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Discussion

Treatment orders

I need help bad. I work in a medical home taking care of developmentally disabled clients. I am an LPN. Recently a client was burned while assisting cooking. He had an old tube of SSD cream from a burn last December and we are being told to use that and do wound care on him per the DON but we do not have orders for it and the MD has not been notified. The last order in the chart for the SSD says stop SSD. Also there is no treatment record nor is the SSD on the MAR.

She is livid because I have a problem with going along with this and I will probably be fired in the morning. Am I right that this is illegal?

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    • Have you been pressured by a facility to cover up an incident 3 members have participated

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      • Yes and I caved to keep my job
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    I'm not sure that it's "illegal", per se, but Silvadene (is that what you mean by SSD?) is a prescription medication and therefore requires an MD order.

    I'm concerned that if the burn is severe enough that Silvadene is indicated, then the client needs to be evaluated by a physician.

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    • Author

    Yes Silvadene Cream... Should it not have a new order for the new burn and orders to treat. She has orders written on a box of supplies they bought at CVS to clean apply SSD and cover with dressing TID but those are her orders not from the doctor. And why is it not on the MAR? Or a TAR for that matter?

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    Yes, Silvadene requires an MD order.

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    • Author

    I know SSD requires an MD order my question is if you are using left over SSD cream on a new burn do you not need new orders. And should it not be recorded in the MAR?

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    nevermind

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    Yes, it requires a new order.

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