lvnnars1

it's almost impossible to finish everything including charting in 8 hours for most nurses....

can someone please explain California's "No Hostage" Policy? thanks

for example, if a new skin discoloration or skin tear/open area is found on a patient and the supervisor was the person it was first reported to, is it that person's responsibility to make the incident report? Also, if that person was the one who received a T.O for a treatment order for the new skin problem, is it that person's responsibility to write down on the 24 hour book or is it the charge nurse for that station?

is an order that states "Lantus 20 units SQ QPM" ok to be given either at 8pm or 5pm?

so if a medication is given QPM what time is it given?

anyone?

i just got my certificate of completion of 30 hours of CEU credits printed out. do i need to send this certificate to the board of lvn nursing?? or will the company i got it from (elitecme.com) notify the board of my completed hours?? my license expires in may 2011 btw thanks!

anyone else?

just for clarification.. when a patient is on a mechanical soft diet are liquids always gonna be thin unless there is an order for thickened liquids (to take medications)?. also, when a patient is on puree diet they're supposed to take their meds with thickened liquids unless it stats "with thin liquids" in the mar. correct?

ahh ok, but what if the doctor came in during your med pass and you didnt notice him walk in and he didnt flag out the new lowered dosage in the chart? isn't that an honest mistake?

if you give less than the prescribed does, is that also considered a medication error?

has anyone ever had a doctor come in the facility and made an order change while you were doing med pass and you didnt even notice the doctor come in so you had no idea there were any new orders/changes in the chart?

i hear some people say it is, and the other half say it isn't. what do you nurses think? for example 2L oxygen via nasal cannula is that considered a medication?

Can I also write it like this: "1/5/2011 2100 Clarification order for signed fax order D/C Tylenol 300mg, Start Tylenol 500mg 1 tab po every 4 hours as needed for pain" then nurses notes. ALWAYS write what the doctor initially ordered (what we are clarifying), and the new order (the clarified order) after, correct?

when clarifying a med order, do you need a d/c order for the previous medication that is being clarified? for example, old order was tylenol 325mg i tab po prn for pain, MD meant tylenol 500mg i tab po prn for pain.. do we need a d/c order for the tylenol 325mg or do you yellow it out in the mar and write "see next page" or is "clarified/changed" ok? is this the correct way to write the clarification of order: 1/1/2001 1500 Clarification of order: tylenol 500mg i tab po prn for pain TORB Dr. John/ jane doe, RN