Just Answer Just Answer
Ask A Question  -  Help  -  Register  -  Login   

Ask Your Health Question. Health Experts Answer You ASAP
(Not a Health Question?)

Question

nursing error


Sent to Health Experts February 11, 2005 12:27 p.m.
I am registered Nurse. I went into a home and they told me that the nurse before me was taking IM medicine and giving it PO. I thought it a little strange but we do strange stuff in Hospice nursing. It does not have any adverse affects I know doing this. But now I need to show some sort of evidence that my nursing judgement is not in question. Can you find any documented material where this has been done. and it was a positive thing not negative.
Customer (name blocked for privacy)
Status: Closed   Value: $25   
Info Request
February 11, 2005 2:08 p.m. (1 hour and 40 minutes later) 		REPLIED to Info Request Check Mark
Does the Physician's Order call for the medication (normally given intra-muscular) to be given orally -- if so and if you 'know [that administering the medication orally] does not have any adverse affects' [t seems tp me that you are covered.  If in doubt check with the Doctor.

What is the medication?

Steve


__________________
Counselor /listener/collaborative problem solver. Thanks!
PictureSteve -- a.k.a. Oreport  -- Voc Rehab Counselor, M. Ed. -- 98% Positive Feedback on 469 Health Accepts
Disability/Rehab Consultant. Broad knowledge of many chronic and acute health problems.
Reply to Oreport
Sent February 11, 2005 3:06 p.m. (58 minutes and 51 seconds later)
The handwrittten order written on a TO said. Haldol 2-5 mg PO or IM Prn agitation. Same thing thing with ativan.   One error was not searching the home for a PO medication. Both were in the home. The woman had seen the nurse draw up the syringes and she had been there when the PT took the medicine in cranberry juice. What the woman didn't know is that the IM was not nesccary since he took the PO she just waited the IM. So when I saw the two different vials missing and she said with out a doubt that this was the medication given I figured well the nurse just put it in the cranberry juice. My supervisor is having me for lunch right now. She wants me to prove why I would do something like this. I know we have put PO med in inhators and thats sounds weird too.
Customer (name blocked for privacy)
Answer
February 13, 2005 1:57 a.m. (1 day and 10 hours later) 		REPLIED Check Mark
Your reply is a bit unclear as to which medication(s) you administered PO. Still, given the fact that the Physician's Order authorizes either IM or PO administration, it seems that the method of administration is clearly left to your professional discretion.  Even so, your supervisor wanting an explanation of why you chose PO administration seems reasonable.

Please let me know how it went with your Supervisor. 

Steve
   

Edited by Oreport on February 13 2005 at 2:06am

__________________
Counselor /listener/collaborative problem solver. Thanks!
PictureSteve -- a.k.a. Oreport  -- Voc Rehab Counselor, M. Ed. -- 98% Positive Feedback on 469 Health Accepts
Disability/Rehab Consultant. Broad knowledge of many chronic and acute health problems.
Reply to Oreport
Sent February 15, 2005 2:24 p.m. (2 days and 12 hours later)
THere was 2 sets of medications in the house. one being oral the other IM. I did not know there was Oral medications in the house when the family member told me that she was sure the nurse gave the IM medications PO. My nursing supvisor told me I should have called her if I questioned giving IM medications PO. But if I can prove with litature that IM solution can be givin PO then we will attach it to the incident report and it will look more favorably in my personel file. Both medications ativan and haldol were to be give together.
Customer (name blocked for privacy)
Answer
February 15, 2005 7:52 p.m. (5 hours and 28 minutes later)
THIS ANSWER IS LOCKED!
You can view this answer by clicking here to Register or Login and paying $3.
Picturexarqi  -- Generalist -- 94% Positive Feedback on 91 Health Accepts
Answer
February 15, 2005 9:41 p.m. (1 hour and 49 minutes later)
THIS ANSWER IS LOCKED!
You can view this answer by clicking here to Register or Login and paying $3.
PictureSteve -- a.k.a. Oreport  -- Voc Rehab Counselor, M. Ed. -- 98% Positive Feedback on 469 Health Accepts
Disability/Rehab Consultant. Broad knowledge of many chronic and acute health problems.
Answer
February 15, 2005 10:43 p.m. (1 hour and 1 minute later)
THIS ANSWER IS LOCKED!
You can view this answer by clicking here to Register or Login and paying $3.
PictureAnnlynnRN  -- Nurse (RN) -- 99% Positive Feedback on 560 Health Accepts
RN - 13 years in ICU & Critical Care (Cardiac, Neurology, Trauma, & Medical/Surgical ICU.)

Think you can answer this question?
 Login or  Become an Expert









DISCLAIMER: You acknowledge that any information you may obtain from individuals you contact through use of the Just Answer service comes from those individuals, not from Just Answer!, and that Just Answer is not in any way responsible for any of the information these third parties may supply. The site and services are provided "as is" with no warranty and no representations are made regarding the qualification of an Expert. Responses and comments on Just Answer! are for general information and are not intended to substitute for informed professional advice (such as medical, legal, investment or accounting) and do not establish a professional-client relationship. Just Answer! is not intended or designed to address EMERGENCY QUESTIONS which should be directed immediately by telephone or in-person to qualified professionals. Please carefully read the Terms of Service.
   Just Answer! > Online Health Advice > Doctor
Question List - Become an Expert - Terms of Service - Security & Privacy - About Us
© 2008 Just Answer Corp.