, culture comes back at 0600 as MRSA. MD won't be in to make rounds until ~1000. You don't give the 0900 Timentin dose because the bacteria is resistant to it and you know the MD's going to d/c it anyway. Is that okay? Well, technically, no. You should either give the med as ordered or call the MD with the culture result and get an order to d/c the med. But in the real world, would you call for something like that? Of course not. And could a family member be potentially mad at you for not giving their loved one the antibiotic that the doctor said she needed? It's possible.

I never understood that......Reglan calms vomiting but increases pooping

It's supposed to 'calm' vomiting by gastric emptying. Getting the gook out the belly. I don't find that it works (for nausea).

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Okay, I'm going to play devil's advocate here, but we don't know the whole story and we really can't judge the nurse without it. Say you have a patient on Vanco and Timentin pending culture results, culture comes back at 0600 as MRSA. MD won't be in to make rounds until ~1000. You don't give the 0900 Timentin dose because the bacteria is resistant to it and you know the MD's going to d/c it anyway. Is that okay? Well, technically, no. You should either give the med as ordered or call the MD with the culture result and get an order to d/c the med. But in the real world, would you call for something like that? Of course not. And could a family member be potentially mad at you for not giving their loved one the antibiotic that the doctor said she needed? It's possible.

Thats a reasonable situation, but the OP said the MD wanted her mom on the abx for weeks for a staph infection, and the LPN said "I don't think its working". Totally different scenario. Long term abx are important, especially if you don't want to risk the staph to become resistant by stopping too soon.

Jenni, good for you for sticking it out! Was there any follow up?

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