The answer I received was "Zyprexa is only used by Dr. C. We dont use that here." That started a discussion on my paet about how there is a need to not only prescribe haldol, thorazine, and the occasional risperidal to our patients. This particular hospital is far behind in termd ofbest practice treatment.
Let me clarify the allergy comment in saying there was no documented history of an allergy. The doctor was an on call psychiatrist and the primary psychiatrist was upset and went to my manager about it. I consider myself to be a good nurse with good clinical judgement and I advocate for my patients all the time. This pt stated "im hearing a lot of voices. Everything they give me doesnt work. Give me something to help."Im glad you all agree with me. I was starting to doubt myself for a moment.
I recently ran into a situation where I called a doctor and recommended to them a medication for an agitated patient. The patient had not had this medication in the past but had no allergies to it or its contents and no medical condition that would have made the recommendation inappropriate. The doctor wrote the order, patient received med, and no ill effects came from it. My manager is telling me it is out of the nurses scope of practice to recommend a medication to a doctor. Is this true?
I work at Muhlenberg and am attending school in September. They provide you with the necesary teaching in order to work there and pay between 11 and 12 depending on shift. It's a pretty good place to work. Good Luck