Need some advice, and venting time!

[Nurse Jenni]

Here's my issue:

Last night I got report, 2 readmissions, my other 28 people ok....one admision complete, the other med sheets need finishing, 3-7 float lpn, no prob sheets will be done I'm on my merry med pass way. But wait on the completed admission is in LARGE letters SENSITIVITY TO COUMADIN right above this is and order to admin 0.5 mg of COUMADIN low dose, but my butt, soooo....I find my RN Sup. She's unaware, find 7-3 Sup. who has to do OT and is pissed off. Attempt to discuss this with him and he says I'm going home read your nurse's notes. Why have you not read your nurse's notes? Cuz I'm doing my med pass etc. Screaming at me in the hallway incopetent lazy etc...go read nurse'snotes....NOTHING CHARTED!!!! But hey I'm not supposed to be angry? The good/bad news is 7-3 never faxed med orders to Pharmacy meds never came in (witheld,U/A) What would you've done?

[frustratedRN]

gee no apology is needed but that was nice of you to offer....

what was funny was that i read your post after coming off night shift and couldnt believe i had written IF GIVEN. id never give that med without clarification....especially since it was coumadin...was thinking maybe i had lost my mind

i had to go back and read that again...lol

[Imrnlil]

The first person to ask is........the patient!!!! What is meant by sensitivity? It has been my experience that a lucid patient will most times know what meds they take and why. I have had this experience and many times the patient will give a detailed account of why they take the drug, what is meant by sensitivity, i.e. hematuria at a higher dose, and say yes, this is my usual dose. But if the patient was vague and the chart was no help call the doc. Who cares if you get yelled at, develop a thicker skin. You can always address a coworkers attitude in an appropriate forum. Like your manager's office. You aren't going to work with those people forever. From the sounds of it not long at all. Protect your license.