Interesting situation, just curious as to public opinion on where fault lies. Going to keep it vague for obvious reasons.
I'm orienting to a new LTC/Rehab facility, so not directly involved. New admit coming to rehab unit following ortho surgery. In anticipation of admit, discharging hospital faxed over a med list, charge RN got them entered, ordered, etc.
Patient arrives to unit later that day, meds are administered as ordered for this gentleman.
New charge RN starts her shift and in "cleaning up the desk" sees large envelope of discharge papers for this new admit that came with the patient when he arrived. She is looking them over and starts to see that the original fax (that our MAR was derived from) and the ACTUAL d/c paperwork have MANY discrepencies. For starters, pt was given narcs that weren't on d/c med list and Lovenox as well.
Charge RN came to me wondering how this would be handled in a previous facility I worked in (I will eventually be a weekend charge once I've oriented) so I'm slightly in the loop, but I've never actually seen said rehab patient.
So obviously there are errors here--who takes the hit for the med errors? The charge nurse who didn't actually read the current orders? The LPN that co-signed off on them? The actual nurse who GAVE the meds based on the information provided to her in the EMAR?
