ST Alpha - "So today a nurse accidentally hung some albumin for a patient when the actual order was discontinued 3 days ago. My senior saw it running and " (Reading a Post)

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So today a nurse accidentally hung some albumin for a patient when the actual order was discontinued 3 days ago. My senior saw it running and

Posted by James Bond (aka Igor) (aka Igor) Sep 30 '13, 20:29

asked why it was there. Apparently there was some mix up with the pharmacy and some previous nurse not discontinuing the order.

I am not sure how much of it was given but it is not harmful. But either way it is still a mistake. The nurse then asked that my senior write an order as if she had ordered it (kind of common actually), my senior refused. Even thought it wasn't really harmful if someone were to look back in the chart they would question why it was written. Especially since one of the consult services told us to stop it 3 days ago.

The annoying part was that the nurse then called one of our other team members who wasn't aware of anything and try to get a verbal from him for it. He didn't. She then sort of approach me but I gave her a look and she backed off.

So now the nurse hates us. Which sucks because now I probably won't get any help from her. :(

Overall it wasn't really her mistake. Somehow the albumin showed up on her list of meds to give today. Either a previous nurse didn't record the d/c order or pharmacy screwed up somewhere.

(Pharmacy and everyone was notified and they will look into)

Responses:

If it's listed she has to do it? And she can't just stop it without the say so of someone with the ability to order it so? -- nm - the liioulu with insects Sep 30, 20:43 20
- I had nurses not execute orders because they weren't "comfortable".. if I tell you what happened last week ... hospitals are dangerous. - James Bond (aka Igor) Sep 30, 20:56 19
  - Well she probably felt like the blame was placed on her. And you said it wasn't dangerous, so she's got no good reason to discontinue. - the liioulu with insects Sep 30, 21:14 18
    - 1) Just because it isn't dangerous doesn't mean it should be given. There is no longer any indication to give it. Hence it was discontinued. - James Bond (aka Igor) Sep 30, 21:30 17
      - You're not getting it. She obviously has no official order to discontinue. She does have a list that works as a written order. - the liioulu with insects Sep 30, 21:43 13
        
        My ass is already covered, I wrote an order to d/c a med and it was given. I won't take the liability of given this med by - James Bond (aka Igor) Sep 30, 21:51 12
        
        Yes, her name is in it but it isn't her fault and I doubt anything will happen to her. Pharmacy or the previous nurse is where the problem was. -- nm - James Bond (aka Igor) Sep 30, 21:53 11
        
        Wait was she asking for an order to give it or discontinue it? - the liioulu with insects Sep 30, 21:58 7
        
        I think you are confused and thinking she wanted an order to stop it. Of course we stopped it. That wasn't the problem. -- nm - James Bond (aka Igor) Sep 30, 22:05 1
        
        See below. -- nm - the liioulu with insects Sep 30, 22:06
        
        She was asking for an order to give it. She obviously stopped it once we informed her. She wanted us to cover her ass by back dating an order saying - James Bond (aka Igor) Sep 30, 22:01 4
        
        That was not made clear in your posting until now. - the liioulu with insects Sep 30, 22:06 3
        
        Sure it was, I got it right off. She wanted a CYA order written because she gave it (for whatever reason). I think your misunderstanding is because - Trish Sep 30, 22:22 2
        
        Exactly, I don't know the terminology so it wasn't clear to me. -- nm - the liioulu with less Oct 1, 15:39
        
        sounds to me like this nurse maybe had some serious mistakes in the past and doesn't want to come across the investigators again even if innocent -- nm - zeitgeist Sep 30, 23:25
        
        If a new order were written then this whole situation would not be investigated. I don't know about you, but I want someone to look into why a d/ced - James Bond (aka Igor) Sep 30, 21:57 2
        
        So..it's better the patient gets something that should have been discontinued so someone investigates? -- nm - the liioulu with insects Sep 30, 22:00 1
        
        The patient already got it. Hence, I want it investigated why a patient received something that was d/ced 3 days ago. -- nm - James Bond (aka Igor) Sep 30, 22:02
      - It is actually quite concerning how a medication that was d/ced showed up on the active list. -- nm - James Bond (aka Igor) Sep 30, 21:32 2
        
        ...in which I again mention that the hospital mistakenly tried to give my epileptic daughter her roommate's chemo drugs. nm - ralph wiggum Sep 30, 21:40 1
        
        Yes, hospitals are dangerous. That is why we try to get people out quick, we can sometimes do more harm than good. It is always ideal to have someone - James Bond (aka Igor) Sep 30, 21:44

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So today a nurse accidentally hung some albumin for a patient when the actual order was discontinued 3 days ago. My senior saw it running and

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