How is that LEGAL??? I'm sorry, but it smacks of something shady to me. There's no way in hell our docs would get away with that. I just don't think they can LEGALLY restrict a nurse from doing something like monitoring. That's like saying you can't take someone's blood pressure. I'd come at them from the standpoint of fetal distress...you don't need an order to stop pit, put on O2, give an IV bolus, etc., when you see a pathologic FHR tracing. If they want to be such arrognant A**HOLES as to presume the nurses have to be 'told' when they can and can't use the fetal monitor, then they need to be prepared to have their butts at the bedside with every patient 24/7 so they can write their precious orders for what is routine nursing care. Tell them fine, no EFM without an order, but from that point on, the MD MUST be present and at the bedside to make basic clinical judgements that you (the nurses) are so incapable of doing.
What a bunch of crap. I'd be out of that unit so fast you'd see smoke coming from my heels. Our nurses just flat out would tell that doc to go blow him/herself. There's no way such a policy would be tolerated. There was a doc who used to raise hell when nurses called peds to a delivery in the event of a baby that needed much more resusc. than anticipated. Well, several nurses just told him where to shove it, that it was their license on the line, and that they had not only the brains but the authority as well to make the decision to call the peds team with or without his blessing. Geez. You all need to protest as a group. Everybody call in sick. Tell your spineless nurse manager (who I must assume isn't defending you guys, or else you wouldn't be posting this problem here) to get the almighty doctors to play nurse for the day, since the nurses on your unit are far too stupid to make basic clinical judgements.
Bleah! Man, I am so p***ed off for you all...
E-mail AWHONN and see what they think, and e-mail Michelle Murray and see what she thinks.