[deanzgurll]

Originally Posted by rnwaller

I wish you all the best in your decisions. You complied with the nurse practice act but you have discovered that bad politics of HMO medicine.

I have to agree with other posts, IF you want to take this on you need to go to the insurance companies. But, you certainly run the risk of being blackballed in a rural community.

You can also ride the charting redirect road,"Per Ms Boss Lady pt has regular labwork, labs drawn at her request, to follow up with Dr. So-So."

In the end, maybe ask to work FOR the insurance company?

Remember, the rest of us love you......

Insurance companies hmmm? what do I have for proof...just my own word. They can and do put orders in the charts retroactively. In the break room one day another nurse let drop that her provider was taking ss# out of charts to use in getting other pts. free drugs...illegals probably....and trying to force her to help. His heart was in the right place but sheesh, what bad judgment. That one just got hushed up.

[jahra]

Originally Posted by deanzgurll

. .... I wish Nurses HAD an authority that wielded some power over medicine and or business.

There are some nurses who are trial attorneys in our area.
You may want to do a search in your area. Because of their
nursing background, many specialize in working with nursing/medical
personnel. They also do wrongful termination cases.............

[banditrn]

Originally Posted by deanzgurll

Insurance companies hmmm? what do I have for proof...just my own word. They can and do put orders in the charts retroactively. In the break room one day another nurse let drop that her provider was taking ss# out of charts to use in getting other pts. free drugs...illegals probably....and trying to force her to help. His heart was in the right place but sheesh, what bad judgment. That one just got hushed up.

That doc belongs in jail! That's called identity theft. If he was so concerned about giving his patients free drugs, why didn't HE pay for them?

[CritterLover]

Originally Posted by deanzgurll

But the issue really isn't about knowing what to draw. It's about choosing to do an invasive procedure; even one as simple as phlebotomy without a doctors order. Although the chance of the patient suffering an injury from the procedure are miniscule, we can't go about picking and choosing among our standards of practice based on what is convenient in any particular work culture or the chances of there being a bad outcome.

Not to mention the risk of nerve damage. Doesn't happen often, but what if you hit the brachial nerve and damage it while perfoming an un-ordered vp? Of course you did the right thing......another example of the Burger King have-it-your-way mentality creeping into health care

[momo'3]

You did the absolute right thing. I personally thank you for upholding the correct standard of nursing. If we all leave our standards at the testing center once we pass the boards, we make life alot harder and more dangerous for all nurses and patients. Being the one left to deal with the fallout is lonely, that's the reason for this forum. You're not alone. Don't ever allow a screwed up administration or system let you question the core of your standards. Nursing standards are not just to cover our ass, that's how we protect our patients, patient centered care is the hallmark of nursing. You are a Real Nuse. You weren't the one to fix this place, you must be needed somewhere else. The high standards you practice are needed and wanted somewhere, don't give up. We all need you.

[doingbetter]

That is why I am so interested in instructing (though it does not usually benefit you financially as much as shift nursing). The dog-eat-dog real world of nursing still seems to be male controlled - pitting woman against woman in many good 'ol boy settings; passing down the "blame" in others. Very little real human caring gets the chance to fully develop and "change things for the better." Although home care is probably a lucrative alternative for the true professional like you, I still suggest talking to an attorney. It is a scary business, I know. Network through your community (and here) before you decide which attorney to consult. Negotiate and make sure your first consultation is free.
lubdeb

[Angie O'Plasty, RN]

Members, please note that the date of the last post on this thread is 2006. I'm sure the OP has resolved the problem one way or the other.

[elkpark]

Originally Posted by vloho

What happens when everything is said to be insubordination? Does it matter if your right ?

The office can try to call it "insubordination," but it's really about refusing to violate the NPA and follow an illegal order.

I'd rmuch rather lose a job than my license ...

[nyapa]

Originally Posted by deanzgurll

It matters alot that, so far, everyone here thinks I was right, with a capital R. The support I have been given on these pages has gone a long way toward healing..I have been soooooo angry.

Good to see that even if we haven't been able to help you in the real world, that at least our support is making a difference...

Originally Posted by deanzgurll

We all talk big talk about not tolerating this behavior..but besides voting with your feet, what?

Nurses unfortunately are voting with their feet. Look at the average age of us - 40 odd. Your comment re: wanting to throw in your licence shows that. I am so sorry that you feel you have been driven to such a point... Don't do it.

Originally Posted by deanzgurll

WE ARE NOT AN AUTHORITY THEY ANSWER TO. Unless and until there is one .... I wish Nurses HAD an authority that wielded some power over medicine and or business.

[nyapa]

Originally Posted by Angie O'Plasty, RN

Members, please note that the date of the last post on this thread is 2006. I'm sure the OP has resolved the problem one way or the other.

LOL didn't notice that!