Can ER doctors give dialysis orders? - page 2

by nursingisok | 4,709 Views | 13 Comments

I am so confused on this issue. I've been called in the middle of uckthe night only to find the er dr wrote an order for a pt to be dialysed and discharged. lucky for me i read the progress notes and it said the nephrologist was... Read More


  1. 0
    Quote from nursingisok
    do you work in acute dialysis or the clinic? ER drs CAN give a stat dialysis order...unfortunately . but we get the orders from the nephrologist.
    Are you an acute dialysis RN for a hospital or do you work for FMC/Davita/DCI or any other dialysis company? FMC/DCI and Davita policy is ALL orders must be from a nephrologist. I also go to 3 different states and it is the same in all 3 states.

    I have done acute hemodialysis treatments for well over 20 years.
  2. 0
    good for you. like i said....i get my orders from a nephrologist. but an er dr CAN write stat dialysis. they are drs and we are not. but i obtain orders from the nephrologist when i arrive. i call trhem and bug them and i always get the orders because i look in the chart and see that the er physician discussed the case witht he nephrologist. i always look for that note. i think its good that u have 20 yrs in hemo.i myself however am applying to grad school. i dont want to do one thing for too long.
  3. 0
    Quote from nursingisok
    good for you. like i said....i get my orders from a nephrologist. but an er dr CAN write stat dialysis. they are drs and we are not. but i obtain orders from the nephrologist when i arrive. i call trhem and bug them and i always get the orders because i look in the chart and see that the er physician discussed the case witht he nephrologist. i always look for that note. i think its good that u have 20 yrs in hemo.i myself however am applying to grad school. i dont want to do one thing for too long.
    So basically you are saying the ER doctor is not writing the dialysis orders - you call the nephrologist for orders, based on the order from the ER doctor to consult nephrology for a dialysis.
    I only do acute treatments per-diem now. I am currently an administrator for an outpatient surgical center.
    Good Luck in grad school!
  4. 0
    Yeah, we get that all the time where I work too. When I ask for complete orders like QB, DF, heparin bolus and rate, uf target, bath, they usually back down call the nephrologist. We can't " make up" orders when they ask, "What do you normally do?"

    That being said, when the patient has a potassium of 8 plus, and the nephrologist can't be reached, I will go out on a limb and write the verbal orders knowing that the Doc will back me up.


Nursing Jobs in every specialty and state. Visit today and Create Job Alerts, Manage Your Resume, and Apply for Jobs.

A Big Thank You To Our Sponsors
Top