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July 9, 2021

We have a patient where the nurse has documented in her notes that etomidate and rocuronium was given prior to intubation. She has documented the time, dose and med but only in her notes. I do not see this on the MAR or the electronic flowsheet. Can I still use this that this was given?

If you are confident this information documented in the nursing notes is accurate, you can use it. I find it unusual it is not also documented elsewhere. I recommend you use caution and perhaps query the providers to ensure these medications were given to the patient.

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