Scan your Ativan
When I was a new nurse, I had an elderly gentleman who was very anxious. The doctor said he would put in 1mg IV Ativan. I was sitting by the computer waiting for the order to go in when the patient’s wife came up to me and kept asking if I was going to give him something. As a new nurse I didn’t want to bug the doctor to put the Ativan order in so I decided to just grab the Ativan from the pyxis and give him the 1mg then scan it afterwards. After I gave the patient the Ativan, a critical patient came into my section and I had to stay in this new patient’s room. When I was able to leave the other patient’s room, I looked at my computer and saw the Ativan was finally ordered, but it was scanned and given. When I was busy with the other patient, a coworker helped out with my patients. I went to check on the elderly man I gave Ativan to and it was hard to wake him up. He was not responding and just completely out of it. Thankfully, his vital signs were stable. I was so nervous and upset that I gave this man more Ativan than ordered. The elderly population is more affected by Ativan and 2mg IV was a little too much for my patient. After crying and babbling to myself in the bathroom, I worked up the confidence to tell the doctor that the patient was accidentally given 2mg IV Ativan instead of 1mg. Luckily, the doctor was pretty chill and just asked what his vitals were. I let him know his vitals were stable, but the patient was completely out of it. The doctor just told me to keep an eye on his vitals, otherwise he was not worried. He did not feel like we needed to give him Flumazenil (benzo reversal drug). I was lucky this patient was stable and that the doctor was an incredibly chill doctor. After that incident, I scan ALL of my medications and if a doctor is taking too long to put an order in, I gently remind them.