declappy

Stabbing and GSW boy that must be a really boring shift. lol

these are the thing that i forgot to post. i am sorry it was a very long day yesterday temp 99.0 dx possible abscess on tonsil LT side lungs wet with some crackles but air moving well hx asthma, born with rt kidney 50% smaller resulting with some renal insuf.

Someone please let me know what my rights are for following orders that I believe will HARM the patient. Also will not following orders that are not written down and unclear, should you loose your job over these orders. I had a 17 y/o male at wt 151 lbs come in to the care unit. Written orders were for 1 liter NS Bolas rate, one gram Rocephin and 275 mg of Solumedrol IV pust. Rocephin was adm by 500 unit of NS piggy backed with one liter of NS, solumedrol was administed first than I ran the 500 units of Rocephin and NS and then 500 units out of the one liter bag. When approching the PA I asked for furture orders. He stated to hang another one liter of NS, I informed him that the first liter was not finished, he said to finish it. After the bag ran out I again asked for orders. He started yelling at me because 30 minutes prior he stated to hang a second bag. Pt b/p had dropped to 90/52 pulse 88 o2 100. I was concerned about fluid overload. Do I have the right not to carry out the order and be possibly fired. Next thing I now I was in the nuse mgn office getting yelled at because I questioned a PA. Please somebody give me an idea on how to handle this problem. declappy