BuffaloNurse716

Wow. First off, LTC is usually short staffed so the fact that they'd send you home and provide care with one less nurse is very strange to me. If said in a professional and respectable manner, you're statement is appropriate. You were recognizing the inappropriate behavior and responding in a matter of fact way, representing the issue at hand. You did not allow or ignore the behavior. Does this resident usually display behavioral issues? Were you arguing loudly or becoming frustrated in front of other residents or family members? If the resident (demented or not) showed dislike towards you they shouldve just had you care for other residents until further investigation.

I would not leave the previous order in the MAR as that can cause much room for error as a nurse may not correctly review all medications throughout the MAR (fully) and may administer the weekly medication. I would write as follows: D/C current order of Glucosans(ordered dosage) biweekly po (I'm guessing you're refferring to glucosamine) Begin Glucosans(ordered dosage) BID po x7days then update MD for further instructions-T.O (MD Name) The MD wants to review after the seven days for a reason; so if you re-instate the old order it may not be what the MD deems therapeutic post seven day administration.