I am not "such a good nurse!" because I immediately had the thought that this patient's antiepileptics should be administered IV.
His admitting diagnosis is epilepsy. He seized in his SNF. He seized in the ED. We are keeping him for a PEG because he frequently refuses/is too lethargic to take his meds and does not have capacity to make his own decisions.
But sure, let's keep his antiepileptics PO. Let's continue to document, "Pt refused meds, MD aware, no further orders". Really?
SPOILER ALERT he had another seizure.
Because I recognized within five minutes of looking at the chart that this patient needed his meds IV, I am "such a good nurse!". This is the wrong idea. Yes, I made a good call. But, this is not "good" nursing. This is nursing. This is medicine. This is basic common sense. By saying that I'm going above and beyond in this instance, to me, you lower the bar for what is acceptable care. Because the fact that this was not addressed after he'd been in our building for 24 hours is abhorrent.
