I have just started working in a very busy medical clinic in Australia. The work I do as an RN at this clinic is varied and quite interesting.
One of my duties, among many others, Is to contact patients over the phone and give them results of their pathology test (blood, x-rays, urine, etc.) when requested by their treating Doctor.
Most of the time the Doctors just want me to call and ask the patients to come in for a follow-up on their results.... that doesn't bother too much. My biggest problem is with the INR results. The Doctors review the results when they come. They then write a comment on the pathology report. Sometimes the comment just says to continue with treatment as usual and come in for another INR in a week. But, some other times the Doctors write out a change to the presciption on the report itself (ex.:increase by 1mg for a week and then back to the regular prescription) ... I then have to phone the patient, tell them the result of the INR and verbally instruct them of the change to the prescription when applicable. I do not feel comfortable with that one bit. I feel like I am put in a situation of high liability and that the Doctors are also putting themselves in a dangerous situation. As far as I know they don't even write the changes to the prescription in their notes, they just scribble a half prescription on the pathology report. Not to mention the errors that could occur and be damaging to the patients.
I am in a tough spot really. That's how the Doctors want things to be and if I try to discuss this with them they will probably just tell me to find another job! What do you think about this and what would you do if you were in my shoes?
Your comments would be much appreciated.