Over reaction or justified indignation?

[Jlwysong]

I have recently been tasked to add safety checks when administering allergy shots at the office I work in. I have been in nursing 43 years. I have worked in an ICU for 23 of those years. I feel very comfortable with my level of professionalism. Some of the new measures are to have the patient or parent verify the name on the bottles and paper work are correct. That is okay for added safety. My problem is that our physician then wants us to verify the amount drawn up with the patient and that it matches what has been documented. If I was asked to verify with another nurse, I would not have as much heartburn, but feel this step is an insult to me as a RN. Am I making to much out of this, or am I justified in my feelings of outrage, and should I approach the physician with my feelings? Would love some feedback on this to see if I am justified in my feelings.

[jadelpn, LPN, EMT-B]

In acute care, we had to show the package of the medication to the patient, tell them what it was, and other general education.

If you are showing what you drew up against the order, then the patient is aware of what they are being given, and the dose that they are given. That is somewhat common and touches on the "patient education" part. Also to document "dose verified against order with patient".

I would, however, suggest that going forward for a bit that you verify with the nurse who had the meltdown. With someone who has had a bad reaction, it will be reassuring if all of you look at the dose against the order. (and not medical advice, but premedicate the person if they are coming back....yikes!)