Doctor texting order turned into a nightmare - page 5

by Scotthudson1966

I work in a sub acute care facility and we don't always have a doctor in house. Most of the doctors and nurse practitioners are texting orders to the nurses. We are also texting questions and lab information to the mds and nps. ... Read More


  1. 3
    What happened to the patient who should have gone to the ER? Sorry, if it's been asked, I got hung up on trying to find the hippo.
  2. 4
    Ok, maybe I'm just hopelessly behind the times, but could someone please explain how texting orders is somehow more convenient than, you know, *talking* to someone. When did talking to someone on a telephone become such a difficult thing? Is it really that hard?

    "This is a bad, bad idea" should be going off like alarm bells in the mind of nurses and doctors who communicate this way....
    imintrouble, GrnTea, tewdles, and 1 other like this.
  3. 0
    Quote from BrandonLPN
    Ok, maybe I'm just hopelessly behind the times, but could someone please explain how texting orders is somehow more convenient than, you know, *talking* to someone. When did talking to someone on a telephone become such a difficult thing? Is it really that hard?

    "This is a bad, bad idea" should be going off like alarm bells in the mind of nurses and doctors who communicate this way....
    So true. Should be stuff like, "call office or So&So rehab, unit B, Nurse Abe re: a pt. Something like that. Specific details. . .problematic.
  4. 0
    We text our medical director and ask him to call us back for orders.
  5. 2
    You need written policy on how to receive orders and do not deviate from that no matter what any other doctor or nurse says. If the hospital policy is to take text orders so be it. However I wouldn't even THINK about it unless I have a hospital policy stating it is how to get orders. Anytime you deviate from written policy all bets are off.
    tewdles and AnonRNC like this.
  6. 0
    Quote from BrandonLPN
    Ok, maybe I'm just hopelessly behind the times, but could someone please explain how texting orders is somehow more convenient than, you know, *talking* to someone. When did talking to someone on a telephone become such a difficult thing? Is it really that hard?"This is a bad, bad idea" should be going off like alarm bells in the mind of nurses and doctors who communicate this way....
    I've never done it but it would appear to be straight to the point. You have a documented time and there's no issue in regards to what was specifically stated and it can place you in a position to say that I definitely attempted to contact this individual and he/she should have seen the specifics of current matter.... u can ignore a phone call far better than a text; however, in regards to making sure every message is read is where the danger lies. If the md/rn are stuck on texting each other. There should be away that made sure orders are acknowledged so nothing slips through the cracks. Can Doctors just put in their own orders and the machine prompts them when simple clarifications are needed? And can we get an automated system that contacts the correct physician just based off of providing the patient's name/dob/,and/or Medical record number? And could the doctors actually place in their own consults? I could really have this nursing profession a lot less stressful and be more desirable to work in, if anyone with power would consult me...
  7. 0
    When I have an emergency I call the np direct you have their number if you have been texting them.
  8. 0
    Ummm, yeah. No more text orders. And don't feel threatened. She can't sink your ship unless you let her. I would also take the issue to mgmt. The entire department should STOP taking text orders.
  9. 0
    Quote from dagny1974
    I am sorry to say but you are the one at fault. If you felt it was okay to text with the doctor regarding the results and orders then you are responsible to make sure that you have read all the text messages that the doctor had sent to you. I personally like that I can text my doctors and get a quick answer but when it is serious I always page them and make sure that I talk to them over the phone. When you are in a situation that has a patient that has something major going on then you have to take it upon your self and let that doctor know that they need to call you on the facility phone so you can make sure that you are getting the orders correct.
    Actually I would say the blame is shared for both the nurse and the doctor as well as the institution allowing this practice.
  10. 0
    The hospital I work at has a text message center on the computers we use to chart, we simply go the the "Quick Click" page, click on the MD we want to send message to and typed in a message to them regarding what info we wanted to relate to them, Rm # 7 pt name, leaving our name and hospital phone # assigned to us for that day. Now, however, in the last 2-3 weeks, we have been told our site is not private so all we can do is send a text to the doctor and have them call us back, then relay the message, and they will give us orders. We do all electronic medical records and the MD is supposed to enter the orders themselves but more often than not, the nurses have to input the orders. Also we have 2 hospitalists doctors in house 24/7 to give consistent care to patients. even with this system in place, there are still problems to iron out.


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