I am not a nurse yet, but the thing that strikes me the most is that the doctors order stated that an ADDITIONAL dose could be given if the first dose wasn't adequate. That suggests to me that this nurse (regardless of the fact that she was giving an IV push medication) needed to stay and monitor her patients response to the medication to verify if she needed an additional dose. She just gave the med and left. I am sorry but that was negligent on her part! Sad to think if she would have stayed how differently this story would have gone.