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Wednesday, July 02, 2008
It Wasn’t Me
After a very long walk to their house, she introduced me to the patient and gave me the materials needed. I was saddened when I saw the needle I’ll be using. It was a butterfly IV, an old and nearly faced off needle use in IV insertion. I was worried ‘cause I seldom used this kind of needle. Insytes or introcan are the IV canulas commonly use nowadays.
While I was preparing the IV line, I was shocked when she told me to add vitamin c on the dextrose. As nursing standard, I asked if there’s any prescription so I can give the medication. The lady showed me a prescription saying, “Infuse 1 ampule of Vitamin C to D5LR to run for 20gtts/min.” The order was clear. But when the lady gave me the vitamin, I was surprised again. She handed me a bottle of vitamin c capsules, branded “Vital-C”. On a nice manner, I clearly state that I can NOT give that medication. It was not as prescribed by the doctor. So, I refused to give it. But they insisted that the doctor instructed them that if ampule is not available they may use diluted vitamin c capsule instead. That was COMPLETELY strange. I never heard nor learned that an oral medication may be given through IV injection or infusion.
What I did was to explain clearly my side and reasons why I can’t give that medication. I don’t want to take any risks.
Then, she called the doctor who gave the prescription. The doctor clarified the order. “I understand why the nurse wouldn’t give it because it is unusual…but it may be given that way,” the doctor said. I never knew this doctor and this ‘Vital-C’ and so I still refused to give the drug. But they seem so sure. She even told me that the nurse yesterday just did it. Since they insisted, I gave them an option.
The option was that I will insert the IV (since there is an order) but I won’t give the medication. I said, it’s up to them to give the drug and I won’t give any responsibility in it. So, I explained the legality again CLEARLY, and they understand that I have no legal accountability. I successfully inserted a butterfly needle on the patient’s right hand vein, aseptically. And SHE gave/incorporated the said vitamin on the dextrose solution. Not me.