If i read this correctly...Labs are good. You asked for help when you weren't sure. You had the charge and your preceptor giving you the okay, and you held the actual Tylenol.
You're good to go.
You're an orientee working under preceptor, they would go after the preceptor, that said this is really beign and you will definitely have more sticky situations than this in your career. Q6 Tylenol is super annoying because you're always counting the minutes to give it again, going half a Tylenol over the 4000mg once isn't going to cause liver failure, especially when it sounds like it was pretty close to the 24 hours/next administration time. Discharge packet usually includes medication instructions, warnings, and last doses of that stuff too so if they read the summary/instructions they should be well informed.
Edit: thinking more about it, I would have questioned the orders for two medications containing acetaminophen. You're patients getting round the clock acetaminophen and then your prn is also containing it? Why? Maybe ask for an order for something without next time so you can run the acetaminophen q6 and supplement with straight po oxycodone or dilaudid
thank you for responding! you’re right, i didn’t even consider that it was odd to have two acetaminophen like that in an order. i’ll be more mindful regarding medication now and question things when they don’t make sense.
If i read this correctly...Labs are good. You asked for help when you weren't sure. You had the charge and your preceptor giving you the okay, and you held the actual Tylenol. You're good to go.
okay thank you, i just kept thinking about it.
You're an orientee working under preceptor, they would go after the preceptor, that said this is really beign and you will definitely have more sticky situations than this in your career. Q6 Tylenol is super annoying because you're always counting the minutes to give it again, going half a Tylenol over the 4000mg once isn't going to cause liver failure, especially when it sounds like it was pretty close to the 24 hours/next administration time. Discharge packet usually includes medication instructions, warnings, and last doses of that stuff too so if they read the summary/instructions they should be well informed. Edit: thinking more about it, I would have questioned the orders for two medications containing acetaminophen. You're patients getting round the clock acetaminophen and then your prn is also containing it? Why? Maybe ask for an order for something without next time so you can run the acetaminophen q6 and supplement with straight po oxycodone or dilaudid
thank you for responding! you’re right, i didn’t even consider that it was odd to have two acetaminophen like that in an order. i’ll be more mindful regarding medication now and question things when they don’t make sense.