Nicugal, I have worked NICU for 6 years and have never given a dose of Lasix like that. The electrolytes was one of my first thoughts when I saw the order and knew that it had already been administered once that day as written.
When I foound the order it just blew my mind. My first thought when I found the med card was that the orientee who had written it had made an error. Then I checked the order, that had been written by our Neo himself.
This kiddo had not had an enormous wgt gain over the proceeding days. She is 59 days old and I have been taking care of her all along. She was not markedly edematous.
she is a chronic BPD kid.
His response bothered me as much as anything. "I wrote the order that way and that was what I wanted done." I informed him that I could not find that to be an acceptable dose per the Neofax, and that was why I called the Moonlighter for clarification, but if he preferred next time I would be happy to call him at home so he could personally clarify this order to give a baby 3x the reccomended dosage of the med.
I am there to take the best possible care of my babies that I possibly can and will not blindly execute and order that I cannot substantiate.
This is just another day in paradise with this man, I keep telling the other girls on my shift a little Haldol in that first morning pot of coffee in the morning would make him a whole new man