I don’t often write about the day to day perils of working in a LTCP… but some of the staff ….
today…. we receive faxed in orders…. only having patient name on them…. call to LTCF … CLARIFY ORDERS PLEASE ….
we receive second fax… INVANZ 1 Gm…. call to LTCF … WOULD THAT BE IM or IV?? CLARIFY ORDERS PLEASE…
we receive third fax.. that would be INVANZ 1 GM IV… technician keys in orders….
I go to review the order…. pt has noted PENICILLIN ALLERGY…. call to LTCF
I make call to nurse… INVANZ ordered … PT… has noted allergy to PENICILLIN …. nurse …YES !!
Me: they are in the same class/type of drug … nurse YES !!
Me: PT is probably ALLERGIC to INVANZ !!! … nurse… I went over allergies with prescriber !!!
Me: do you want me to send and you monitor the patient for a ALLERGIC REACTION ???? nurse… maybe I should call prescriber !!!
fourth fax from LTCF …. CANCEL INVANZ order !!!
Filed under: General dumb-ass problems
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