@the.legal.np: She came in with a broken ankle. 21 years old. Hurt doing farm work. It should have been a straightforward admission. Her family's lawsuit alleges she was given multiple pain medications, wasn't checked on, and was found too late. Here's the clinical point every nurse needs to hear: sedation comes before respiratory depression. A patient who is "resting comfortably" after stacked opioids may not be resting. She may be drifting toward apnea, too sedated to call for help. This is why we: 🔹 Assess sedation level before every opioid dose, not just pain scores 🔹 Reassess when doses are combined or stacked 🔹 Push for continuous monitoring (pulse ox, capnography) for high-risk patients 🔹 Chart what we saw, when we saw it, and what we did about it In court, the question won't be "Was she comfortable?" It will be "Who was watching her breathe?" These are allegations, and the case hasn't been decided. The lesson for practice stands anyway. Rest in peace, Dale. 🤍 #legalno #medicalmalpractice #legalnurse #nursestiktok #medsurg

The Legal NP
The Legal NP
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Region: US
Tuesday 03 November 2026 23:08:08 GMT
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toppup0
Top Dog :
As a nurse you know better than to give both 🙄
2026-11-04 04:34:34
6
bren0130
Maggiesmom :
My question is why this patient had both Morphine and Dilaudid?
2026-11-04 00:29:00
886
britt.nicolx
britt :
Found her?? She wasn’t on a monitor?? That’s crazy
2026-11-04 01:24:11
250
itgirlsi
SiSaidSo :
dilaudid for a broken ankle is kind of #insane
2026-11-04 02:17:23
120
salrn72
Salrn❌ :
why aren’t Drs ever held accountable?
2026-11-04 02:07:19
58
j.m.m.21
J.M.M21 :
Why did a pharmacist approve both opioids to be given in whatever frequency without dc’ing one or calling the doctor to clarify.
2026-11-04 02:49:07
69
lady_pip1
It’sComplicated :
Why were we not on continuous pulse oximetery monitoring??? Were vital signs NOT taken at all?
2026-11-04 00:29:38
727
ash_moiseenko
Ash Moiseenko :
Your content has majorly upped my charting and assessment game
2026-11-03 23:23:31
375
momof3boys74
Me. ❤️❤️❤️❤️ :
Did she have an autopsy? Did she have a PE ?
2026-11-04 01:06:09
6
mmluver68_
Tracee_reads :
Why, as a nurse would you be giving both narcotics??? I would question that big time and most likely would hold one!
2026-11-04 01:48:12
43
user0174802
user0174802 :
I literally wouldn’t allow IV narcotics if I wasn’t on a continuous SpO2 monitor
2026-11-04 00:27:32
297
feldagast3
feldagast :
Left bedside and never felt more free!
2026-11-04 00:50:47
35
enjoyme_2
Enjoyme :
“Comfortable and over sedated look like same from the doorway!” So true!!
2026-11-04 03:04:12
38
lilyaas___
lilyaas___ :
I’m finishing up pre-reqs right now so I’m at the tip of the iceberg but I feel like any patient in the hospital should be monitored at all times? Keeping up with vitals and such can literally save a PT’s life. This is a clear example of that
2026-11-04 06:24:24
0
isoflurane1.2
IsofluraneVape :
I presume if she was relatively healthy and just had a broken ankle she was on a med surg floor - what hospital allows IV opioids on a med surg floor?!
2026-11-04 01:04:30
7
nursepretty24
El Kane :
And even if u didn’t know to cancel the order why aren’t we getting a set of vitals before each dose. Especially to people do don’t take them on a regular. Surely her respiratory status decreased overnight
2026-11-04 01:04:32
66
gabsn_14
Gabriella :
Morphine and dilaudid??!! Together?! That’s nuts.
2026-11-04 03:03:37
11
xmsbellla
Miss Bella :
Accurate documentation, clear endorsements, and open team communication are essential to keeping everyone aligned. If a new medication is indicated for a patient without a verified written order, I will immediately contact the physician for clarification.
2026-11-04 06:02:40
0
gennygenny6119
GennyGenny :
Phone orders not allowed. They all have access to EPIC and must place their own orders in.
2026-11-04 01:01:24
23
mexcubanmami
Coffee & Fuzzy Cows 🐮 :
Before administration of another dose, you're supposed to do an assessment of respirations and O2 to safely administer
2026-11-04 00:53:21
20
givingggrace
givingggrace :
dang and all they ever wanna give me is an 800 ibuprofen for surgery on my uterus 😭
2026-11-04 01:44:44
35
91ststreet
91st street :
Most systems wont even let you put two active narcotics at the same without signing that you acknowledge risk of death
2026-11-04 01:23:02
20
beets69
Tashii❌️ :
as a 20yr nurse I would have 100% asked for clarification of the Dr's orders
2026-11-04 01:08:38
9
lindsmichelle90
Linds :
Only time we take verbal/phone orders are for emergencies.
2026-11-03 23:43:47
23
normagarcia692
Norma Garcia858 :
In the emergency room we take verbal orders all the time, but have to reassess the patients once a medication is given.
2026-11-04 00:23:53
17
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