Active Ingredients: Ciprofloxacin
After the medications have been updated, an admission med rec report is printed out and placed on the chart for physician review. The nurse will contact the physician to review each med medication. Once the physician completes the form, scan to Pharmacy.
Place the form under " physician orders " in chart.
Her diagnoses included seizure disorder. Patient 2 also took Phenobarbital anti-seizure 60 mg every day.
Review of the ED notes for Patient 2 revealed the only medications Patient 2 received in the ED were 2 mg milligrams of Ativan antianxiety at 6:14 p.
S 11 Pharmacist said he would expect the physicians and nurses in the ED to monitor the patient ' s medications until the patient was placed on hold or admitted.
S 9 RN said Patient 2 did not receive her seizure medications until 8:00 a. S 12 RNDirectorED said Patient 2 ' s medication list was not obtained until the medication reconciliation was done at 9:00 p.
She said Patient 2 did not receive any of her seizure medications Dilantin and Phenobarbital in the ED. She said she did not have policies or a system in place for patients to receive their medications in the ED if they were PEC ' d and waiting to be transferred to a patient floor without being on " hold ".
S 13 MD verified there was not a process in place to ensure PEC ' d patients received their medications if they were in the ED for an extended period of time and not in " hold " status. S 13 MD said they would not be considered on " hold " unless the psychiatric beds were full.
S 13 MD also verified the nursing staff and the physicians in the ED were responsible for ensuring the patients receive their needed medications.
S 14 RN said he should have called the physician and informed him Patient 2 had not received her 2 evening doses of Dilantin. Theres 3 of 4 reactors that melted down.
None of those are being contained, they cant get close enough. One was reported about 8 months ago to have breached containment, meaning it burnt through the floor and is now into the earth totally uncontained.