meds - confused

roser13, ASN, RN · Jan 9, 2015

I think you would have to ask the RN. There is definitely more to this story.

What is an EN?

poppycat, ADN, BSN · Jan 9, 2015

I think you would have to ask the RN. There is definitely more to this story.
What is an EN?

i think EN is "enrolled nurse" which is a title in Australia.

Not_A_Hat_Person, RN · Jan 9, 2015

It's the British and Australian equivalent to an LPN.

VANurse2010 · Jan 9, 2015

If an EN who has completed and passed the meds subject was to give a patient 500g of oral paracetamol because of a headache which was prescribed, Why would she be reprimanded by the RN for not consulting with her prior.

You could always ask said RN. Of course, I guess it really depends on your environment and the expectations. I would expect you to tell me if you gave my patient a PRN med, not necessarily beforehand, but I shouldn't necessarily have to look at the chart to find that out.

nurs15 · Jan 10, 2015

Thanks. It doesnt make much sense to me either? Would an RN have to be told prior to giving something simple as a paracetamol?

delphine22 · Jan 10, 2015

I want to know if someone gives my pt anything, even Tylenol. Because what if I was about to give it myself? Bottom line, the RN is responsible for the pt's care, including duplication of meds.

It's not a meanness thing, or a micromanaging thing. Just be courteous -- if you do something for someone, let them know. If I take a coworker's pt's to the bathroom and they have a BM, I tell them, and I tell them if it looked normal or not. If I dump their Foley, I chart the amount I dumped and also let them know so they're not surprised by an extra number in there.

nurs15 · Jan 10, 2015

i understand, is this classed as a general thing or is there actual guidelines saying that en has to let the rn know, even when they are confident in meds, the med is prescribed to the pt and would be on pt records. i have tried to look at guidelins etc but nothing is really giving me a straight answer, only accountable for their actions.

klone, MSN, RN · Jan 10, 2015

500 GRAMS? She would get in trouble because she just killed their patient.

roser13, ASN, RN · Jan 10, 2015

500 GRAMS? She would get in trouble because she just killed their patient.

haha! How many of us looked right past that! No wonder the RN was peeved:yes:

klone, MSN, RN · Jan 10, 2015

I used to be an editor/proofreader in my former life. :)

Home Health Columnist / Guide · Jan 10, 2015

Post moved to our Nursing and Patient Medications

paracetamol = acetaminophen = tylenol

Dosage given by EN per post = 500G (gram) --is that a typo....should that have been 500mg ?, otherwise it it is a HUGE medication overdose --4000 mg is total dose per day now recomended

US tablets come in 325 and 500mg strength and usually give 1-2 tablets per dose.

How many tablets were actually given client?

Usual Adult Paracetamol Dose for Pain:
General Dosing Guidelines: 325 to 650 mg every 4 to 6 hours or 1000 mg every 6 to 8 hours orally or rectally.
Paracetamol: Uses, Dosage & Side Effects - Drugs.com