Feedback appreciated

[jinct]

I am an ER nurse. I came on shift and received report on an elderly pt. with dementia. There was an order for 2.5mg haldol IM. I was told by the provider not to give the pt. the haldol because she had a history of "going downhill fast" and that the pt.'s husband was on the way to pick her up anyway. While I was in another pt.'s room and without asking me, a coworker of mine gave the pt. 5mg of haldol IM and didn't document it. I only found out after finding the empty vial and finding 2 other staff members who admitted that they witnessed it. The pt's husband showed up to take her home. Should I have said anything?

Heres what I did... I asked the nurse who gave the injection to let the provider know it was given, to let her know that twice the ordered dose was given, and to document it. She got mad at me, but she told the provider. She refused to document it. The provider held the patient's discharge to observe.

Was I wrong? I'm looking for serious feedback. The other nurse is really mad at me because the provider "reported" her. And to top it off, management told me that it was I who failed to communicate. The other nurse wasn't even working in my area; she was just passing through!

[JKL33]

Good for you. And hopefully your former coworker will learn from this.

I do still hope that you have reconsidered the one (tiny) portion of this that you could have done differently (make sure the med order is d/c'd one way or another if you have been verbally informed that it is not to be given). I don't blame you for what your rogue coworker did, but it can never hurt to tighten things up a little bit, KWIM?

Good luck at your new place. ??