I'll try to kill two birdies with one stone; maybe this will help explain the difference between CNA and RN responsiblity; Scenario; report from 3-11 RN states direct admit from Dr's office. Pt had been administered Phenergan in office, was found unresponsive in exam room, transferred by ambulance to hospital. Pt groggy but improving on 11-7 assessment. Later in shift, pt complains of nausea; RN checks PRN orders and sees (can you guess?) PHENERGAN IV for nausea. I call physician @ 0300 to clarify order; Dr thanks me and suggests, maybe, Zofran? I alert our pharmacist, who is usually VERY dilligent, he can't believe that he actually OK'd the order and has to see it for himself. Can you say red-faced? Of course, I had to write up the previous RN for OK'ing the order; nothing personal, of course but part of my required job. All's well that ends well (and, by the way, I was still a pretty NEW RN at the time) and had 8 other patients that shift on a gen. med floor........)The CNA reference is for Mad in Texas ( I LOVE good CNA's). This is one reason why I so believe in good reports and clarifying confusing orders......