About taking vitals...At my rehab facility, orders are to take vitals BID. Day and evening shift take them.
Some night shift nurses do not do them. Reasons given to me where that they only have orders for BID.
I do see some night nurses write "Vitals not taken, patient sleeping".
I guess technically that is BID. Twice a day. Wonder what would happen if evening shift did not do them. What time does night shift start? Do they actually want them TID?
I had to explain what "dwelling time" meant in an enema order to a nurse (with 10 years of experience); after she reported to me not seeing any results right after she administered a lactulose enema...
I guess technically that is BID. Twice a day. Wonder what would happen if evening shift did not do them. What time does night shift start? Do they actually want them TID?
Just trying to understand.
Night shift is 11pm-7am
Im not sure what would happen if the previous shifts missed them
Specializes in LTC, assisted living, med-surg, psych.
1 hour ago, 159Nursesrule said:
Please do not uncap the flush and hold it in your mouth to flush the patient's PICC line after you have administered her IV push antibiotic.
I’ve seen a nurse with 45 years’ experience do that. I was horrified, but as a brand-new nurse I was too intimidated to confront her about it. So I took the coward’s way out and told our supervisor, who I’m assuming did talk to her because I never saw her do it again. Now, of course, I would have ZERO qualms about approaching her no matter how long she’d been a nurse. Too soon old, too late smart!
If you need 9 pills to get the right dose . . . you don't have the right dose.
Unless your pharmacy only has dose of methadone available and your patient has a confirmed super high dose that he gets at the methadone clinic when he isn’t in admitted for complications from his alternate drug of choice….questioned the dose THREE TIMES because he got the whole pixis card for his dose! It was correct. No idea how someone could have that high of a tolerance and be lucid.
Unless your pharmacy only has dose of methadone available and your patient has a confirmed super high dose that he gets at the methadone clinic when he isn’t in admitted for complications from his alternate drug of choice….questioned the dose THREE TIMES because he got the whole pixis card for his dose! It was correct. No idea how someone could have that high of a tolerance and be lucid.
I was thinking this too! Have definitely given some larger amounts of Methadone this way...always to people who can't or won't take more than one at a time, LOL.
Unless your pharmacy only has dose of methadone available and your patient has a confirmed super high dose that he gets at the methadone clinic when he isn’t in admitted for complications from his alternate drug of choice….questioned the dose THREE TIMES because he got the whole pixis card for his dose! It was correct. No idea how someone could have that high of a tolerance and be lucid.
SmilingBluEyes
20,964 Posts
maybe but still was fun.