hello, I am new to this but there seem to be some intelligent people here. I have a question about LPN changing insulin dosing without a MD order? This is a nursing home, patient said he only wanted X...
Ask questions, act like you are truely interested, ask to watch procedures, and use your preceptors experiences to your own benefit. Book nursing is nothing like the real deal. Go for it, and remember...
georgianurseRN replied to georgianurseRN's topic in General Nursing
The key word here is PRESCRIBED, prescribed to be given at a certain dose at a certain time. Prescribed applies to all meds given in a nursing facility of any type if I am not
georgianurseRN replied to georgianurseRN's topic in General Nursing
Yes, lots of good feedback for the most part. I am a little concerned that some of the nurses that replied tended to want to assume that I was only researching for disciplinary reasons, That is...
georgianurseRN replied to georgianurseRN's topic in General Nursing
Thank you so much for your take on things. I appreciate a reply that does not immediately judge me, or because I am DON automatically think I am out to "get" someone. You have given me infor that I...
georgianurseRN replied to georgianurseRN's topic in General Nursing
This is an issue of education, not discipline, if you read all the threads carefully you will see that. And, I asked the question looking for some verbage, again if you read carefully you will see...
georgianurseRN replied to georgianurseRN's topic in General Nursing
if the order read 10 u and the patient is requesting 5 and is given 5 you you have knowingly changed the order. That is practicing medicine. It is also a med error. Call the MD, he/she may very well...
georgianurseRN replied to georgianurseRN's topic in General Nursing
After researching most of the day, I have found that it is absolutely illegal to change the dose of any medication without an order, that includes giving a lesser or higher dose upon request without...
georgianurseRN replied to georgianurseRN's topic in General Nursing
You are correct , patients do have autonomy and a right to participate in their care, care planning and right to refuse care/treatment. And the right to request a lower dose, or a higher dose. This is...
georgianurseRN replied to georgianurseRN's topic in General Nursing
This is not an issue of patient rights, any patient has a right to refuse meds, treatment etc, It is a matter of changing a dosage without an order to do so. To do so requires a license to practice...
georgianurseRN replied to georgianurseRN's topic in General Nursing
Any and all patients can refuse a dose of medication. If you comply with their wishes to give half a dose, without a doctor order and they go into a coma or some other complication, who is at risk or...
georgianurseRN replied to georgianurseRN's topic in General Nursing
Not going after anyone's license, only trying to protect them as a good DON should do. It is alright for a patient to refuse any med or treatment for any reason, it is not alright to make a decision...