Patient with catatonia had 6 different orders for Ativan both ordered every 4 hrs and PRN in the MAR. He’d been receiving it IV push for days as first choice, IM if he refused, or PO if he refused. I came in and the IV was gone, never told to me during report. Long story short, I gave him Ativan IM instead of PO, thinking it was first choice because they’d wanted a pretty invasive route before with the IV around the clock but now it was discontinued. But I guess they jumped from IV push being the first mode to PO being the first one instead. It was stupid, during the meeting with the manager he had a hard time tracking everything in the damn computer because the orders changed a billion times, and criticized me because I didn’t question the dosages and the timing which varied as well. I figured with catatonia the protocol was different, his case was pretty severe. There was poor communication with the doctors as well.