As a nurse, it is my job to ensure that the admitting doctor and all of the consults accurately assess the patients, order the correct labs, order the correct meds, read the consults notes, and do not miss anything with the patient. It is my job to report to the consulting physicians so they can write orders without ever seeing the patients. It is my job to point out trending high BPs and to convince the doctor that the patient needs an increase in BP meds. It is my job to ensure that doctors never have to deal with family members or answer any questions. It is my job to protect the doctors, make sure they are doing their job, make sure their orders are correct. I am an RN - an advocate for doctors.
if you think about it, all those things are really protecting the patient from inept physicians. we're not protecting physicians by doing all those things. we're protecting patients. you are absolutely not obligated to implement a wrong order. the reverse is true-- you are mandated not to implemement a blatantly wrong order.
don't believe it? read your nurse practice act or the ana scope and standards of nursing practice, which applies to all rns. they mandate you to protect the patient first, not the physician-- the days of doctor-is-the-captain-of-the-ship, follow-doctor's-orders are looooong gone.
Last edit by GrnTea on Jul 10, '12