OK doc, let's get nasty and cynical here. let's suppose you, being a doctor (I presume), ignore the guidelines you have been given and dose your patient and that patient dies as a result. What will happen to you? On past observation, not a lot. Your colleagues will unite behind you - they've all been in fraught judgement calls themselves - the MDU will bare its well honed teeth and there will be a lot of talk about the importance of independent clinical judgement, honest mistakes, stress because of excessive hours of work, and the like. You will have to live with having killed a patient, but professionally you are unlikely to suffer much. But a nurse or a tech who acted thus? As well as the personal guilt, they will be hung out to dry. Their colleagues, whether sympathetic or not, are probably going to keep their heads down. Their professional associations will disown them. They will lose their jobs and be vulnerable to civil and criminal charges which, unlike doctors, they will not walk away from with a slap on the wrist.