What to do when a doctor won't let you read back an order

  1. 1
    New nurse here. Had to call a doctor the other night after I followed hypoglycemia protocol and the patient wasn't responding to the treatment. He gave me his order and I began to read it back. He interrupted me saying, "Yeah, yeah, yeah, yeah." And hung up on me.

    As I wrote out the order I wondered if I should even write torb as he didn't allow me to do so.

    What should I have done? Called him back? Charted that he wouldn't allow me to read it back? What would you have done?
    Joe V likes this.
  2. 29 Comments so far...

  3. 11
    I would have called him back and if he still was not cooperative I would have informed charge and documented first and last names of all who were involved and exactly what happened. That is so unacceptable.
    myelin, JZ_RN, natnat122, and 8 others like this.
  4. 1
    I considered it but was worried about backlash.
    anotherone likes this.
  5. 7
    Standard nursing practice requires readback. Ideally you should have called him back and explained that you can't execute the order until you follow all steps in the telephone order protocol as per safety requirements. Any place that would discipline you for that isn't worth a bucket of warm.... At worst you should have documented that the MD cut you off prior to readback and said "yeah yeah yeah" as he hung up on you.
    Bella'sMyBaby, JZ_RN, natnat122, and 4 others like this.
  6. 5
    chain of command is written for just these purposes
    myelin, JZ_RN, lindarn, and 2 others like this.
  7. 3
    I make sure I listen very very carefully the 1st time because this happens ALL the time. The backlash from what you're talking about doing is not worth it.
    natnat122, NyteshiftLVN, and lindarn like this.
  8. 3
    I would have just read it back while he said yeah yeah yeah. The doctor being so complacent is unsafe though. I would definately call back if the order was questionable. If you wake an MD up for an order, it is good practice to really think about what you're about to do.
    natnat122, anotherone, and lindarn like this.
  9. 3
    Quote from squatmunkie_RN
    I make sure I listen very very carefully the 1st time because this happens ALL the time. The backlash from what you're talking about doing is not worth it.
    Yep. I figured it might happen a lot and that's why I chose to be careful how I handle it. I'm new. I don't know the in's and out's quite yet. I certainly don't want to start off on the wrong foot and ruffling feathers, but I also want to be safe for my patients and have my butt covered.
    natnat122, anotherone, and 37 C like this.
  10. 4
    I've learned with some doctors you have to talk very very fast. (:
    natnat122, anotherone, lindarn, and 1 other like this.
  11. 2
    I say something like " so give ---mg q2, is that right? And they say "yes" takes like 2 microseconds
    natnat122 and lindarn like this.


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