How do you document when drug withheld?

[ziggyldy]

Hi! I know this may be out of the topic, but I just would like to ask Australian nurses esp those in QLD, how do you document on the medication chart when a drug is withheld because of abnormalities in the vital signs? thanks!

[talaxandra]

rozymisty - single checking is considered an earned privilege where I work; anyone caught not properly double checking loses it for a minimum of three months or, is they're still doule checkers, a further three months is added to their time before they're allowed to begin the accreditation process.

Hoosiernurse - not that I've heard, but I could easily be wrong; a couple of Victorian hospitals have begun scanning histories electronically on discharge.