Injection/documentation-- Please Help

[RITBB1]

I have a different kind of question for you. I work in a doctor's office and when giving Test. injections (which are counted like narcotics) they will draw them up either a head of time in mass quantity, or for each other. One nurse will draw it and an other will give it. Then when I spoke up they started one giving, and one charting (we have computerized notes where one person can start a note under someone else's name and then that person reviews and signs it)

I am unable to find anything on documentation at my work place, yet I thought I was taught if you did it you chart it. Techniquelly you signature is on it, someone just got it ready for you to sign.

Is this wrong?

I mean don't charge nurse's sometimes chart for floor nurses

[bigjohnsmom]

I know where I work we usually draw and give our own injections unless we are working a code and then we trust each other enough to do that but only in emergency situations. As far as charting same thing goes there we do are own charting but in emergency situations we have someone do the charting and the nurse who is in charge of the patient usually rereads and then cosigns . But only in emergency situations does that happen,Because what if you would have to go to court and the medication you gave was wrong? they aren"t going to take into consideration that you gave something someone else drew up so from experience it would be best to draw up your own meds and give them unless of course it is an emergency and then you have to be able to trust your co workers enough that they would have your back.

[RITBB1]

That is what I thought. I am having trouble getting the nurses I work with not to "Help" me like they help each other. I don't want to be rude but it is my lic. on the line in the event of an error.

Thanks for the support. I needed the comformation since I seem to be standing on my own and I just started there.

[BrnEyedGirl, BSN, MSN, RN, APRN]

Wow,.that's a tough one,...I almost never give anything I didn't draw up, but I can see how in some situations (ie giving 200 flu shots) it would certainly speed things up. I transfered to ER a little over a year ago and this was a huge pet peeve of mine,...people trying to help me by walking into the room w/two syringes "here's your morphine and your zofran". I know they were trying to help but it made me uncomfortable.

We began having a problem with this shortly after I transfered,. especially with Narcs. When the audits were done of our accu dose,.sometimes a nurse would have pulled meds for a pt and her/his name was nowhere on the chart! So we don't do much of this anymore unless it's in a code situation. We also have a policy now that you either draw your meds at bedside or they must be labled,.I draw mine at bedside.

FYI I have never charted for a nurse while I was charging,...ever. If I'm scribing durring a trauma or a code I will chart "Morphine 10mg IV given per MBRN".

[RITBB1]

Thanks. I made my point clear today that I did not feel comfortable with the situation and I got promoted to wound care clinic so I won't have to deal with that situation anymore.

Thanks for the information. It is really helpful.