Originally Posted by earle58 has any nurse questioned the md?
has any nurse reported to the md that said pt. is not a dnh.
and if it is a true emergency, you send them out, with or without an md order.
and finally, document document document.
leslie
usually we have someone from administration on call and it's better if it's the don or adon because they are nurses also and understand what we are talking about.
9 times out of 10 the first thing the doc will ask is if the patient is a dnr or not.
i always document everthing, how many time the md was notified, vitals, if condition worsens and md was notified, family member notification and if they request patient be sent out or not, etc.... us nurses have to cover our @$$es.
DNR does not mean Do Not Treat!!
I work in a nursing home and a lot of times when we beep a doctor that is on call for the week-end because we have a sick resident they won't let us send them to the hospital if they have a DNR on file? Did they learn in medical school that DNR means Do not Treat!!!!???? They do not understand that we are at the nursing home with these people day in and day out. They see them maybe once a month if that often. We don't call the doctors just for the heck of it. We call them in emergencies. Has anyone else had similar situations? I just needed to vent and get that off my chest. 
I feel better already. 
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