[dona4jc]

Originally Posted by pinoy_guy

bottom line is you're a Patient Advocate. if it means irritating the doctor so you can be sure your Patient is safe, Just Do It.

Definitely!

I was worried about the communication part especially w/ the telephone orders before I started as an RN since English is my second language. But now I don't care if I irritate you as long as I got these orders right, especially w/ the sound the same medications, I'd ask them to spell them for me.

I don't care if I wake you up in the middle of the night as long as I can keep my patient safe.

[pinoy_guy]

Originally Posted by dona4jc

I was worried about the communication part especially w/ the telephone orders before I started as an RN since English is my second language. But now I don't care if I irritate you as long as I got these orders right, especially w/ the sound the same medications, I'd ask them to spell them for me.

telephone orders...a different animal.

I've irritated a lot of doctors because of my way of doing this.

"Doctor, just to confirm, this is for Mr. Joe Smith in Surgical Floor Room 152, your order is for Lasix 20 mg IV once a day?"

"Yes, yes, yes. I have to go."

"Doctor, I have to confirm your other medication. K-Clor 20 mEqs twice a day?"

"You're the only one who does this."

"Sorry Doctor, just doing my job. K-Clor 20 mEqs twice a day?"

a deep sigh. "Yes."

"Colace 100 mg once a day?"

"Yes."

"Thank you, Doctor."

before I let him hang up the phone.

after a few weeks they learn to adjust to my way.

one time the Charge Nurse congratulated me on doing this, which is called "Read Back Order."

few, if any, nurses do this.

so the way you sign the order is "TO/RBO/Dr. Dela Cruz/Pinoy Guy, RN."

swtgrl_bee, I hope this gives you an insight on how to do things in the US, and make you eager to get to the US.

[RNHawaii34]

Originally Posted by dona4jc

Definitely!

I was worried about the communication part especially w/ the telephone orders before I started as an RN since English is my second language. But now I don't care if I irritate you as long as I got these orders right, especially w/ the sound the same medications, I'd ask them to spell them for me.

I don't care if I wake you up in the middle of the night as long as I can keep my patient safe.

Yup, same here :-).

[crossbow]

Originally Posted by pinoy_guy

telephone orders...a different animal.

I've irritated a lot of doctors because of my way of doing this.

"Doctor, just to confirm, this is for Mr. Joe Smith in Surgical Floor Room 152, your order is for Lasix 20 mg IV once a day?"

"Yes, yes, yes. I have to go."

"Doctor, I have to confirm your other medication. K-Clor 20 mEqs twice a day?"

"You're the only one who does this."

"Sorry Doctor, just doing my job. K-Clor 20 mEqs twice a day?"

a deep sigh. "Yes."

"Colace 100 mg once a day?"

"Yes."

"Thank you, Doctor."

before I let him hang up the phone.

after a few weeks they learn to adjust to my way.

one time the Charge Nurse congratulated me on doing this, which is called "Read Back Order."

few, if any, nurses do this.

so the way you sign the order is "TO/RBO/Dr. Dela Cruz/Pinoy Guy, RN."

swtgrl_bee, I hope this gives you an insight on how to do things in the US, and make you eager to get to the US.

Being in a state med ctr....we have NO telephone orders. When the new MDs start to do this, I say "I'm sorry Doctor we have a policy on our unit for no telephone orders"..........that is a good thing. We also have interns and residents 24 hours on call.

[pinoy_guy]

Originally Posted by crossbow

Being in a state med ctr....we have NO telephone orders. When the new MDs start to do this, I say "I'm sorry Doctor we have a policy on our unit for no telephone orders"..........that is a good thing. We also have interns and residents 24 hours on call.

maybe I should apply in such a center.

we do have a policy of "No Verbal Orders."

as soon as the doctor says "start Insulin Drip--"

we interrupt and say, "Sorry Doctor, we can't take Verbal Orders. Please write down your order and I'll be back with the Insulin Drip Protocol order."

of course there are exceptions, like in Stat Orders.

having interns and residents available 24 hours is a good thing.

[crossbow]

Sure be my guest...

if you want to move lock,stock and barrel to NY

Originally Posted by pinoy_guy

maybe I should apply in such a center.

we do have a policy of "No Verbal Orders."

as soon as the doctor says "start Insulin Drip--"

we interrupt and say, "Sorry Doctor, we can't take Verbal Orders. Please write down your order and I'll be back with the Insulin Drip Protocol order."

of course there are exceptions, like in Stat Orders.

having interns and residents available 24 hours is a good thing.