The nurses at my job have a habit of calling the md for every little thing. Now as a new grad I'm still learning when and when not to call the md, however some of my experienced coworkers call and fax the md for little things. Here are some examples:
1. "Resident sneezed" ( since when was sneezing a medical issue. This resident sneezed one time and the nurse notified the md)
2. " Resident had one loose stool" ( okay, so how about we give po fluids, hold dairy, hold colace ,if ordered give prn immodium, continue to asess and monitor before calling the md)
3. " Resident had emesis x 1 undigested food" ( once again what is wrong with assessing, giving fluids, crackers. And monitoring before calling the md)
4. " resident has runny nose" ( okay sometimes us humans get a runny nose from time to time, temp. Is normal, clear thin secretions, no c.o. pain, just monitor)
5. " resident noted with a dry cough"( okay so why not give fluids and see if it clears up, the cough wasn't even persistant for crying out loud)
I can go on and on but these are just a few. And I just love when they ask the md for an order before checking the chart and seeing that the resident already has an order.
Please let me know if these are reasons to call the md, maybe I'm missing something here.