I had a really crappy day, but I'm going to try NOT to vent and ask for feedback.
I work evening shift and did not call the doc to clarify an order. The order was regarding IV ABT vs. PO/FT ABT. Morning shift had a hard time establishing an IV in said pt, so they received orders for "if no IV give x ABT PO/FT." When I received report, I was told, said pt had IV established that day. I gave IV ABT scheduled for my shift, but additional ABTs were ordered(not to be administered on my shift), and those were ordered PO/FT "if no IV". Third shift comes on asking about clarification of said order. I had not called the doctor. Honestly, I didn't realize the need to call. Thus, night shift calls doc at 1am to clarify order regarding IV vs. FT/PO as night shift had one PO/FT ABT to give. Doc was understandably ******. Then, night shift nurse says, "oh, I'm going to talk to manager about this because this should have been clarified on your shift." Actually, the initial order was taken on morning shift. Anyway, unfortunately, I was busy. Personally, I would have given said ABT per FT and clarified in the morning. The entire shift sucked. I was so busy, and then it is rather irritating when night shift comes on and wants an extended report. Seriously? It's right there on the Kardex. I still left several hours late. Feedback?
Feedback?
MomRN0913
1,131 Posts
The Dr was understandably PO'd because I am sure his mindset was to write a nice order like as to not be bothered again by it.
Quite honestly, the dr couldn't be clearer if you ask me.
Your coworker was wrong in calling and you had no fault in this.
Why call when such a clear order is there. It covered you with and without an iv.