Josara

Thanks for all the helpful advice... much appreciated

Hi all, Am new to the site, but would like info on giving this drug if anyone has experience with it. Here's the scenerio.... We have a 6 y/o brain injured client that has frequent seizures. We have orders to give 12.5 mg Valium if seizure activity is longer than 5 min, or he has more than 5 seizures in an hour. The med is given with a quite large, hard tipped syringe that you dial in the dose with. I don't usually deal with pediatric patients.... my fear is that I may accidentally perforate his rectum ect while trying to give the med. Our admin. thinks that I'm over-reacting to this. I was thinking about contacting his neurologist to see if the med could possibly be compounded into a glycerine suppository. I would feel more comfortable giving the med this way, but I'm not sure if the glycerine would change the absorption rate? Or ,I asked if maybe mom could sign a waiver if anything was to happen.. I was asked today how this should be worded and what part of the nursing practice act this might violate. I have tried researching, but get lost in the verbage. I just know that it doesn't feel right and would hate to accidentally injur this child. I work in a brain injury rehab clinic and we have to dial 911 if we have any sort of medical emergency. Any thoughts on this?