Can ER doctors give dialysis orders? - page 2

by nursingisok

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.


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