Thank you guys so much! The amount of knowledge and experience here is amazing. I will NOT forget this.
I made my story short b/c the rest of it wasn't relevant to my question, but now it is.
Like I said, lady was a direct admit. She had seen the dr several hours earlier in the day where her EKG was A fib in the 40's. She got to me, I called him to let him know she was here. He tells me he will put orders in (in house, but not on my unit). Admissions nurse does her thing, aide takes vitals and hooks her up to tele and I do my head to toe. I go check orders and he's ordered a heparin drip and an amiodarone drip (I don't remember the dosage). I think: "HUH. I've d/c'd people off this when their HR is in the 60's...hmmm..." I pull her tele strips which look sinus brady to me. I ask the other nurses, and call the monitor techs. Yup, everyone agrees, sinus brady. I order an EKG. Sinus brady.
So of course, I call the doc back and he d'c's the amiodarone but wants to continue the heparin.
But it is frightening to me that he would put a pt w/a HR in the 40's on an amiodarone drip
A few weeks ago we had a nurse float to us from the ICU, she was relieving me, and I was giving her report about a pt who was this particular dr's. She said "Dr So-and-so isn't like a real dr. You have to tell him what to do." Id idn't say anything, I've been a nurse for a year, and don't for a second think I know more then a cardiologist who has been in practice most, if not all, of my life. But this experience has me very nervous about the next time I have one of his pt's.
Thank you guys again for your input. Like I said, I will not ever forget this crucially important information.