the 1st dose was given at 8pm, soon after returning to the ward from OT.
the next morning, i checked on the child & was surprised that the 2nd dose was given at 2am. reading thru the nite shift notes, it mentioned that the child was not in pain, was not having a fever & was sleeping at that time.
so i questioned the morning shift nurse as to why the child was woken up at 2am to be served the panadol. she replied, defending her nite shift colleague, that i had written the QID dosing, implying 4 times a day or at 6-hourly intervals.
so i questioned again, whether there was a difference between a prescription written "QID" compared to one written "6-hourly." this nurse, with her colleagues now overhearing our conversation, almost replied in unison :
i asked again : you mean, there's no difference between QID and 6-hourly dosing? and the response again, almost in one voice :
that's when i got a little hot under the collar.
ok, so i created this scenario: they went to clinic for backache at 8pm & the doctor prescribed a painkiller with a QID dosing. if they took the 1st dose at 8pm, would they wake up at 2am to take the 2nd dose IF they didn't have pain at that time?
instead of the concerted response i had come to expect, now they gave me a blank stare. & to drive the message home, i cynically asked : if they won't wake up at nite to take their medicine, why would they want to subject a sick child recovering from surgery, who was pain-free, not having a fever & sleeping peacefully, to a rude awakening at 2am?
all i ask is a little
2 things are clear now:
1) with the mushrooming of nursing colleges, don't expect the standard of teaching to improve;
2) i won't be very popular in the children's ward from now on.