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Discussion

suppository and was not given help!!!

i had this pt with chron's dse and has a regular bowel movt characterized by large and soft to formed. my shift is almost over when i saw an order glycerin supp. it comes in my mind right away that the supp is intented for her upcoming st scan of abd. i endorse it to next nurse for the next shift. the next day i saw that it was not given. but good thing is the patient gad an extra large bm on the day she was scheduled for thw ct scan. when i checked in her chart. i saw the doctor's order and saw that the supp is not intended for the ct scan. i was suprised. and now i dont know what to do, i feel bad coz just a few days ago i had an issues as well with a procedure protocol and.i felt that my co workers are talking about me behind my back. i am a new nurse and i feel nervous in telling my charge nurse about it. please help!

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    I guess I am not following your post, Does the MD order give the reason he/she wanted the patient to have a glycerin supp?. Do the nurse's notes or MAR indicate if the supp was refused by the patient? Was this a 1 time dose order or a prn? If this was not ordered for the procedure prep and the patient had a large BM anyway, IMHO this is a no harm no foul thing and you should just move on. When you know a patient is scheduled for a procedure review the MD orders/MAR/Chart quickly for new orders to be sure you don't miss anything. Learn from this and move on.

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    I would not even dream of telling the charge nurse about this. If the patient had a BM on their own the don't need constipation treatment and I too would have used my nursing judgement and held the suppository.

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    The order could have been D/C between when you noticed it and your next shift, or stated PRN if no BM. I wouldn't worry about it. What would have happened if you had noticed it earlier and administered at that time?

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