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This is a discussion on Since when is it my responsibility to... in General Nursing Discussion, part of General Nursing ... Reoprt labs for another nurses patient because I took the phone call from the lab? I got a nasty...by nrsang97 Jan 31, '12Reoprt labs for another nurses patient because I took the phone call from the lab? I got a nasty gram from my manager today telling me I didn't record that I reported a critical value. I did take the K of 7 from the lab, but reported it to the nurse taking care of the pt and the nurse she was reporting off to. It is their responsibility to report and record, NOT MINE. My manager didn't send the email to either one of them, just me. That shows she never looked to see I was not even assigned to that room. Guess I get the crap for being courteous and taking a result so the lab wouldn't have to call back.
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- Jan 31, '12 by Aurora77Are you sure it's not your responsibility? What's your facility policy?
I only take labs if I trust the nurse to follow up. Our lab records the name of the person taking the lab, not the name of the primary nurse. It has to be addressed within 30 min. It doesn't matter who the primary nurse is, the person who took the lab is responsible for follow up. Documentation by anyone within that time frame is sufficient.
- Jan 31, '12 by anotheroneWhere I work mostly whoever takes the call pages the doctor ( we have text pages) and usually writes a note in the chart such as , " Call from lab received, K 7.0, primary nurse Mary Smith, LPN notified and Dr. Jones notifed "
- Jan 31, '12 by VespertinasThis new hospital I'm at has it written in black and white on their "critical value report" sheets: if another RN took a value for someone else's patient, that RN's only responsibility is to communicate it to the primary and document who the primary was and what time you let her know. Later, the primary can fill out the rest with which MD she notified and what time.
In ANOTHER facility, they have banned reporting critical values to nurses altogether. Lab calls straight to the MD. I think that makes way more sense.
Of course you were not responsible to communicate to the MD for another RN. You have every reason to fill your manager in on the details so she doesn't think that you neglected YOUR patient. How could you be expected to call the MD? If it's not your pt, you don't even know what service that patient is on and who to contact. What next- you should follow through on orders to treat the critical value too?
- Jan 31, '12 by tokmomI would see what your policy is. Some nurses I don't always trust, so once I take the values I will write a quick note stating lab values and how they were passed on to Suzy RN and the time. A pain in the butt, but I'm a firm believer of CYA.
- Jan 31, '12 by SandraCVRNOur lab asks for the nurse taking care of pt xyz.....
- Jan 31, '12 by NoviceRN10Quote from SandraCVRNYes, but sometimes the nurse is busy so another staff member takes the call. You must work on a unit with Cisco phones that never leave the nurses side .Our lab asks for the nurse taking care of pt xyz.....
- Feb 1, '12 by woohQuote from VespertinasWell that's just CRAZY! I didn't know it was even legal for a non-nurse to call an MD. I figured that it must be a JACO or HIPPA violation.In ANOTHER facility, they have banned reporting critical values to nurses altogether. Lab calls straight to the MD. I think that makes way more sense.
Personally, if I'm not 100% sure the assigned nurse is going to call on a lab value that I took, I'll chart that I notified the assigned nurse so it doesn't look like **I** ignored it.
- Feb 1, '12 by MN-NurseI take these calls rather often too. I always make sure the RN I reported to made a note in the chart.
- Feb 1, '12 by BluegrassRNOur policy is that whomever takes the phone call initializes the "critical results" report. So yes, in our facility it would be your responsibility.