paperheart

The patient was discharged about 4 days ago. On the day of discharge I provided his discharge/follow-up/and medication information and his prescription and made sure to tell him to get it filled out as soon as possible. Having done that I leave the room while he gets ready and the CNA takes him downstairs. A few hours later he calls back the unit saying he forgot his prescription and would come back to pick it up, OR he would call back. I go back to the room (not cleaned yet) and turns out the papers were under a pillow. He never did call back, or come back to pick up the prescription (not to my knowledge) I gave the prescription and discharge information papers to the charge nurses desk and told the charge that the discharged patient forgot them. I inquired about maybe calling them in to the patients pharmacy but the patient wasn't sure the exact location of the pharmacy he went to. I was hoping to get this information about his pharmacy if he called back, but he never did. Could I get written up for this?

I see now.. the order was written for a goal trough of 15-20 (I work with adults), and the trough had not been drawn yet because the first 3 doses of Vanco were supposed to be "done" by 1900 and the trough was ordered to be drawn at 1915. Along with the goal trough the doc wrote the order to increase the dosage of Vanco as well, to be started after the first 3 doses of 1000 mg were done. I see where I made the mistake. Thank you for the input! I will make sure this doesn't happen again.

Hello, I am a "new" nurse, graduated in May of 2012, working for about 8-9 months now, and still learning a lot each day.. I kind of messed up today at work... a patient of mine is recieving IV vancomycin 1000mg today, in 3 doses (q8h) and the doc had increased the dose to 1250 mg IV, so I didn't give the second dose thinking that the doc had literally wanted to change the dosage. I learned (after I got home and the night nurse called my cell phone asking why I didn't give that second dose of vanco) that this was some type of dosing pattern and "the patient needs to re-start the vancomycin regime" because the "nurse" (me) didn't follow through with it, and the trough (which would be due today) would be inaccurate. I honest to God had no idea about this rule. So the night nurse (also charge nurse) told me the pharmacy would have to "write it up". Does this mean I'm getting written up? In trouble? ): Lord knows I don't need trouble right now....