wow- change of shift meds! that had never occurred to me! Meds at my hosptial are NEVER schduled for change of shift for the exact reasons discussed above. And furthermore, if the nurse has a good reason why the med should be rescheduled (like the fosamax at 6 am when the pt is sleeping well) we can pretty much reschedule things within reason with no problems from pharmacy or management.
Furthermore, I made a benign mistake that made me feel like an idiot last week- I discharge a pt without an order! Had talked to the doc and the pt about the discharge, thought I was doing quite well thank you, and then about two hours after the pt. left, realized I had never acutally seen an order! The chart was already in medical records, i had to fish it out, cal the doc, (who, thank God, was equally embarassed that he had forgotten to write it). He HAD meant to discharge the pt. that morning, but I still felt dumb. Med-surg is rough.We have to be a lot tougher than we look!