Quote from jareze1
Can a nurse write a T. O. order for X-ray ( fall) or psych consult without first calling the MD? I saw this discussion today at work , and I couldn't really decide? Emergency, Nursing judgement, MD not returning call?
I work in LTC. We have a book of our house doc's protocols...which saves a lot of time. But none of us would write an order for a psych consult without running by the MD first. Same with x-rays, unless it's an emergency...then we just call for transport to a hospital. We've had a couple pretty obvious hip fractures lately...we call for transport then notifiy family. The MD is notified after we've seen to our resident. He's pretty easy to get along with.
Just a little something I go by: when in doubt, send 'em out.