Ethio22

A tired 12 hour shift nurse mistakenly read and put in THE record an INR result of 5.2 as 2.5( read at the turned around anticoag machine). The Doctor gave order to continue same dose and pt, who also was on levonax inj. Ended up bleeding to death/ICU NOW. Big, but easly can happen mistake everyone can learn from.

currently, I am working in a rehab facility with high acuity(lots of admissions and discharges daily). the DON and ADON have all left and only floor nurses working without any nursing supervision. The executive director, who doesn't have nursing background handles almost everything including staffing and coordination. she told us she is looking to hire DON and ADON, but it is already more than two weeks; no sign of hope is seen. Do we, Nurses who continued to work here without Nursing supervisor, get in trouble because we are not working under no one ease's license at this time? I never had any similar problem in my 7 years nursing experience and not sure what to do. Please your advice will be helpful and appreciated.