Can anyone help with this situation?

Nurses General Nursing

Published

Please read this situation and respond to the questions below, with your title (LPN, RN, ect.)...it would really help me out :) ....

You enter a patient's room to answer a call light and are very surprised to walk in on a physician who put on the call light because he needed help. The doctor is doing a procedure unknown to you that involves IV solutions and medications. You are a new LPN graduate and have not yet been certified in IV Therapy. There is an LPN student in the room looking frustrated and possibly frightened. The patient appears to be in pain and looks at you as though she hopes to be rescued.

The doctor seems frustrated and is tense and raising his voice. He appears to be unable to complete the procedure he has undertaken because both his hands are full, and he needs one more thing done. You wonder if he asked the student to assist with the IV medications and became frustrated when she said she couldn't. All of these observations and considerations race through your mind in seconds. In addition, YOUR blood pressure and pulse rate increase because of the adrenaline release caused by the situation. Then the doctor says to you, "Finally, a nurse! Grad that medication (a syringe filled with "something" sitting on the over bed table) and give it in the second IV port."

1. What do you do, and, more importantly, how do you think it through?

2. What are the considerations that you must factor in to your decision?

Ok now...send in the replys!! :D

If my understanding is correct from the last time I read my state Nurse Practice Act, the only time the doctor's license covers what I do is when I am in his/her employment (such as his office nurse). I am not automatically covered "just because" he/she is the doc and I'm a nurse. IN FACT, it goes the other way, legally. The nurse is considered the last 'line of defense' against errors, and is held legally liable even IF a doctor has told the nurse to do something and the nurse did not stop/catch the error. You're responsible for what YOU do, not what the doctor says to do, if you can appreciate the difference.

So, saying that, I agree with the comments above. This was not a life threatening situation, just a tense one as far as the doctor was concerned. Doctors are tense all the time, it's part of their job description. That doesn't give me a freebie to NOT follow procedure or standard nursing practice.

Specializes in ER, Med Surg. ICU, Mgmt. Geri. Hme Care.

hi. I've seen so many times situations like this. I totally agree with Lacey. We act in the same way here in South America. First, you have to know what's going on, then see if you could help and how, always considering hospital policy, if you can't help ,go get your chief and tell what's going on, so he/she can solve the problem. NEVER administer any medication, no matter how, if you didn't prepare it; even on emergencies you can, and should, take the necessary time to administer medicines or do whatever is necessary to be done. Doctors, and that is my experience, many times, make quick decitions, and involve others not thinking in further responsibilities, so sometimes, if thier choice doesn't work, they just tell everybody, they didn't indicated that procedure that the nurse applied, leaving the nurse by his or her own, facing the consequences. So be careful of just doing what the policies allow you to do, and no more. RN in Uruguay

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