I work in a SNF, going on a bit over a year now. I shake my head often at things that I would never do yet are being done by other RN's and LPN's. I understand that things are different in the world of long term care but some things just seem not okay.
Maybe I am wrong but taking an antibiotic from one pt to give to another because you were to lazy to pull the dose from the pixis or look in the fridge for the patients meds seems wrong. A nurse "borrowed" two bottles of 1 gram antibiotic meant for IM from one pt to give to another who has an order for the same drug but IV at 2 grams. Now patient with IM AB is short two doses and IV pt has one extra we can 't use.
Not sure how I will feel if everyone tells me this is okay practice. I really don't know anymore, I feel very lost as a new nurse when things like this happen.
Any advice would be appreciated. Also, can someone tell me why IM Antibiotic is given BID X 10 days vs. IV ? This lady has no muscle mass, what would be some reasons for this being ordered this way?
Also what is the reason to give a pt 1000 ml of 0.9% ns over 2 hrs, times two days for dehydration. Should that be given over a longer period of time? When things like this happen, I feel so darn stupid for not knowing. One part of me says " it was ordered by a doctor it has to be okay" another part of me says, " question it if it feels wrong, that's how we learn."
Which is right? UGG, when does this get easier?