I have a suspicion about one new nurse who has started working by herself in past 2 weeks. I understand being new nurse and working by yourself, you are prone to make mistakes and with time you will learn. But if it’s regarding patient safety, I don’t know if I should express concern or should I keep quiet.
We have one patient who has dementia with behavioral disturbance and he has been prescribed trazadone and citalopram. Before she was working on floor, the resident was calm and would sleep through the whole night and would get much needed rest. But since she has started working, I have noticed after her shift in evening, the patient is agitated and wouldn’t sleep all night, would be yelling all night long. The thing is I have been advocating for this residence for a very long time since I found out that CNA are not changing him because they don’t want to wake him up as he starts to yell when he wakes up. So I am afraid that this new nurse might not be waking him up to give medicine if he is sleeping which is scheduled around 8. I really don’t know what to do since I don't have proof but just suspicion but I am worried about my patient because missing antidepressants/sedative medication might harm patient. Or is it okay to miss 2-3 dose of these medicine? Please fellow nurses , help my patient . Thank you.