I'm a student in my final year of a 2 year Rn program. Currently im doing a med pass rotation in a local nursing home where we progressively get to 10 patients but just pass meds. During the administration of Lanoxin"Dig" to one of the clients I took an apical of 59.Of course I told her to hold on held the meds and went to talk to the charge nurse, my instructor was off the floor. I was taught if the apical was at 60 or less you withhold the dig, BUT in this case the order wasn't written with limits. The charge nurse instructed me to go ahead and give the med , which I did.As an afterthought I probably should of paged my instructor and held the med. Well the rest of the day I was on my toes making sure the pt pulse didn't drop , i.e. possible dig toxicity.
My question is what would you have done? Is this border line numbers not a big deal?