Pain medication?
The registered nurse contacted the resident on beckon for orders. The resident ordered an antiemetic for nausea and a distress medication. The nurse informed the resident that the patient be not having any dull pain. After being question by her about the entail for the pain medication, the resident compellingly told the nurse to do as ordered--give both medications--and he hung up.
The nurse remembered vaguely from her nursing childhood that the pain medication that be ordered should not be given to patients with renal problems. At that moment, the nurse be paged to another section for an emergency.
Questions:
What action, consistent near her scope of practice, should the nurse thieve?
Should she give both medication as ordered?
Should she give lone the antiemetic?
Should she call another doctor?
Should she provide neither, and leave the merciful alone?
Could the patient truly need some torment medication, but not that one?
Answers: Chances are the nausea has passed by the time she get back, and the point become moot.
If nausea persists, the correct procedure is to ring the resident back. He's surrounded by training, and this is a part of his training, whether he appreciates it or not. Later, unless he's a dunce, he'll cram that the nurses will save him from his own stupidity, especially on those middle-of-the-night call when he's not fully awake. Lord knows, they've save me enough times! If the resident's really smart, he'll swot quickly, build a relationship beside the nurse, and cover her so she'll feel comfortable giving the antiemetic/withholding the ketorolac (that have to be the analgesic in your scenario)/not wake him up again. If she's doing her whole situation and not being vindictive, she'll also work out the resident is sleep-deprived and coax him into doing the right thing, probably reminding him of the effects of NSAID's on both renal blood flow and platelet aggregation. On the other hand, if the resident have dug himself a long-term hole.....
well she should own called the attending spinal column & gave him the info of the misery med then write the spanking new order & put together sure all be documented word by word it's called CYA covering your @ss !! That's skilled 1st year nursing
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