Leadership questions

[pinkangely2k]

I was wondering if anyone knows what to do in the following scenerios:

1. when an AP put on restraint without an order. Does a nurse:

a. take off the restraint?

b. confer with the AP?

2. When a nurse check the labs and see K=6. The nurse has been trying to contact MD for the last 30 mins, but no reply. What should the nurse do:

a. Report to charge nurse (or nurse manager)

b. Give Kayexalate

3. When receiving prescription order via phone from MD. The nurse would

a. Cosign with MD

b. Have MD fax the copy of prescription to pharmacy

c. Have MD send the prescription to the unit

Thank you in advance

Nursing Student

[Esme12, ASN, BSN, RN]

Moved to nursing student assistance for best response.

Welcome to AN! The largest online nursing community!

We are happy to help with home work but we need your input first! I strive to make everyone the best nurse they can be.....giving you the answer will not help you.....you need to know the why and I need to know what you are thinking so I can best help you!

Which do you think are the correct answers and why...and I'll explain why you are correct or incorrect.

[chocolategee]

I was wondering if anyone knows what to do in the following scenerios:

1. when an AP put on restraint without an order. Does a nurse:

a. take off the restraint?

b. confer with the AP?

2. When a nurse check the labs and see K=6. The nurse has been trying to contact MD for the last 30 mins, but no reply. What should the nurse do:

a. Report to charge nurse (or nurse manager)

b. Give Kayexalate

3. When receiving prescription order via phone from MD. The nurse would

a. Cosign with MD

b. Have MD fax the copy of prescription to pharmacy

c. Have MD send the prescription to the unit

Thank you in advance

Nursing Student

I have choose b,a,a

[pinkangely2k]

I was wondering if anyone knows what to do in the following scenerios:

1. when an AP put on restraint without an order. Does a nurse:

a. take off the restraint?

b. confer with the AP?

2. When a nurse check the labs and see K=6. The nurse has been trying to contact MD for the last 30 mins, but no reply. What should the nurse do:

a. Report to charge nurse (or nurse manager)

b. Give Kayexalate

3. When receiving prescription order via phone from MD. The nurse would

a. Cosign with MD

b. Have MD fax the copy of prescription to pharmacy

c. Have MD send the prescription to the unit

Thank you in advance

Nursing Student

For #1, I was thinking that I should discuss with the AP first and explain that there is no order for restrain, then i will take off the restraint. So, a is first thing?...It might be the other way around. The nurse should take off the restraint right away, then confer with the AP

2. I would pick a. because I need to notify the charge nurse/manager (follow chain of command). b) is not correct because an order is needed to give Kayexalate.

3. I know that the nurse need to repeat the order when receiving order via phone. So does the prescription need to be sent over to the unit © to reconfirm the order?

Please advise

Thank you

[Esme12, ASN, BSN, RN]

duplicate threads merged....

[Daisy_08, BSN, RN]

For #1, I was thinking that I should discuss with the AP first and explain that there is no order for restrain, then i will take off the restraint. So, a is first thing?...It might be the other way around. The nurse should take off the restraint right away, then confer with the APNo, your right. It would be dumb to just take off the restraint without any info. What I'd the pt attacked you, pulled out lines or fell? You need to know why it was applied, if there continues to be a need get an order. (ps what's an AP?)2. I would pick a. because I need to notify the charge nurse/manager (follow chain of command). b) is not correct because an order is needed to give Kayexalate.Out of those options yes, you absolutly need any order before you give medications. 3. I know that the nurse need to repeat the order when receiving order via phone. So does the prescription need to be sent over to the unit © to reconfirm the order?The question is poor. When taking a phone order you write it out on the order sheet. Indicate it was a phone order and who received it. Fax it to pharmacy and transcribe it on the mar. When the doc is in next they sign it. I don't really like any of the answers provided.....Thank you

Yes way.....

[Esme12, ASN, BSN, RN]

For #1, I was thinking that I should discuss with the AP first and explain that there is no order for restrain, then i will take off the restraint. So, a is first thing?...It might be the other way around. The nurse should take off the restraint right away, then confer with the AP

2. I would pick a. because I need to notify the charge nurse/manager (follow chain of command). b) is not correct because an order is needed to give Kayexalate.

3. I know that the nurse need to repeat the order when receiving order via phone. So does the prescription need to be sent over to the unit © to reconfirm the order?

Please advise

Thank you

I think you are right. You need an order for restraint but you need to ensure safety first. Following the chain of command is correct. The third one I am unclear about.....the questions is not about receiving a phone order but filling an actual "prescription"....so I would think the prescription would need to be sent to the pharmacy first. It is not talking about a med order....but an actual prescription....

Anyone else????

[Daisy_08, BSN, RN]

That last post I did was a mess, my phone went nuts (if an admin would delete it that would be great!)

To the OP:

1.Your right. It would be dumb to just take off the restraint without any info. What if the pt attacked you, pulled out lines or fell? You need to know why it was applied, if there continues to be a need get an order. (ps what's an AP?)

2. Out of those options yes, you absolutly need any order before you give medications.

3. The question is poor. When taking a phone order you write it out on the order sheet. Indicate it was a phone order and who received it. Fax it to pharmacy and transcribe it on the mar. When the doc is in next they sign it. I don't really like any of the answers provided.

[pinkangely2k]

AP is Assistive Personel, like a CNA.

Thank you everyone

[Esme12, ASN, BSN, RN]

AP is not like a CNA. A CNA has taken a course giving them education in the care of patient and take a state certification exam, they have a state registration/licensing card that states they have passed the state exam after going to a qualified school and passing the state exam.

[cstrazis]

All answers are A.

It is not within an APs scope to apply restraints with or without an order, the patients safety comes absolutely first.

An RN would cosign the order with the MD on the phone, the MDs do not send orders to pharmacy or units, thats the point of

calling so the nurse or secretary can transcript the orders to the appropriate places.

A nurse would never intervene independently with medication, though it is likely the client with hyperkalemia would benefit from the experienced nurses intervention- this is illegal and irresponsible nursing practice.

the charge nurse would assist in finding a doctor or reaching the doctor to get a prescription- the only way a nurse would act

alone would be with a standing order.

[Feistn]

I'm saying a on the restraints. I work in a psych unit, and you DO NOT apply restraints without a nurse's say so. Generally a nurse is standing right there when it gets to the point where restraints are needed.