MommyRN89

It was scheduled regular Tylenol 325mg Q8. They were starting with a small dose initially..

Thank you guys for being so encouraging. I found out more details about the report she filed. She stated that I moved the next dose to 9pm. I initially gave it at 12pm so next dose should have been around 8pm. I unfortunately can't remember if that is when I moved it to and since she gave it at 9 I can't see when it was moved too. And then the computer had the next dose timed for 3am so that's when she gave it. Yes the order still said Q8 so technically it should have been given at 5am. But this is how she's saying I caused the error..I just feel so bad. I'm new to this job and I already feel like I've made an enemy í ½í¸¢

Thank you for the words of encouragement..I guess her reasoning was that I shouldn't have changed the timing without letting her know so she knew what to look for. According to her, I set her up for failure by retiming a dose that made the rest of the doses' timing incorrect on the MAR..

I mean she gave the next two doses 6 hours apart instead of 8 since she said I moved the first but not the next dose so it came due on the MAR sooner rather than Q8

I am in my 7th week of orientation at my new job in ICU. I have a few years of experience but not in ICU. The other day as I was leaving, I gave a med that had been ordered that day, Tylenol Q8. Since it was a new order, the times for which it had been scheduled after the first dose were not moved for 8 hours from the first dose. So I tried to re-time them. However, I didn't notice that the rest of the times for administration had not been adjusted as well. When I gave report to the night nurse, I let her know about the new med but not the timing. The next morning, she tells me that I caused her to make a med error. Due to the fact that I moved only the first dose and not the others, she gave 2 doses Q6 instead of Q8. She said she filed a report about the incident. I felt horribly and have been kicking myself since..my preceptor brushed it off like it wasn't a big deal and said "it's only Tylenol and the patient wasn't harmed" but I am not the kind of person to make these kinds of mistakes and accept them. I can't imagine causing a patient harm as that is the opposite of my reason for becoming a nurse. I strive for excellence especially when it comes to my job.. I hate that that happened while I was orientation too. I have obviously learned from this but I can't seem to move past it. I don't want to lose my new job either..any advice is greatly appreciated..

Hi! I mailed my application 4 weeks ago. I had a breeze account but I didn't submit online because it was not working for me. Do I need to create another breeze account or do they send you a link or something once they've received your mailed in application?

I wonder how much longer. I've heard people that did it online and it took 4 months. Just wondering if it's worth submitting online at this point. I already mailed in my check and all documents 2 weeks ago.

Hi, I am currently licensed in AZ and mailed in my application and all paperwork about 2 weeks ago. I tried to do it online but it wasn't working for me so I decided to send everything via mail. Just wondering if this would cause any additional delays. I did make a BrEeze account but it just has my incomplete application since I tried to do it online but failed. Does anyone else have any experience with mailing everything and not submitting online? Thanks guys!

There was a reason but it didn't specifically state late entry

Thank you. Does it matter if the note was titled "late entry" or not? It was just titled as an addendum and timed and dated for the date of the addendum

No it was the accurate data. A typo existed in the original note.

If a patient is transferred to a different floor but you forgot to chart something so you do it later after they're off your floor, is opening their chart at that point a Hipaa violation?

Hi, if a nurse edits a note to include an addendum as a correction to a note made earlier, is that considered falsification? The original note was not deleted but an addendum was added. The original note contained a set of vitals. The addendum contained a correction to the vitals. Also, the addendum was made 48 hours later. Would this be an issue?