sarahbeth2006

It really isn't spying on her patient care at all when you work in an area as small as we do. I assisted her in bringing her patient back to the chair after using the restroom and then went back to my charting about 25 feet away. I fully understand and appreciate your comment that communication is definitely key but dislike the assumption that I was spying on her patient care.

she is relatively new to the area....perhaps about 4 months there vs myself and everyone there being there for a year or so.....and this isn't something the MD would have ordered. can almost guarantee it.

thanks to the two of you. i told my supervisor and he wasn't concerned about it at all. he said the pt was a healthy, young man so the bolus wouldn't have affected him and that it wasn't a patient safety issue. while yes patient safety was a thought of mine, my main reason for bringing it to his attention was the fact that she was practicing out of her scope of practice. she has been a nurse probably 12 years longer than i have but i feel like this is common sense.....apparently not.

greetings all!! bolusing without an order....yes or no? background story to the question: i work same day surgery and we had a patient, male, late 30's, in phase 2 recovery s/p knee scope. he got 5 of versed and 200 of fentanyl total, on top of gen anesthesia. c/o being slightly dizzy during most of his stay, not unusual. after he got up to go to the bathroom and came back to sit, he was still c/o dizziness but no nausea. the RN taking care of him decided that on top of the 2L of LR he had already gotten, that she was going to bolus him. so that is exactly what she did. 500 mL LR bolus in 10 minutes...without an MD order. i feel like this shouldn't have happened or was even necessary....thoughts? opinions? reasoning either way? thanks!