Fleet enema

If you carry your own malpractice insurance, NOW might be the time to give them a call and ask for advice. And as PP said, consider a new job.

Also you might consider avoiding social media postings. Things can come back and bite you.

I would NOT discuss this with anyone except your malpractice carrier.....all nurses should carry malpractice and if anyone says they will "cover you" NEVER believe them. If they aren't willing to write a standing order....there is No order for they will toss you under the buss at a moments notice.

Your quote "I'll cover you" is my nomination for the world's 2nd most sucker line.

The first - "no, darling. I'm not married".

There has been a great deal of talk as of late regarding a fleets and their dangerousness in older patients and palliative care patients.

I just read on my company email an educational blurb regarding this. So a fleets is not the first line of thought for constipation in a chronically/terminally/geriatric patient due to the effect on electrolytes and kidneys. It also went on to talk about fleets being put in the pharmacy, and not out on the floor (as some facilities, you have them in the supply room).

I would call your malpractice insurance, speak to a union rep if you are a union facility, and going forward, suggest that you look into getting a bowel protocol and standing orders for your palliative care patients. This would be something that your DON can bring to the medical staff and pharmacy.

No matter what an MD says at any time, I would always be on top of getting an order for anything. If nothing else, I would also question why it took 6 DAYS for someone to realize the mirilax was not working, and there was no BM. This is a process error and doesn't bode well for patient care.

...and stop referring to it as "bullying", as doing so is tantamount to self-portrayal as a victim, leaving you open to future bad behavior by others.

That term has been reinvented and redefined during the past few years in the media, and is becoming so commonly used, that its original context is lost (sort of like yelling "Theater!" in a crowded fire ).

As for administering any medication or treatment without a proper order, that was a screw-up to which you admitted. You have learned from it; move onward and upward.

NEVER administer ANY medication without any order either standing or direct from an MD. If your employer is gunning to get you I'd get away from that employer.

I always work under the assumption that if a doc doesn't want to be bothered with a particular problem they'll write an order for that possible eventuality. We have a doc that doesn't want to be called with bowel issues. If he doesn't order something for constipation, I'll call him regardless; he should have ordered a PRN. After enough calls a doc should get the message. He's the doc, he went to med school, I'm not and I didn't.