What to do when a doctor won't let you read back an orderRegister Today!
This is a discussion on What to do when a doctor won't let you read back an order in Nurse Colleague / Patient Relations, part of General Nursing ... New nurse here. Had to call a doctor the other night after I followed hypoglycemia protocol and the...by aem31 Sep 28, '12New 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?
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- Sep 28, '12 by not.done.yetI 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.
- Sep 28, '12 by aem31I considered it but was worried about backlash.
- Sep 28, '12 by nurse2033Standard 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.
- Sep 28, '12 by classicdamechain of command is written for just these purposes
- Sep 28, '12 by squatmunkie_RNI 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.
- Sep 28, '12 by eatmysoxRNI 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.
- Sep 28, '12 by aem31Quote from squatmunkie_RNYep. 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.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.
- Sep 28, '12 by Quit Floating MeI've learned with some doctors you have to talk very very fast. (:
- Sep 28, '12 by DutchRN09I say something like " so give ---mg q2, is that right? And they say "yes" takes like 2 microseconds