Oona | RN
Region: US
Friday 22 May 2026 20:32:10 GMT
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. :
I never give nursing dose because I want the doctor to know their order was not enough
2026-06-15 17:03:16
6
Lauren šŖ© :
This happens a lot in hospice nursing, everyoneās heart is in the right place but just CALL THE PROVIDER
2026-05-23 03:13:13
70
katie :
When I worked in Peds hem onc and had patients that were difficult to get their pain under control, sometimes on their pca they would write a prn bolus dose order and it was called a nursing dose (bc it was the nurse programming a bolus dose separately from the patientās button presses) but I hated that they called it that
2026-05-23 11:51:33
8
Madi_Kee BSN, RN :
You can even advocate before you give and say āhey doc I rly think theyāre going to need more than thisā, esp if the dosage or medication seems particularly inadequate! Iāve had a doc order 2mg of zofran when 4mg would be the proper dosage based on the patients weight! Docs make mistakes too
2026-05-22 21:23:00
151
Cindy VW :
Something I never did. Always call for new orders!
2026-05-22 20:56:20
96
Jody Wagstaff :
Absolutely no nursing doses. Doc writes it.... I give. I assess... I call doc for more
2026-05-23 17:36:22
33
pink_berry_7 :
What is your opinion on a nurse that consistently gave the IV medication 1h30 to 2h late?? I tried to advocate for myself and she kept telling me that itās all fine and time in between doses is just a guidance
2026-05-23 19:04:11
3
badgyalfine :
Thank God for titration orders
2026-05-23 19:39:07
4
minieto27 :
Donāt do it. Itās not legal. Nurse 46 yrs.
2026-05-25 01:37:07
8
Kelsey Elizabeth :
Also ā DOCUMENT! PRN ____ admin for ____, dose ineffective. Back yourself up every single time the ordered dose doesn't have the desired effect. Then when you advocate for your patient, and ask the doctor for a dose change, you have the evidence to back it up.
2026-05-23 19:12:50
4
whimsicalbaddieee :
Been a nurse for 15 years, and Iāve never heard of the nursing dose. If I ever felt the patient needed something other than was ordered, I would call the doctor and tell them myself.
2026-05-24 19:55:50
9
Galy Kishkin :
My question isā¦ did you do a tan or something? You look so glowy!
2026-05-22 21:22:18
10
222 :
maybe iām just a new grad with incredible anxiety but why are we ever giving doses not ordered
2026-05-24 15:45:33
7
Lazy Girl :
Say whaaaaaa?! No thatās not how it works. You give the dose ordered. Iāve never heard of this
2026-05-25 06:11:21
1
kassiejbanks :
Youāre glowing!! Love watching your journey
2026-05-23 16:10:45
1
jolie šø :
I never heard of a ānursing doseā. If med isnāt working, Iāll page the doc and get a new order.
2026-06-25 16:12:00
1
ali_leconey :
What if in the rare case the order is something that seems crazy high, do you call the provider & do the calculation to make sure ?
2026-05-23 10:39:31
1
Nurse Amaiya š¦š©ŗ :
I didnāt even know this was a thingš
2026-05-24 03:10:57
2
Colorado Dem :
I might order a small dose because I donāt know how the patient will react. Donāt give more! Iāll order more if needed but I donāt want to treat a hypotensive, apneic unconscious patient if patient over reacts to the med.
2026-05-24 03:44:49
1
berrryymatchaa :
There are nurses I know that would give half instead of the full dose for pain if the pt doesnāt tolerate it well. I still wouldnāt do that. I know some do that if pt requests it. I had a patient that got mad at me for not giving less the prescribed dose because I told them that is something I have to address the doctor since itās not my call. I can advocate for them but I canāt just do that.
2026-05-26 20:05:53
0
George Good :
No noā¦ itās usually B502
2026-05-25 13:33:12
0
sam1738a :
I had a nurse suggest I should give 5 of haldol IM when they were only ordered 1, severely agitated individual. I called the doc and he ordered for us to use 5mg po/im for the future. if i did the ānurses doseā then it would look like the agitation was relieved with 1mg, causing a delay in care the next time the agitation happens. so much easier to just get the order! advocate for what you want and the doctors usually agree, they know that we only want what is best for the pt
2026-05-22 21:34:07
206
KatieO :
This was something Iāve seen, but never risked my license for. But this was before Pyxis and wasting was required. If itās still happening then TWO nurses are not following orders. I wonāt waste 6mg of morphine or 8mg of dilaudid without seeing it.
2026-05-23 12:13:04
2
Mad-river97 :
Back in the 90s when I went to nursing school and at the end, you did your little five week haul with a nurse on the floor. Her name is Maria. It was Night Shift and a patient was acting out. She said you guys acting up. I said OK well he can get 1 to 2 mg Ativan. You had to waste a partial dose. She told me that thereās a doctors dose and then thereās a nurse dose. Thatās how I learned. ššš
2026-05-22 21:46:59
2
Spay&Neuter :
My nurse knew I was in horrible pain after gallbladder surgery incision was made bigger to remove scared gallbladderā¦ nurse called Dr asked for more pain meds.. my hand was scrapping the bedside it hurt so much.. by 3rd day no pain meds just anti inflammatory meds. Post surgery call I THANKED MY NURSES & SURGERY TEAM.. again next post call Thanked them all AGAIN šš
2026-05-23 21:42:07
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