We have this med order - page 2

It has been on the MAR to be given BID routinely for 2 months now. The recipient's husband is not in agreement with the doctor's order and demanded that it be given in the morning only. The nurses... Read More

  1. by   RN4NICU
    Quote from ~Kitty~
    I also am curious why the doc won't change it??? What a hassle to have to document daily refusal.
    The doc has to cover his backside, just like the nurses. If BID is the recommended and appropriate dosage, but the doc orders it differently to suit someone's fancy, it is the doc who is responsible if the desired effect of the med is not attained - because it is the doc that ordered it that way. However, if the doc orders the med at the appropriate dosage and interval, but the patient (or her husband) refuse to comply with the regime, it is then a noncompliance issue (patient/husband's fault) rather than a malpractice (doctor's fault) issue.
  2. by   CoffeeRTC
    Not that it matters.....whats the med?
  3. by   sharann
    I think you are doing all you can unless there really IS a valid reason for the husband refusing. If it is a pain med, is he refusing because it makes her too groggy in the am? If so, this needs to be adressed. Does she NEED this med BID really? Can the dose be adjusted to once? I personally would like to know what the med is as well. As mentioned above, if the med is refused by the husband this is ok as long as he has DPOA.
  4. by   allamericangirl
    I think that the doctor's attorney would argue with that point. The doctor's responsibility is to his patient who is depending on him/her for the best medical care he/she can provide.
    "the doc has two responsabilites on the prescription:
    the illness people.
    the comunity."

    All medical care is expensive. Are you saying that Pts who are getting their medical care paid for by Medicare, Medicade, or some other subsidized med care that these Pts should have proper medical care withheld because of the cost to the community?
    "Many drugs are very expensive, society must administrate its resources; doc and nurses are in this way civil servants and must care not only the illness people. The comunity is important."

    alanpe, I am curious to know. Are you working as a nursing entity in the U.S.? Are you working in Spain? Are you a nurse? What you suggest is illegal in the US.


    Quote from alanpe
    No med order is today a big problem.
    Thanks to internet and new technologies many patients can learn about his pathology more than a doc; the doc has two responsabilites on the prescription:
    the illness people.
    the comunity.

    Many drugs are very expensive, society must administrate its resources; doc and nurses are in this way civil servants and must care not only the illness people. The comunity is important.
    Last edit by allamericangirl on Mar 18, '05
  5. by   alanpe
    Quote from allamericangirl
    I think that the doctor's attorney would argue with that point. The doctor's responsibility is to his patient who is depending on him/her for the best medical care he/she can provide.
    "the doc has two responsabilites on the prescription:
    the illness people.
    the comunity."

    All medical care is expensive. Are you saying that Pts who are getting their medical care paid for by Medicare, Medicade, or some other subsidized med care that these Pts should have proper medical care withheld because of the cost to the community?
    "Many drugs are very expensive, society must administrate its resources; doc and nurses are in this way civil servants and must care not only the illness people. The comunity is important."

    alanpe, I am curious to know. Are you working as a nursing entity in the U.S.? Are you working in Spain? Are you a nurse? What you suggest is illegal in the US.
    What is illegal in USA is illegal in Spanish Kingdon most of the time, thought not always, even the Constitution; you will know meds and resources are created in USA, after that these resources are copied (imported).
    The instructions are in English language, good books are in english, to be a good profesional is good to learn English. Really USA is today the driver that actually move the world. What is not copied doesnt work here, yes I have seen it; a professional with not English literaty is not a professional.

    I work in a spanish hospital as nurse and I study IT in a British University from internet, I consult pubmed, I read law news ..., as you can figure and guess we are not many differents, perhaps we are just equall
  6. by   suzanne4
    Quote from alanpe
    No med order is today a big problem.
    Thanks to internet and new technologies many patients can learn about his pathology more than a doc; the doc has two responsabilites on the prescription:
    the illness people.
    the comunity.

    Many drugs are very expensive, society must administrate its resources; doc and nurses are in this way civil servants and must care not only the illness people. The comunity is important.
    In the US, medication orders are extremely important. Nurses and physicians have lost their licenses to practice over these. A major problem where errors accur in caring for patients is with medication administration.

    Sorry, but I do not agree with your views.
  7. by   alanpe
    Quote from suzanne4
    in the us, medication orders are extremely important. nurses and physicians have lost their licenses to practice over these. a major problem where errors accur in caring for patients is with medication administration.

    sorry, but i do not agree with your views.

    we can not decide many times, we must follow the order. almost time the orders.

    this is not my view, it is just the law point and i am just one looking the best for all; as you said "nurses and physicians have lost their licenses to practice over these"

    mi best wishes for you

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