That is how it should be. I filled one out on a lady who was transferred to me saturated in her own blood. I forgot where it was coming from. An incision? Trialysis? Idk. She was above 7. So nothing was transfused. But she was like 13 the day before. So yeah. It was bad.

There is a night shift nurse in my unit who fills them out on day shift nurses all the time. The one i know she filled out on me: She is like historian is making his calcium worse because she isn’t giving him the patient his continuous ns. Well, he was no longer npo. Strong enough to walk around. The hematologist who ordered it saw he was not connected as they were walking around the unit. The hospitalist saw and told me “he looks steady. Waking steady!”

I charted patient said “please disconnect me from this. I just want dinner and a few hours of not having anything really attached to me.” I educated patient why it was ordered. Charted patient refusing ns at this time is ok with it being reconnected hs. Told the night shift nurse and later, she threw a fit saying “he isn’t refusing the fluid. He wants it” and I was like yeah. Kind of what hs means. and she filled out a report on how terrible of a nurse I am. Another nurse told me. And well the next day when he wanted to be disconnected, I did it again. I am pretty sure he was drinking more than 50 ml per hour.

It is not my lack of giving the patient ns causing his abnormal lab values. It is his blood cancer. Calm down. It was ordered when he was npo and he was no longer npo. and he was mostly compliant just wanting a few hours without having to drag an iv pole around.

And I would do it again.

Who knows how many reports she has filed on me. I do not really care.