Don't do the physicians work! - page 4

Please nurses, stand up for yourselves and the patients! Healthcare is evolving to the physicians doing hardly anything and putting all responsibility on the nurse. I feel the shift is for the doctor... Read More

  1. by   ModernRN
    Quote from BSN16
    This is the second time i have seen you refer to another female as "sweet cheeks" on AN forum. It is truly strange how you are advocating respect for you and you fellow nurses while simultaneously degrading them.
    Yea, avoid the topic content and aim at the "sweet cheeks" comment. LOL.
  2. by   ModernRN
    Quote from BSN16
    By taking a verbal order and confirming it with a read back I am not putting a patient's safety at risk nor am i exercising bad habits in health care. In fact this is in my job description.

    For example throwing a fit because a physician gave you a verbal order for stat levophed is putting a patient at risk.

    This is part of the job of an RN. Stop crying because you have to do your job.
    A nurse has the right to refuse putting ANY order in if they do not feel it is safe.. Verbal orders are deemed UNSAFE by JCAHO...Smile! :-)
  3. by   Rose_Queen
    Quote from ModernRN
    Guess what? Get the verbal order and initiate it but the physician must put in the order himself/herself eventually otherwise you leave room for error. Its not rocket science Ma'am! That better for you?
    Verbal orders in certain situations are allowed. The physician must co-sign the order in my facility, within 24 hours. The facility is indeed accredited by the Joint Commission, so clearly there is an allowance for this. I think you are misinterpreting the goal of verbal order reduction. Also, you really need to reevaluate your posts. You are coming across as rude and condescending. That is not a way to have a respectful debate.
  4. by   SmilingBluEyes
    Quote from ModernRN
    Guess what? Get the verbal order and initiate it but the physician must put in the order himself/herself eventually otherwise you leave room for error. Its not rocket science Ma'am! That better for you?
    You are still rude. Still don't get it. You are riding a thin like that borders on TOS violation. I would review what you are writing and change the tone and words. I bet you are difficult to work with, too.
  5. by   3ringnursing
    Quote from BSN16
    That sounds amazing. We use Doc Halo which is also a secure text message system however we are not able to receive orders this way...so basically pointless lol

    It's pretty sweet, but we are dealing with clinic patients (i.e., primary care) not bedside care … Doc X somehow didn't get Rx Y to pharmacy - now mom is fruitlessly waiting for a Rx which never arrived and it is now after clinic hours (you gotta love E-Rx'ing) … or pt Q under estimated their regular insulin usage now has 1-2 doses left on Saturday night.

    It is handy, but trust me, snark from an on call provider comes through text messaging loud and clear.
    Last edit by 3ringnursing on Apr 2
  6. by   ModernRN
    Quote from SmilingBluEyes
    You are still rude. Still don't get it. You are riding a thin like that borders on TOS violation. I would review what you are writing and change the tone and words. I bet you are difficult to work with, too.
    ................
    Last edit by ModernRN on Apr 3
  7. by   ModernRN
    I just looked up the definition for "sweet cheeks" and opps..Honestly didn't know it meant that so I apologize for who ever I offended.
  8. by   BostonFNP
    Quote from ModernRN
    Healthcare is evolving to the physicians doing hardly anything and putting all responsibility on the nurse.
    I know you are upset, but do you really think this is the case? Do you feel you have a good idea what the daily workflow of a hospitalist is? Have you ever asked to spend a say shadowing a hospitalist? Its similar to the threads that pop up about CNAs calling RNs lazy because they do all their work.

    Quote from ModernRN
    I feel the shift is for the doctor to spend less time with patients so they can see more pt's which only equals more money for doctors. Conflict of interest in my opinion.
    This may be true, but it's not because it equals more money for the doctors, it equals more money for the administrators. If you think about it from a business model perspective, nurses are a huge non-billable expense: the more work you can make your non-billable employees take off the hands of your billable employees the more money you make. Take your complaints to them rather than driving a wedge between members of the healthcare team.

    That being said, there are some lazy providers out there just like there are lazy RNs out there.

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  9. by   Here.I.Stand
    Meh...on the off-shifts a single ICU resident is responsible for as many as 20 critically ill/injured people. I am responsible for at most, two. I think I can give them a break if the restraint order needs to be renewed.
  10. by   foggnm
    Please don't take your frustrations out on physicians. I know our healthcare systems dump a lot on nurses, but the providers also get things put on them. They have hard jobs and many don't get paid that much. We can't change other people's behaviors but we can change our reaction to them, our own behaviors, and our choices and circumstances. If you're unhappy in your work environment, consider trying something else. I worked in an office where I had to electronically sign the providers refill requests and I quit the job because I didn't believe it had anything to do with nursing (it was one of many things). But I didn't blame the provider for it, because it was the way the clinic was set up...it wasn't their decision.
  11. by   DTWriter
    I am all for having the physician putting in their own orders on the EHR system, or at least have it written somewhere that said physicians prefers x protocols for z patients.

    I hate when physicians expect other nurses to pass on their preferences. I do not know about others but I feel unnerve going off the word of another nurse as to what a physician likes to do.
  12. by   CFrancine
    Quote from DTWriter
    I am all for having the physician putting in their own orders on the EHR system, or at least have it written somewhere that said physicians prefers x protocols for z patients.

    I hate when physicians expect other nurses to pass on their preferences. I do not know about others but I feel unnerve going off the word of another nurse as to what a physician likes to do.

    In those cases, I tell the other nurse "If YOU were told by the doctor, YOU need to put the order in before I can do anything."
  13. by   Extra Pickles
    Quote from ModernRN
    I just looked up the definition for "sweet cheeks" and opps..Honestly didn't know it meant that so I apologize for who ever I offended.
    I'm genuinely curious as to what you thought it DID mean. Surely you didn't use it as a means of praise? Color me confused!

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