Section 4 Professional Choose one of the following:
4.1 A colleague is handing over her patients to you at 0715 and you are reviewing the medication chart. The patient has a past history of aortic valve replacement 2 years ago and is on warfarin. She also has arthritis and will require an arthroscopy later this week. She is due to start Clexane today to replace the warfarin pre-op. You note that she has been given ibuprofen and aspirin overnight for pain as nurse initiated medication. You think that NSAIDâs and Aspirin are contraindicated for patients on warfarin. How will you manage this situation? Your colleague will be going home after handover.
4.2 You are collecting a patient from the theatre. Your patient tells you she has pain 6 out of 10. She has been given Morphine 2.5mg IV 20 minutes previously. The recovery RN asks you to sort out the pain relief on the ward as they are too busy and need the space. The drug chart has Panadol and Panadeine for pain relief. You suggest that the patient should not leave recovery with uncontrolled pain and the recovery RN says âIâve already handed over to you I canât do anything about that nowâ. How will you manage this situation?