Quote from jodi_cmsrn
As a new nurse starting out, I remember learning multiple new things every day. Our facility has a couple physician's that are legendary for their temperments. I have always been the type of person that wants to understand why I am doing something, and would always ask why?
Why are we doing this? Why are we doing this like this? Why is this going to work?
One day I was preparing a patient for an angioplasty and the patient had a critical high potassium level. Upon notifying the physician (and expecting a kaexylate order), I received an order for an amp of D50 and insulin. After asking every nurse on my unit, and looking in all the drug books I could find, I still didn't find the answer. I gave the medications, rechecked the patient's potassium level as instructed and sure enough it had improved.
When the physician arrived on the unit later (of course one of the famous temperments), much to the surprise of my co-workers I simply asked him, "Why did we do this, and why did it work?" He happily explained it to me, and actually thanked me for asking. He also told me it was refreshing to have a nurse want to learn and has continued to go out of his way to show me new things, and actually praises me to patients, co-workers and physicians.
Don't be afraid to ask "Why?" You just don't know what you can learn.
I agree to that. People love to explain their knowledges. If someone asked me how things work this way, I love explaining things because it shows how knowledgeable you are.
Also, it's our role to be the patient's advocate. We are the security guard. We are the voices for the patient. We speak for the patient. We need to know why this thing are being done. If we know that it is safe, then we follow Doctor's order. We don't just follow Doctor's order, we are not just Nurses anymore, we can question for every drug, intervention, that we give to the patient if we don't know why it works.
I have this patient who has an PRN order for Tylenol for Anal route for moderate pain, and Morphine for Oral route for severe pain. I questioned the physician if we could have Tylenol for Oral route, since Morphine is ordered for Oral route. I told the physician that the patient doesn't like to be inserted through rectally. Then, the physician approved my request. Cool huh?
I'm a new Nurse just like you. The Board Exam doesn't prove us we know everything. Nursing is all about learning new things.